GMDC INNOCENZO SEPTEMBER 2023
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Questions and Answers

Which of the following best describes the purpose of a medical consultation?

  • To provide a diagnosis and treatment plan
  • To perform necessary tests and procedures
  • To render an opinion and make recommendations (correct)
  • To request clearance for a specific medical procedure

    • When requesting a consultation in a hospital, what should be included in the opening sentence?

  • A list of medications and allergies
  • The reason for the consultation (correct)
  • A brief summary of the patient's medical history
  • A statement of other active problems

    • In a hospital setting, how long should it typically take to answer a consultation request?

  • Within 48 hours
  • Within 72 hours
  • Within 24 hours (correct)
  • Within 1 week

    • What should be done after providing recommendations in a consultation?

    <p>Follow up with verbal contact</p> Signup and view all the answers

    In the context of a dental consultation, what is the purpose of requesting dental clearance prior to aortic valve replacement?

    <p>To prevent complications during surgery</p> Signup and view all the answers

    Which of the following is NOT a recommendation for the patient in the case presentation?

    <p>Administer prophylactic antibiotics prior to dental treatment</p> Signup and view all the answers

    What is the purpose of the structured medical consultation request forms mentioned in the text?

    <p>To decrease the number of unwarranted consultation requests</p> Signup and view all the answers

    What is the most common cause of hyperthyroidism?

    <p>Grave's Disease</p> Signup and view all the answers

    How is hyperthyroidism treated?

    <p>Antithyroid medication</p> Signup and view all the answers

    What oral findings may be associated with hyperthyroidism?

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

    Which of the following is a possible oral manifestation associated with hypothyroidism?

    <p>Delayed eruption of teeth</p> Signup and view all the answers

    What is the recommended perioperative recommendation for a patient with hyperthyroidism undergoing a dental extraction?

    <p>Establish IV line: D5LR or NS</p> Signup and view all the answers

    Which of the following is a possible symptom of poorly controlled hypothyroidism?

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

    What is the treatment for thyroid storm?

    <p>Activate EMS</p> Signup and view all the answers

    When should a medical consultation be obtained for a hypothyroid patient?

    <p>When the patient is showing signs and symptoms of poorly controlled hypothyroidism</p> Signup and view all the answers

    Which of the following is a physical finding/clinical presentation of asthma?

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

    What is the dental significance for a patient with asthma?

    <p>Increased risk of oral infections</p> Signup and view all the answers

    Which medication is commonly used in the treatment of asthma?

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

    What is the dental management for a patient with poorly controlled asthma?

    <p>Request a medical consult</p> Signup and view all the answers

    What are some oral complications associated with diabetes mellitus?

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

    Which of the following is a characteristic sign of a patient with COPD?

    <p>Blueish-tinged skin color</p> Signup and view all the answers

    What should dental efforts be directed towards in patients with COPD?

    <p>Avoidance of respiratory depressants</p> Signup and view all the answers

    Is nitrous oxide-oxygen sedation contraindicated in patients with severe COPD?

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

    Can vasoconstrictors be used in local anesthetics for patients with COPD?

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

    What questions should be asked regarding a patient's asthma?

    <p>How long have you had asthma?</p> Signup and view all the answers

    Which type of diabetes develops in 1-3% of pregnancies in the 3rd trimester?

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

    What are the clinical manifestations of diabetes?

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

    What lab test is used for monitoring blood sugar control every 3 months?

    <p>Glycosylated Hemoglobin (HbA1C)</p> Signup and view all the answers

    What are the general considerations for dental management of diabetic patients?

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

    What interventions can help prevent syncope episodes during dental visits?

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

    Study Notes

    Medical Consultation

    • A medical consultation is a request for advice or opinion from a specialist or a physician with more expertise in a particular area.
    • When requesting a consultation in a hospital, the opening sentence should include the patient's name, medical record number, and a brief description of the problem.

    Timeframe for Consultation

    • In a hospital setting, it typically takes around 30 minutes to answer a consultation request.

    Post-Consultation Recommendations

    • After providing recommendations in a consultation, the specialist should document the recommendations and communicate them to the requesting healthcare provider.

    Dental Clearance

    • In the context of a dental consultation, dental clearance is requested prior to aortic valve replacement to ensure the patient is healthy enough for the procedure.

    Hyperthyroidism

    • The most common cause of hyperthyroidism is Graves' disease.
    • Hyperthyroidism is treated with antithyroid medications, radioactive iodine, or surgery.
    • Oral findings associated with hyperthyroidism may include tooth loss, dental caries, and periodontal disease.

    Hypothyroidism

    • A possible oral manifestation associated with hypothyroidism is macroglossia.
    • The recommended perioperative recommendation for a patient with hyperthyroidism undergoing a dental extraction is to obtain medical clearance.
    • A possible symptom of poorly controlled hypothyroidism is lethargy.
    • Thyroid storm is treated with antithyroid medications, beta blockers, and supportive care.
    • A medical consultation should be obtained for a hypothyroid patient if they are symptomatic or have a history of thyroid surgery or radioactive iodine therapy.

    Asthma

    • A physical finding/clinical presentation of asthma is wheezing.
    • The dental significance for a patient with asthma is that they may be prone to dental anxiety and require shorter appointments.
    • Medications commonly used in the treatment of asthma include bronchodilators and corticosteroids.
    • The dental management for a patient with poorly controlled asthma includes premedication with bronchodilators and corticosteroids.

    Diabetes Mellitus

    • Oral complications associated with diabetes mellitus include xerostomia, dental caries, and periodontal disease.
    • Gestational diabetes develops in 1-3% of pregnancies in the 3rd trimester.
    • Clinical manifestations of diabetes include polyuria, polydipsia, and weight loss.
    • The lab test used for monitoring blood sugar control every 3 months is the HbA1c test.
    • General considerations for dental management of diabetic patients include ensuring good blood sugar control and adjusting dental appointments according to the patient's blood sugar levels.

    COPD

    • A characteristic sign of a patient with COPD is a barrel chest.
    • Dental efforts should be directed towards reducing stress and anxiety in patients with COPD.
    • Nitrous oxide-oxygen sedation is not contraindicated in patients with severe COPD.
    • Vasoconstrictors can be used in local anesthetics for patients with COPD.
    • Questions to be asked regarding a patient's asthma include the type of medication used, frequency of use, and the severity of symptoms.

    Syncope Episodes

    • Interventions that can help prevent syncope episodes during dental visits include having the patient lie down, elevating their legs, and providing oxygen.

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    Related Documents

    GMDC Dental Correlations October 2, 2023 PDF

    Description

    Test your knowledge on perioperative recommendations for a 60-year-old patient with a history of hypertension, chronic cough, and smoking. Learn about medication, dosage, recent lab work, and the patient's medical optimization for the procedure.

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