Dental Patient History and Examination Quiz

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Questions and Answers

What is the first stage in the process of making a diagnosis?

Differential diagnosis

Reasons for seeking advice (correct)

Symptoms and history

Objective clinical tests

What is the art and science of detecting and distinguishing deviations from health, its cause, and nature?

Prevention

Treatment

Diagnosis (correct)

Prognosis

What is the most convenient way of recording a patient's medical history?

Asking the patient to recall their medical history

Using a digital medical history database

Memorizing the patient's medical history

Using a checklist kept in the patient’s file (correct)

What type of examination involves soft tissue examination, palpation, periodontal examination, percussion test, and mobility?

Intraoral examination Signup and view all the answers

What does the process of making a diagnosis involve?

Detecting and distinguishing deviations from health Signup and view all the answers

What does differential diagnosis in endodontics require?

Knowledge, skills, and ability to interpret and interact with a patient Signup and view all the answers

What kind of test is used to determine the sensitivity of the pulp?

Sensitivity test Signup and view all the answers

What type of examination involves examining the patient's face, neck, and temporomandibular joint?

Extraoral examination Signup and view all the answers

What does the medical history enable the clinician to determine?

The need for medical consultation, premedication of the patient, and choice of analgesics & antibiotics Signup and view all the answers

What does the process of making a diagnosis involve using scientific knowledge to do?

Identify disease processes and distinguish one disease from another Signup and view all the answers

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

To deliver a graduated increase in electric current to excite a response from the A-delta nerve fibres Signup and view all the answers

What does a positive response to the EPT depend on?

Position of the probe on the tooth and thickness of the enamel and dentine Signup and view all the answers

What are the limitations of the electric pulp tester (EPT)?

False –ve response of EPT and false +ve response of EPT Signup and view all the answers

What does Laser Doppler Flowmetry (LDF) measure?

The blood flow Signup and view all the answers

What are the objectives of the lecture on pulp and periapical injuries?

To understand signs and symptoms of different pulp and periapical injuries Signup and view all the answers

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

Lesions of the medullar bone are likely to go undetected until resorption is considerable Signup and view all the answers

What can Cone beam CT detect in endodontics?

Endodontic lesions before they become visible on conventional radiographs Signup and view all the answers

What is the educational aim of the lecture on pulp and periapical injuries?

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

What does the electric pulp tester (EPT) probe need to be coated with?

A conducting medium (toothpaste) Signup and view all the answers

What does the electric pulp tester (EPT) deliver to excite a response from the A-delta nerve fibres?

A graduated increase in electric current Signup and view all the answers

Which examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?

Extraoral examination Signup and view all the answers

What are the two types of tests involved in pulp testing?

Sensitivity tests and vitality tests Signup and view all the answers

Which type of nerve fibers do cold tests stimulate effectively?

A-delta nerve fibers Signup and view all the answers

What does the past dental history help evaluate?

Sophistication of previous treatments Signup and view all the answers

What does the soft tissue examination involve checking for?

Signs of inflammation and sinus tract openings Signup and view all the answers

What does the history of present dental problem involve careful questioning in five directions about?

Localization, commencement, intensity, provocation, and attenuation Signup and view all the answers

What does palpation in intraoral examination check for?

Normal landmarks and pathological intraoral swellings Signup and view all the answers

What does the periodontal examination characterize and detect?

Periodontal status and loss of attachment Signup and view all the answers

What does the chief complaints include?

Pain, anxiety, treatment, cost, and appearance Signup and view all the answers

What does the patient medical history include?

Heart trouble, high blood pressure, antibiotic cover for dental treatment, and current medications Signup and view all the answers

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

To deliver an electrical stimulus to excite a response from the A-delta nerve fibers Signup and view all the answers

What does Laser Doppler Flowmetry (LDF) measure?

Blood flow in the dental pulp Signup and view all the answers

What does differential diagnosis in endodontics require?

Knowledge, skills, and the ability to interpret and interact with a patient Signup and view all the answers

What does a positive response to the EPT depend on?

The presence of vital nerve fibers in the pulp Signup and view all the answers

What does the process of making a diagnosis involve using scientific knowledge to do?

Identify disease processes and distinguish one disease from another Signup and view all the answers

What type of examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?

Extraoral examination Signup and view all the answers

What does the patient medical history include?

Medical history, past dental history, chief complaint, history of present dental problem Signup and view all the answers

What does the soft tissue examination involve checking for?

Abnormalities in the oral mucosa Signup and view all the answers

What does the chief complaints include?

Pain, swelling, and sensitivity in the tooth Signup and view all the answers

What is the educational aim of the lecture on pulp and periapical injuries?

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

Which type of nerve fibers does the electric pulp tester (EPT) aim to excite a response from?

A-delta nerve fibers Signup and view all the answers

What does the electric pulp tester (EPT) probe need to be coated with?

Conducting medium (toothpaste) Signup and view all the answers

What does Laser Doppler Flowmetry (LDF) measure?

