Medical Record Keeping Quiz

Diseases linked to specific work environments and caused by harmful factors in the workplace.

A health risk for workers in battery factories due to exposure to lead.

A health risk for workers in fluorescent lamp manufacturing due to exposure to mercury.

Marital stress can affect oral health, potentially exacerbating conditions like lichen planus.

A parent or guardian provides medical history for a child or legally disabled adult.

The primary reason for a patient's visit to the dentist, recorded in their own words.

Common complaints include pain, sores, swelling, burning, numbness, bleeding, hypersensitivity, loose teeth, occlusion problems, delayed tooth eruption, dry mouth, excessive saliva, bad taste, bad breath, and TMJ issues.

Dry mouth, a common chief complaint in dentistry.

The code number is vital for organizing and locating a patient's file. It acts like a unique identifier for each patient's records.

The patient's full name, including preferred address, is crucial for accurate record-keeping and proper communication between the dentist and patient.

A patient's age is important because certain diseases appear more commonly in specific age groups. For instance, childhood illnesses like mumps are rare in older adults.

It's crucial to note the patient's sex, especially for individuals with gender-neutral names, as some diseases are more prevalent in one sex.

Knowing the patient's birthplace helps understand the possibility of diseases contracted in childhood, specific to certain regions.

A patient's racial background is relevant because some diseases have higher occurrence rates in specific races. For example, skin carcinoma is more common in those with lighter skin.

The patient's address can provide insights into their socioeconomic status and potential environmental factors impacting their health.

Telephone numbers (home, office, mobile) are essential for contacting patients quickly, especially in urgent cases, like when a biopsy result suggests malignancy.

Detailed information about the patient's chief complaint, including its duration, onset, and any associated events.

A chief complaint that appears abruptly and rapidly, often with intense symptoms.

A chief complaint developing slowly and gradually, often with less intense symptoms.

A chief complaint that appears subtly, without a clear starting point, discovered by chance.

The specific date when the chief complaint first appeared, recorded in day, month, and year.

The length of time the chief complaint has been present, measured in hours, days, weeks, months, or years.

Periods of improvement (remissions) and worsening (exacerbations) in the patient's chief complaint.

Persistent neuralgia that can occur after a bout of herpes zoster (shingles) affecting the trigeminal nerve, especially in older adults.

Trigeminal neuralgia is primarily caused by irritation or compression of the trigeminal nerve, often due to blood vessels pressing against the nerve.

Characterized by severe, sharp, shooting pain in the face, usually affecting one side. The pain is typically triggered by specific stimuli, such as chewing, speaking, or even a draft of wind.

Bell's palsy is thought to be caused by inflammation or swelling of the facial nerve, often due to a viral infection, such as herpes simplex.

Facial paralysis on one side of the face, often with drooping of the eyelid, mouth, and difficulty making facial expressions.

Early recognition is critical for Bell's palsy because timely treatment may prevent permanent disability and disfigurement.

Testing involves observing facial movements. For example, asking the patient to close their eyes, smile, or blow air may reveal the affected side's inability to perform these actions.

Persistent facial nerve damage can lead to contractures on the affected side of the face, making the face permanently asymmetrical.

A serious heart infection caused by bacteria entering the bloodstream, often during dental procedures.

A chronic condition where the body doesn't regulate blood sugar properly, affecting healing after dental procedures.

A condition where the body lacks enough white blood cells to fight infection, increasing the risk of infection after dental procedures.

A condition where the arteries supplying the heart are narrowed, causing chest pain and potential health risks during dental procedures.

High blood pressure, which can be affected by dental procedures and may require special precautions or medication adjustments.

A condition where the kidneys aren't filtering waste properly, requiring careful consideration of medications during dental treatment.

Conditions affecting the liver's ability to process medications, requiring careful consideration of drug dosages during dental treatment.

A neurological condition that can be triggered by stress or anxiety, requiring premedication before dental procedures.

Diseases that run in families, but don't follow predictable gene transmission rules.

Diseases that run in families and are passed down through genes, following predictable patterns like recessive, dominant, or sex-linked inheritance.

Examining a patient from a distance, noting their general appearance and physical status.

Close, careful examination of a specific area, especially soft tissues, using visual observation.

Using touch to examine a body part, assessing texture, size, and tenderness.

Tapping on a body part to listen for sounds that indicate the condition of underlying tissues.

Listening to sounds within the body using a stethoscope.

Using the sense of smell to detect abnormalities or conditions.