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Case Study #4: You are at a community outreach event screening special needs patients for periodontal disease. As you complete the probing on on your first patient who has Down Syndrome, you discover the the probe advances into the first black block of the WHO/PSR probe and beyond on several teeth. You get a 6mm probe depth on the mesial of #3, 4-5mm probe depths on the mandibular anterior and on at least one molar in each sextant. You see and feel calculus in every quadrant. QUESTION: What should be done next with this patient?

Your 62 year old new patient presents with generalized calculus and periodontal issues including deep probe depths, mobility and furcation involvement. The patient had a massive stroke 2 years ago that left them with some cognitive impairment, speech impairment and reliance on a wheelchair for mobility. He has not been to the dentist since. He relies on his partner to drive him to appointments and to help him with completing medical paperwork. The patient also has some trouble speaking clearly and the partner helps you to understand what he is saying. QUESTION: After informed consent has been signed, is there a point that he can withdraw his consent and refuse treatment?

You are seeing a new patient.  Through the dental history you determine that they have a broken tooth, would like to get established as a patient and have a 7/10 fear of the dentist.  When completing their medical history they report hypertension, type II diabetes and anxiety, all of which they take medications for.  They report their latest diabetes numbers from 6 months ago as 9.2 and 180.  They indicate that they are overdue for their medical visit and blood test.  The vital signs you get are BP: 186/102, Pulse: 102 and Respiration: 18.  QUESTION: After using your stethoscope, which is a non-critical patient care item, how should it be disinfected?

The Pueblo Revolt took place in which area of the current USA

Which event was the last straw for the southern states before they seceded from the Union?

Columbus would go to his grave thinking that his voyages to the Americas had actually taken him to 

This explorer was most responsible for the defeat of the Inca Empire

CASE STUDY #3: You are seeing a patient for a  4 month periodontal maintenance appointment.  She had full periodontal charting 10 months ago and bitewing radiographs taken then.  She reports that she was diagnosed with diabetes and she’s having a hard time managing it so far.  When you look in the mouth to begin your charting, you see that there has been some gingival changes and that her probe depths are deeper than at her last appointment.  You also take some photos and show the patient the changes that you are seeing. Use this information to answer the next 5 questions.  QUESTION: Which of the following would not be a site that you would chart furcation on the maxillary first molar?

Who was Pocahontas’ husband?

William Penn belonged to which religious sect?