Nervous and Neurological Disorders

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Questions and Answers

A patient presents with progressive cognitive decline, memory loss, and difficulty with executive functions. Which neurological disorder is the MOST likely cause?

  • Multiple Sclerosis
  • Epilepsy
  • Alzheimer's Disease (correct)
  • Parkinson's Disease

A patient reports sudden onset of facial paralysis, making it difficult to close one eye and smile symmetrically. This presentation is MOST indicative of which condition?

  • Facial Nerve Paralysis (correct)
  • Trigeminal Neuralgia
  • Carpal Tunnel Syndrome
  • Sciatica

Which of the following etiological factors is LEAST likely to be directly associated with the development of neurological disorders?

  • Infections
  • Dietary Preferences (correct)
  • Trauma
  • Congenital factors

A patient with Parkinson's disease is undergoing dental treatment. What is the MOST important consideration regarding their medication?

<p>Knowing potential medication side effects and interactions. (D)</p> Signup and view all the answers

A patient with a known neurological disorder experiences dysphagia. What direct implication does this have for dental treatment?

<p>Difficulty in swallowing, potentially leading to aspiration. (C)</p> Signup and view all the answers

Which of the following conditions affecting the peripheral nervous system is characterized by numbness, tingling, and pain in the hands and fingers, often due to repetitive movements?

<p>Carpal Tunnel Syndrome (C)</p> Signup and view all the answers

What is the MOST relevant consideration when obtaining consent from a patient with impaired memory due to a neurological condition before dental treatment?

<p>Assessing the patient’s capacity to understand the treatment and its implications. (D)</p> Signup and view all the answers

A patient with frequent epileptic seizures is scheduled for a dental extraction. What is the MOST appropriate immediate action if the patient experiences a seizure during the procedure?

<p>Protect the patient from injury by clearing the area and cushioning their head. (A)</p> Signup and view all the answers

Which of the following learning outcomes emphasizes the dental professional's responsibility to stay informed about a patient's systemic health when planning dental treatment?

<p>1.1.3 Explain general and systemic disease and their relevance to oral health. (B)</p> Signup and view all the answers

A patient with a known neurological disorder is scheduled for a dental procedure. What is the MOST important initial step a dental professional should take, aligning with the GDC learning outcomes?

<p>Review the patient's medical history thoroughly, noting the specifics of their neurological condition and any medications. (C)</p> Signup and view all the answers

A patient expresses significant anxiety about an upcoming dental procedure. According to the GDC learning outcomes, what is the MOST appropriate approach for the dental professional?

<p>Acknowledge the patient's anxiety, employ effective communication and reassurance techniques, and explore relevant behavioral management strategies. (A)</p> Signup and view all the answers

A patient requires a complex restorative procedure. Which action BEST demonstrates the dental professional's commitment to GDC learning outcome 1.5.3 (planning and delivering care in the best interests of the patient)?

<p>Thoroughly explaining all treatment options, including potential costs and benefits, and collaboratively deciding on the best course of action with the patient. (C)</p> Signup and view all the answers

During a routine dental examination, a patient mentions experiencing frequent headaches and blurred vision. What is the MOST appropriate next step for the dental professional, based on the GDC learning outcomes?

<p>Refer the patient to their general medical practitioner or a relevant specialist for further evaluation. (C)</p> Signup and view all the answers

Which of the following scenarios BEST exemplifies a dental professional upholding GDC learning outcome 1.7.1 (treating all patients with equality, respect, and dignity)?

<p>Providing the same high standard of care and attention to all patients, regardless of their socioeconomic status, ethnicity, or medical history. (A)</p> Signup and view all the answers

What does GDC learning outcome 1.10.3 encourage dental therapists to do?

<p>To deliver care with a focus on preventing future oral health issues and contributing to the patient’s overall well-being. (B)</p> Signup and view all the answers

A dental professional suspects a patient is a victim of domestic abuse after observing certain behavioral and physical signs. According to the GDC learning outcomes, what is the MOST appropriate course of action?

<p>Document the observations, understand local safeguarding procedures, and raise concerns through appropriate channels. (C)</p> Signup and view all the answers

Flashcards

Nervous System Disorders

Encompasses conditions affecting the brain, spinal cord, and nerves throughout the body.

Learning Outcome (Listing Disorders)

Being able to list various nervous system disorders after this lesson.

Learning Outcome (Signs and Symptoms)

Being able to describe the signs and symptoms of nervous system disorders.

Learning Outcome (Dental Implications)

Recognising the effects that nervous system disorders, and their treatments, might have on dental care.

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GDC Learning Outcome 1.1.3

Comprehensive knowledge about general and systemic diseases and their importance to oral health.

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GDC Learning Outcome 1.7.10

Knowledge of the dental therapist's role and other members of the dental team in patient management

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GDC Learning Outcome 1.2.2

Knowledge of the importance of taking a comprehensive and contemporaneous patient history

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GDC Learning Outcome 1.8.1

Knowledge of the risks around the clinical environment and managing these in a safe and efficient manner

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Nervous/Neurological Disorders

Conditions affecting the central (brain, spinal cord) and peripheral (nerves) nervous systems.

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Examples of CNS Disorders

Tumors, infections, epilepsy, multiple sclerosis, Alzheimer’s, Parkinson’s, Huntington’s.

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Examples of PNS Disorders

Peripheral neuropathy, carpal tunnel, diabetic neuropathy, Guillain-Barre, sciatica, facial nerve paralysis.

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Causes of Neurological Disorders

Congenital issues, vascular problems, infections, degeneration, trauma, environmental factors.

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Symptoms of Nervous Disorders

Pain, muscle issues, altered sensation, changes in senses/cognition, sleep problems, altered consciousness.

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Dental Considerations

Medication side effects/interactions, consent, access, compliance, behavior management, impaired memory.

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Dysarthria

Changes in speech articulation.

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Dysphagia

Difficulty swallowing.

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Study Notes

  • Nervous or neurological disorders are physical conditions/diseases that affect the central and peripheral nervous systems.

Central Nervous System Disorders

  • Brain Tumors
  • Encephalitis
  • Epilepsy
  • Meningitis
  • Multiple Sclerosis
  • Alzheimer's
  • Parkinson's
  • Huntington's

Peripheral Nervous System Disorders

  • Peripheral neuropathy, e.g. carpal tunnel
  • Diabetic polyneuropathy
  • Guillain-Barre syndrome
  • Sciatica
  • Facial nerve paralysis

Causes of Disorders

  • Congenital factors
  • Vascular issues
  • Infections (fungal, viral, bacterial, parasitic)
  • Degenerative conditions
  • Trauma/Injury
  • Environmental factors
  • Risk factors such as habits, other conditions, gender, age and genetics

Presentation of Disorders

  • Pain
  • Muscle malfunction
  • Changes in sensation
  • Changes in the special senses
  • Sleep problems
  • Changes in consciousness
  • Changes in cognition
  • Other symptoms can include Dysphagia and Dysarthria

Dental Considerations

  • Medication side effects and interactions are both important
  • Consent must be obtained
  • Access for those with mobility issues must be considered
  • Compliance with treatment
  • Managing behaviour
  • Impaired memory
  • Special considerations/equipment

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