As you begin to perform a hip examination on an elderly fema…

As you begin to perform a hip examination on an elderly female patient who has undergone hip surgery, the patient states that she “needs to go to the bathroom.” Which of the following should be done? 1. Use a standard bedpan.2. Provide for the patient’s privacy and locate a fracture bedpan.3. Be sure to wear gloves and wash your hands.4. If the bedpan is metallic, run it under warm water for patient comfort and discard in a recycling bin.5. You and an assistant should assist the patient with movement onto the bedpan.6. Return the patient to the nursing floor for cleanup and patient hygiene

Your patient had a kidney transplant 6 months ago and is tak…

Your patient had a kidney transplant 6 months ago and is taking cyclosporin and another immunosuppressive medication to prevent rejection of the new kidney. This is their first appointment since the transplant and they are presenting for a prophy and exam.  They indicate that they have been experiencing some changes in their mouth and want to you to evaluate them.  One is a cluster of vesicles on their lip that they say has been there for 4 days and is starting to heal and another is an enlargement of their gingival tissue, both related to their medication use. Use this information to answer the following questions. QUESTION: Which of these characteristics would not accurately describe the anterior labial gingiva?

Your 42 year old new patient presents in your new patient ex…

Your 42 year old new patient presents in your new patient exam (NPE) rotation and has not been to a dentist for 20 years.  He has a large amount of supragingival calculus and stain with generalized inflammation.  You check in your head and neck exam with the faculty and determine that there are not any pathological findings, just a variation of normal consisting of bony deposits on the buccal of the mandibular alveolar process and on the palate.  The faculty advises you to get a full series of radiographs and to use the ultrasonic throughout the mouth first since there is so much calculus, charging out a 4355 code, before you will be able to accurately complete periodontal assessments and restorative charting. On the radiographs you see that there is a generally moderate bone loss and radiographic furcation involvement as well as generalized radiographic calculus deposits.  Use this information to answer following questions. QUESTION: What are the terms for the bony deposits that you discovered in the mouth?    

Your 72 year old, diabetic patient, with no known allergies,…

Your 72 year old, diabetic patient, with no known allergies, presents for her appointment and it has been a little over a year since you have seen her last. While going through her medical history you find out she had a joint replacement 9 months ago. You find out she didn’t take a pre-medication and and send her home after consulting with her surgeon. Before dismissing her, you complete the head exam and update the risk assessments. You notice a 5×5 mm red, raised lesion on her lower lip that she says she got from biting really hard a few days ago. She returns the next day, she took her pre-med and now you can begin the rest of your assessments. Vitals: BP-120/78, pulse 60, respirations 70.  During assessments she has generalized 5-6 mm probing depths in her posterior teeth and you determine she has a calculus level of .3. She will need full mouth SRP. You will begin the SRP on the maxillary right quadrant at the next appointment and ask her to check her glucose at the beginning of the next appointment.  QUESTION: Which insert would be recommended to start with if the patient has heavy stain and ledges of surpragingival calculus?

As a patient begins to accept the inevitability of death, he…

As a patient begins to accept the inevitability of death, he or she may ask to discuss important circumstances that will affect the last moments of life. These concerns may include the administration of CPR techniques, organ donation, internment plans, pain control, and sedation. To formalize these wishes, patients will complete a(n)