Your new patient is a 20 year old college student who is slightly overdue for his 6 month recall. He had radiographs transferred that included a set of bitewings and panoramic taken 8 months ago. He does not report any health issues and only takes a multivitamin, no medications.  He reports alcohol use 4-5 times per week, smoking marijuana 2 times weekly, occasional smokeless tobacco use and using e-cigarettes for vaping daily. His vitals today are 110/72, pulse 74, respirations 16.  The risk assessments indicate a moderate risk for perio, caries and nutrition.  You have some findings on the head and neck exam to discuss with the faculty and the periodontal findings indicate 4mm probe depths posterior proximals and recession where he uses the smokeless tobacco. QUESTION: What type of radiographs will you suggest for today’s appointment based on the information given?  

What does it mean to wear a mask, and how can we avoid wearing a mask in our relationships?

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)

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

What do the letters in the acronym HAT stand for? 

Your new patient is a 38-year-old woman whose health history shows that she is asthmatic, HIV positive, smokes hookah socially (between 1 and 3 days a week), has high blood pressure, and reports that all of her conditions are controlled with medications. She lists 5 medications that she takes that you look up to match with her conditions. Her last dental visit was approximately two years ago to have a tooth removed on an emergency basis, and she says she remembers them taking X-rays at that appointment. Her vitals today are BP 129/70, Pulse 54, Respiration 20. Use this information to answer the following questions. QUESTION: Regarding this patient’s use of hookah, what should be considered for this patient?

What are 2 ways (that were mentioned in this course) that you can create a healthy physical environment?

You are working with a dental faculty to complete an initial appointment on a new patient. They ask you to do a periodontal evaluation and record a PSR score. After completing this evaluation you enter these scores into the PSR chart and discuss your findings with your faculty member. Use this information to answer the following questions. 3 2 4 2 2 2 QUESTION: When you are probing #15 ML, what measurement is indicated if the first black block on the instrument is just under the gingival margin and is not longer seen?

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, 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 would indicate the most desirable glucose level for this patient before giving anesthetic?