Indirect Questions in Dental Consultations
30 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What does the presence of tenderness during palpation usually indicate?

  • Cancer
  • Normal physiological response
  • Inflammation (correct)
  • Allergic reaction

    • Which type of lesions are considered well delineated based on palpation?

  • Lesions with separation from adjacent tissues (correct)
  • Lesions without any clear shape
  • Lesions with irregular borders
  • Lesions that blend in with surrounding tissues

    • What does it suggest if a lesion is resistant to movement during palpation?

  • Enlargement
  • Inflammation
  • Healing process
  • Fixation (correct)

    • What technique involves using a glass slide to compress a lesion and observe color changes?

    <p>Diascopy</p> Signup and view all the answers

    What information does bimanual palpation help to detect?

    <p>Presence of fluids inside soft tissue lesions</p> Signup and view all the answers

    What is the purpose of percussion in dental examinations?

    <p>To tap on a tooth to detect periapical disease</p> Signup and view all the answers

    What type of question is used to reveal information beyond what is requested by the question?

    <p>Indirect question</p> Signup and view all the answers

    Which type of question includes an emotional element to get the patient's attention?

    <p>Loaded question</p> Signup and view all the answers

    When a dentist asks, 'Do you grind your teeth during sleep?' to investigate morning headaches, it is an example of a:

    <p>Direct question</p> Signup and view all the answers

    Which type of question presents inconsistent information for the patient to resolve?

    <p>Contradiction question</p> Signup and view all the answers

    If a patient responds 'Yes' to experiencing chest pain following exertion, it may indicate a potential issue with their:

    <p>Cardiovascular system</p> Signup and view all the answers

    What can non-verbal responses like nervous shifting of position or negative facial expressions reveal about a patient's reaction?

    <p>Their response to loaded questions</p> Signup and view all the answers

    What is the recommended action if a local cause is not found for an oral ulcer?

    <p>Refer the patient to an ENT specialist</p> Signup and view all the answers

    What special investigation is recommended to check for mediastinal lymph nodes?

    <p>Chest radiograph</p> Signup and view all the answers

    What is the purpose of a Mantoux test in the investigation of lymphadenopathy?

    <p>To screen for tuberculosis</p> Signup and view all the answers

    Which of the following is a recommended last resort investigation for lymphadenopathy?

    <p>Biopsy of the node itself</p> Signup and view all the answers

    What is the purpose of palpating the temporomandibular joint (TMJ) while the patient opens and closes their mouth?

    <p>To assess for any cracking, grinding, or tenderness</p> Signup and view all the answers

    Which of the following is NOT part of the recommended examination of the temporomandibular joint (TMJ)?

    <p>Examination of the parotid glands</p> Signup and view all the answers

    What device is used to measure blood pressure indirectly?

    <p>Stethoscope</p> Signup and view all the answers

    What is the purpose of leaving the blood pressure cuff in place between readings?

    <p>To maintain patient comfort</p> Signup and view all the answers

    Why might it be necessary to place the blood pressure cuff on the lower arm for obese individuals?

    <p>To listen to Korotkoff sounds at the wrist</p> Signup and view all the answers

    What does an enlarged abdomen in a slender person potentially indicate?

    <p>Ascites</p> Signup and view all the answers

    How long is it recommended to wait between taking multiple blood pressure readings?

    <p>30 minutes</p> Signup and view all the answers

    Where is pulse measurement usually taken?

    <p>Wrist</p> Signup and view all the answers

    What should be evaluated during orthodontic therapy?

    <p>All of the above</p> Signup and view all the answers

    What information should be established regarding past surgical procedures in the mouth?

    <p>All of the above</p> Signup and view all the answers

    Which type of treatment should be reported?

    <p>All of the above</p> Signup and view all the answers

    What can exclude the need for further radiation exposure during radiographic examination?

    <p>All of the above</p> Signup and view all the answers

    How many components does the health history have?

    <p>4</p> Signup and view all the answers

    Which of the following is NOT a benefit of obtaining a medical history?

    <p>Providing a thorough cleaning of the patient's teeth</p> Signup and view all the answers

    Study Notes

    Palpation

    • Tenderness during palpation often indicates inflammation or infection.
    • Well-defined lesions during palpation suggest a distinct boundary, often seen in benign lesions.
    • Lesions that resist movement during palpation might indicate a deeper origin, potentially involving underlying tissue or muscles.
    • A glass slide used to compress a lesion to observe color changes describes the Diaphanous Test for assessing vascularity and translucency, often used for oral lesions.
    • Bimanual palpation, involving both hands, helps to assess size, consistency, and mobility of lesions in the mouth, particularly for deeper structures.

    Dental Examination Techniques

    • Percussion in dental examinations is used to assess the integrity of teeth and surrounding structures by tapping on the tooth surface and listening for the sound produced, indicating potential inflammation, fracture, or loosening.

    Patient Communication Techniques

    • Open-ended questions are used to elicit detailed information from patients beyond what is directly asked.
    • Leading questions are designed to influence a patient's response and guide their thinking, often used with an emotional appeal.
    • The question, "Do you grind your teeth during sleep?" used to investigate morning headaches, exemplifies an open-ended question.
    • A hypothetical question involves an inconsistent scenario that encourages patients to think about the possible implications, helping to identify potential concerns.
    • A patient responding "Yes" to experiencing chest pain following exertion could signal possible heart issues.
    • Non-verbal cues like shifting position or negative facial expressions can reflect a patient's discomfort, lack of understanding, or discomfort with the examination.

    Oral Lesions

    • If a local cause for an oral ulcer is not found, further investigation into systemic causes is necessary.
    • A chest x-ray is recommended to check for mediastinal lymph nodes, which lie within the chest cavity.
    • A Mantoux test helps identify prior exposure to tuberculosis (TB), which can be a cause of lymphadenopathy.
    • Biopsy is considered a last resort investigation for lymphadenopathy.

    Temporomandibular Joint (TMJ)

    • Palpating the TMJ while the patient opens and closes their mouth evaluates joint movement, range, and potential joint dysfunction.
    • Performing a joint click test is an essential part of TMJ examination.

    Blood Pressure Measurement

    • A sphygmomanometer, commonly known as a blood pressure cuff, is the device used to measure blood pressure indirectly.
    • Leaving the blood pressure cuff in place between readings allows for a gradual deflation and prevents the cuff from becoming a tourniquet.
    • For obese patients, the blood pressure cuff may need to be placed on the lower arm for accurate positioning and measurement.

    Abdominal Assessment

    • An enlarged abdomen in a slender person could indicate concerns such as a bloated stomach from indigestion, ascites (fluid retention in the abdomen), or an enlarged liver or spleen.

    Pulse Measurement

    • The recommended waiting time between taking multiple blood pressure readings is approximately one minute.
    • Pulse is usually measured at the radial artery located on the inside of the wrist.

    Orthodontic Therapy

    • Evaluations during orthodontic therapy should include monitoring of tooth movement, bite alignment, and overall dental health.

    Medical History

    • The medical history should establish a clear understanding of past surgical procedures in the mouth, especially those that might impact current treatments.
    • Any treatment that involves a potentially life-threatening condition needs to be documented and reported.
    • Establishing a comprehensive medical history can often exclude the need for additional radiation exposure during radiographic examination.
    • A comprehensive health history generally has four main components: personal, family, social, and dental history.
    • The benefits of obtaining a complete medical history include identifying potential risk factors, preventing treatment complications, and guiding effective treatment strategies.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz covers the use of indirect questions in dental consultations to gather information beyond what is directly asked. Learn how dentists use indirect questions to diagnose conditions like bruxism and systemic diseases.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser