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CDCA/ NERB Review (complete Latest Summer 2023.) Over 400 Questions And Correct Answers, All Available Correct Answers Provided for each question€11,14
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CDCA/ NERB Review (complete Latest Summer 2023.) Over 400 Questions And Correct Answers, All Available Correct Answers Provided for each question
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CDCA/ NERB
CDCA/ NERB Review (complete Latest Summer 2023.) Over 400 Questions And Correct Answers, All Available Correct Answers Provided for each question
What conditions require a Pre- medication?
1. Previous IE
2. Joint Replacement
3. Valve Replacement
4. Unrepaired congenital or developmental card...
CDCA/ NERB Review (complete Latest Summer 2023.)
Over 400 Questions And Correct Answers, All Available
Correct Answers Provided for each question
What conditions require a Pre- medication?
1. Previous IE
2. Joint Replacement
3. Valve Replacement
4. Unrepaired congenital or developmental cardiac defects
The dental evaluation should include
- Chief complaint
- Date of last visit (new clients)
- Areas of pain or discomfort
- Swelling/ bleeding
- Anxiety
- Previous treatments
- Oral habits
Know your vital signs
Normal body temp for adults and children
98.6
Know your vital signs
Normal pulse for adults
60 to 100 BPM
Know your vital signs
Normal pulse for children
80 to 120 BPM
Know your vital signs
Normal pulse for infants
100 to 160 BPM
Know your vital signs
Normal respiration for adults
14 to 20 breaths per minute
Know your vital signs
Normal respiration for children
20 breaths per minute
Know your vital signs
Normal Blood Pressure for adults and children
Below 120/80 is ideal
,Know your vital signs
Prehypertension
130 to to 89
Be cautious
Know your vital signs
Hypertension 1
140 to to 99
Need a consult
Know your vital signs
Hypertension 2
160 to to 109
Need a consult
Know your vital signs
Hypertensive crisis
180+ / 110+
Emergency situation
Know your ASA classifications
ASA I
Normal, healthy
Know your ASA classifications
ASA II
Mild systemic disease
controlled asthma, epilepsy, non-insulin dependent diabetes, cigarette smoking, BP
between 140-159/90-94
Know your ASA classifications
ASA III
Severe systemic disease, limits activity
stable angina, CVA/myocardial infarction more than 6 months ago, Congestive Heart
Failure, well controlled insulin dependent diabetes, CPOD, exercise induced asthma,
BP between 160-199/95-114
This level patient needs a consult before procedure
,Know your ASA classifications
ASA IV
Incapacitating systemic disease
unstable angina, myocardial infarction or CVA within 6 months, severe CHF or COPD,
uncontrolled diabetes or diseases, BP 200 or higher over 115 or higher
You would not be treating this level patient
Know your ASA classifications
ASA V
Patient not expected to survive 24 hours.
You would not be treating this level patient.
Patients with heart conditions may require accommodations, what are they
Shortened appointments
Let them sit up for a bit before standing after being supine
They might need a premed, might have high BP, might need a consult
What is the standard premed regimen?
4 x 500 mg of Amoxicillin (2g) 30 minutes to 1 hour before treatment
What is the premed alternative if the patient is allergic to penicillin?
600 mg of Clindamycin one hour before treatment
A vitamin K deficiency results in what?
Prolonged clotting time
Anticoagulants are used to treat what?
- Pulmonary emboli
- Thrombophlebitis
- Myocardial infarction
Commonly used anticoagulants
Heparin and Coumadin
Be aware when these are on a medical history, increased bleeding is an issue.
Mydriasis
Dilated pupils
Can be caused by a CNS stimulant (like cocaine) or lack of oxygen to the brain
Miosis
Pinpoint Pupils
Can be caused by a CNS depressant (like heroin), narcotics, alcohol
Crepitus
Noise in the joint
Trismus
, Difficulty opening the mouth
Be able to identify lymph nodes
- pre/ post auricular
- occipital
- anterior cervical
- posterior cervical
- submental
- submandibular
- tonsillar
- Superficial clavical
The Parotid gland is associated with which duct?
Stensons
The Submandibular gland is associated with which duct?
Whartons
The Sublingual gland is associated with which duct?
Bartholins
Know the types of palpation
Digital
Single finger
Used on the hard palate
Know the types of palpation
Bidigital
finger and thumb on the same hand
used on the lip, parotid, under the tongue
Know the types of palpation
Manual
One hand, all fingers
used on the lymph nodes and the larynx
Know the types of palpation
Bimanual
fingers from each hand applied simultaneously
used on the floor of the mouth, one on the inside, one on the outside
Bilateral
two hands at the same time
used on the TMJ, cervical lymph nodes
What is the palatine fovea?
the two dots between the hard and soft palate.
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