Blood flow Signup and view all the answers

What is the main aim of the educational lecture on pulp and periapical injuries?

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

What are the limitations of x-ray in endodontics?

All of the above Signup and view all the answers

What does the process of making a diagnosis involve?

Using scientific knowledge to identify the cause and nature of deviations from health Signup and view all the answers

What does the chief complaint in the patient information involve?

History of present dental problem Signup and view all the answers

What does the periodontal examination characterize and detect?

All of the above Signup and view all the answers

What kind of test is used to determine the sensitivity of the pulp?

Sensitivity tests Signup and view all the answers

What does the soft tissue examination involve checking for?

Palpation for tenderness or swelling Signup and view all the answers

What type of nerve fibers do cold tests effectively stimulate?

A-delta nerve fibers Signup and view all the answers

What does the process of pulp testing involve?

Sensitivity tests and vitality tests Signup and view all the answers

What is the primary purpose of the extraoral examination in dental patient history and examination?

Observing physical limitations and signs of facial asymmetry Signup and view all the answers

What does the chief complaints of the patient include?

Pain, anxiety, treatment, cost/loss of earnings, and appearance Signup and view all the answers

What is involved in the history of present dental problem?

Careful questioning in five directions: localization, commencement, intensity, provocation and attenuation, and duration Signup and view all the answers

What does the intraoral examination include?

Soft tissue examination, palpation, periodontal examination, percussion test, and mobility test Signup and view all the answers

What is the purpose of palpation in intraoral examination?

Differentiating normal landmarks from pathological intraoral swellings Signup and view all the answers

What is the primary focus of the periodontal examination?

Characterizing periodontal status and detecting root fractures Signup and view all the answers

What do thermal tests assess in pulp testing?

Neural response Signup and view all the answers

What does the soft tissue examination involve checking for?

Signs of inflammation, sinus tract openings, induration, swellings, fibroepithelial growth, ulcers, and discoloration 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.

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.

Dental Patient History and Examination Quiz

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Podcast

Questions and Answers

What is the first stage in the process of making a diagnosis?

What is the art and science of detecting and distinguishing deviations from health, its cause, and nature?

What is the most convenient way of recording a patient's medical history?

What type of examination involves soft tissue examination, palpation, periodontal examination, percussion test, and mobility?

What does the process of making a diagnosis involve?

What does differential diagnosis in endodontics require?

What kind of test is used to determine the sensitivity of the pulp?

What type of examination involves examining the patient's face, neck, and temporomandibular joint?

What does the medical history enable the clinician to determine?

What does the process of making a diagnosis involve using scientific knowledge to do?

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

What does a positive response to the EPT depend on?

What are the limitations of the electric pulp tester (EPT)?

What does Laser Doppler Flowmetry (LDF) measure?

What are the objectives of the lecture on pulp and periapical injuries?

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

What can Cone beam CT detect in endodontics?

What is the educational aim of the lecture on pulp and periapical injuries?

What does the electric pulp tester (EPT) probe need to be coated with?

What does the electric pulp tester (EPT) deliver to excite a response from the A-delta nerve fibres?

Which examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?

What are the two types of tests involved in pulp testing?

Which type of nerve fibers do cold tests stimulate effectively?

What does the past dental history help evaluate?

What does the soft tissue examination involve checking for?

What does the history of present dental problem involve careful questioning in five directions about?

What does palpation in intraoral examination check for?

What does the periodontal examination characterize and detect?

What does the chief complaints include?

What does the patient medical history include?

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

What does Laser Doppler Flowmetry (LDF) measure?

What does differential diagnosis in endodontics require?

What does a positive response to the EPT depend on?

What does the process of making a diagnosis involve using scientific knowledge to do?

What type of examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?

What does the patient medical history include?

What does the soft tissue examination involve checking for?

What does the chief complaints include?

What is the educational aim of the lecture on pulp and periapical injuries?

Which type of nerve fibers does the electric pulp tester (EPT) aim to excite a response from?

What does the electric pulp tester (EPT) probe need to be coated with?

What does Laser Doppler Flowmetry (LDF) measure?

What is the main aim of the educational lecture on pulp and periapical injuries?

What are the limitations of x-ray in endodontics?

What does the process of making a diagnosis involve?

What does the chief complaint in the patient information involve?

What does the periodontal examination characterize and detect?

What kind of test is used to determine the sensitivity of the pulp?

What does the soft tissue examination involve checking for?

What type of nerve fibers do cold tests effectively stimulate?

What does the process of pulp testing involve?

What is the primary purpose of the extraoral examination in dental patient history and examination?

What does the chief complaints of the patient include?

What is involved in the history of present dental problem?

What does the intraoral examination include?

What is the purpose of palpation in intraoral examination?

What is the primary focus of the periodontal examination?

What do thermal tests assess in pulp testing?

What does the soft tissue examination involve checking for?

Study Notes

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