Dental Patient History and Examination Quiz
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Questions and Answers

Which stage of making a diagnosis involves reasons for seeking advice and symptoms?

  • Differential diagnosis
  • Objective clinical tests
  • Reasons for seeking advice and Symptoms (correct)
  • Definitive diagnosis
  • What does the art and science of diagnosis involve?

  • Detecting and distinguishing deviations from health, its cause and nature (correct)
  • Only identifying disease processes
  • Only using scientific knowledge to identify disease processes
  • Distinguishing one disease from another without scientific knowledge
  • Which examination involves soft tissue examination, palpation, and periodontal examination?

  • Pulp testing
  • Intraoral examination (correct)
  • Radiographic examination
  • Extraoral examination
  • What does differential diagnosis in endodontics require?

    <p>Skills and ability to interpret and interact with a patient</p> Signup and view all the answers

    What does the medical history enable the clinician to determine?

    <p>Both A and B</p> Signup and view all the answers

    What is the most convenient way of recording medical history?

    <p>Using a checklist that is kept in the patient’s file</p> Signup and view all the answers

    What type of test involves sensitivity and vitality?

    <p>Pulp testing</p> Signup and view all the answers

    What does the process of making a diagnosis involve after the differential diagnosis stage?

    <p>Definitive diagnosis</p> Signup and view all the answers

    What does the educational aims of the lecture include?

    <p>Both A and B</p> Signup and view all the answers

    What does the process of making a diagnosis involve before the differential diagnosis stage?

    <p>Reasons for seeking advice and symptoms</p> Signup and view all the answers

    What is the purpose of the electric pulp tester (EPT)?

    <p>To deliver a graduated increase in electric current to excite a response from the A-delta nerve fibers</p> Signup and view all the answers

    What is the limitation of the electric pulp tester (EPT)?

    <p>False –ve response of EPT</p> Signup and view all the answers

    What does Laser Doppler Flowmetry (LDF) measure?

    <p>The blood flow</p> Signup and view all the answers

    What can Cone beam CT detect?

    <p>Endodontic lesions before they become visible on conventional radiographs</p> Signup and view all the answers

    What is the main limitation of x-ray in the context of endodontics?

    <p>A 2 dimensional image for a 3 dimensional object</p> Signup and view all the answers

    What is the aim of the educational lecture mentioned in the text?

    <p>To detail the history taking process to reach diagnosis</p> Signup and view all the answers

    What is the objective related to pulp and periapical injuries after completing the lecture?

    <p>An understanding of signs and symptoms of different pulp and periapical injuries</p> Signup and view all the answers

    Where can students find additional details about the topic?

    <p>Cohen's pathways of the pulp, 11th edition, 2016, Kenneth M. Hargreaves and Louis H. Berman. (chapter 1)</p> Signup and view all the answers

    What is the purpose of the reading material mentioned in the text?

    <p>To give an overview of odontogenic and non-odontogenic pain</p> Signup and view all the answers

    What is the main focus of the lecture mentioned in the text?

    <p>To explain the pulp and periapical injuries classification through factors affecting periodontal surgery results</p> Signup and view all the answers

    Which type of nerve fibers are stimulated more effectively by cold tests than heat tests in assessing dental nerve status?

    <p>A-delta nerve fibers</p> Signup and view all the answers

    What type of test is used to assess dental nerve status by using hot gutta-percha stick or rubber dam with hot water?

    <p>Heat test</p> Signup and view all the answers

    What type of examination characterizes periodontal status and detects root fractures, localized iatrogenic perforations, and loss of attachment?

    <p>Periodontal examination</p> Signup and view all the answers

    Which type of test assesses neural response and involves cold tests using ethyl chloride or rubber dam with cold water?

    <p>Cold test</p> Signup and view all the answers

    What does the extraoral examination involve observing for in a dental patient?

    <p>Physical limitations and signs of facial asymmetry</p> Signup and view all the answers

    What type of examination includes checking for signs of inflammation, sinus tract openings, induration, swellings, fibroepithelial growth, ulcers, and discoloration?

    <p>Soft tissue examination</p> Signup and view all the answers

    What does the history of present dental problem involve careful questioning in five directions: localization, commencement, intensity, provocation and attenuation, and duration?

    <p>History of present dental problem</p> Signup and view all the answers

    What does the chief complaints of a dental patient include?

    <p>Pain, anxiety about disease effects, treatment, cost/loss of earnings, and appearance</p> Signup and view all the answers

    What is used to evaluate the sophistication of previous treatments and patient expectations?

    <p>Past dental history</p> Signup and view all the answers

    What is used to assess dental nerve status by using ethyl chloride or rubber dam with cold water?

    <p>Cold test</p> Signup and view all the answers

    Study Notes

    Dental Patient History and Examination Summary

    • Patient medical history includes heart trouble, high blood pressure, antibiotic cover for dental treatment, excessive bleeding tendency, asthma, TB, bronchitis, renal disease, liver disease, epilepsy, allergies, pregnancy, depression, current medications, hospital admissions, smoking, and alcohol consumption.
    • Past dental history helps evaluate the sophistication of previous treatments and patient expectations.
    • Chief complaints include pain, anxiety about disease effects, treatment, cost/loss of earnings, and appearance.
    • History of present dental problem involves careful questioning in five directions: localization, commencement, intensity, provocation and attenuation, and duration.
    • Extraoral examination involves observing physical limitations, signs of facial asymmetry, and facial swelling.
    • Intraoral examination includes soft tissue examination, palpation, periodontal examination, percussion test, and mobility test.
    • Soft tissue examination involves checking for signs of inflammation, sinus tract openings, induration, swellings, fibroepithelial growth, ulcers, and discoloration.
    • Palpation differentiates normal landmarks from pathological intraoral swellings and checks for induration, fluctuation, or eggshell crackling.
    • Periodontal examination characterizes periodontal status and detects root fractures, localized iatrogenic perforations, and loss of attachment.
    • Pulp testing includes sensitivity tests (thermal tests and electric pulp test) and vitality tests (laser Doppler flowmetry and pulse oximetry).
    • Thermal tests assess neural response and involve cold tests (using ethyl chloride or rubber dam with cold water) and heat tests (using hot gutta-percha stick or rubber dam with hot water).
    • Cold tests are more effective in assessing nerve status than heat tests due to their ability to stimulate A-delta nerve fibers and contraction of dentinal fluid.

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    Description

    Test your knowledge of dental patient history and examination with this quiz. Explore topics such as medical history, chief complaints, extraoral and intraoral examination, soft tissue examination, palpation, periodontal examination, and pulp testing.

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