DHYG III Final exam Questions and
Verified Answers
TIA (transient ischemic attack)
•minor stroke
•temporary cessation of blood flow
•a warning sign
•reversible
thrombotic stroke
Which type of stroke occurs when a blood clot arises in an artery
-remains stationary
- increases in size by collecting platelets and clotting products
-eventually blocks the entire lumen of an artery
embolic stroke
which type of stroke occurs when a fragment breaks off a thrombus
-embolus travels to another site
-blocks lumen
-Conditions associated with
•MI, atrial fibrillation, endocarditis, rheumatic heart disease, valvular prosthesis, atrial septic
defects
hemorrhagic stroke
which type of stroke occurs due to a intracranial hemorrhage and typically occurs when there
is another pre-existing condition. (Hypertension, arteriovenous malformation, aneurysm)
Sudden violent headache, temporary paralysis, Aphasia, mental confusion, difficulty seeing.
What are the warning signs of stroke?
,Hyperthyroidism, family history, hypertension, sickle cell disease, excessive alcohol
use, coagulation disorders
What are risk factors for having a stroke?
Epinephrine
what may be contraindicated for use in a dental office for a patient with history of stroke?
remain calm
do not move patient
do not put anything in patient mouth
lower dental chair to semi-supine
protect patient from falling
remove all sharp objects
what is proper protocol for caring for a patient that is having a seizure in the dental chair?
status epilepticus
•prolonger seizure lasting 5 -30 minutes are more and brain injury could occur resulting in
death
Parkinson's disease
what is a slowly progressive neurodegenerative disorder of the production of the
neurotransmitter dopamine and with no cause?
blank mask like expression, bradykinesia, tremors, muscle rigidity, stooped posture
what are the manifestations of PD?
Dysarthia
distorted speech
dysphagia
difficulty swallowing
, PD
which neurological disease often presents with patients fingers involved in "pill rolling motion"
Sjogren's syndrome
An immune system disorder characterized by dry eyes and dry mouth.
With this disorder, the body's immune system attacks its own healthy cells that produce
saliva and tears.
Bells Palsy
Paralysis of facial muscles innervated by the VII cranial nerve (facial nerve)
This is temporary
-herpes simplex I
-Cold draft or wind (Zhong Feng- known as wind attack in China
-Higher incidence in pregnancy, diabetic -Lyme disease
-Inflammation to nerve or trauma
what are possible caused of bells palsy?
- Antiviral medications (acyclovir)
-oral glucocorticoids (prednisone)
-combination of both
what are possible medications used for treatment of bells palsy?
-Tarsorrhaphy (suturing the eye partially shut)
-eyelid weights
-facial hypoglossal nerve crossover
what are non-medication treatments for bells palsy?
beam sparing procedure for noncancerous tissue (salivary gland)
what are lead lined stents use for in radiation therapy?
Verified Answers
TIA (transient ischemic attack)
•minor stroke
•temporary cessation of blood flow
•a warning sign
•reversible
thrombotic stroke
Which type of stroke occurs when a blood clot arises in an artery
-remains stationary
- increases in size by collecting platelets and clotting products
-eventually blocks the entire lumen of an artery
embolic stroke
which type of stroke occurs when a fragment breaks off a thrombus
-embolus travels to another site
-blocks lumen
-Conditions associated with
•MI, atrial fibrillation, endocarditis, rheumatic heart disease, valvular prosthesis, atrial septic
defects
hemorrhagic stroke
which type of stroke occurs due to a intracranial hemorrhage and typically occurs when there
is another pre-existing condition. (Hypertension, arteriovenous malformation, aneurysm)
Sudden violent headache, temporary paralysis, Aphasia, mental confusion, difficulty seeing.
What are the warning signs of stroke?
,Hyperthyroidism, family history, hypertension, sickle cell disease, excessive alcohol
use, coagulation disorders
What are risk factors for having a stroke?
Epinephrine
what may be contraindicated for use in a dental office for a patient with history of stroke?
remain calm
do not move patient
do not put anything in patient mouth
lower dental chair to semi-supine
protect patient from falling
remove all sharp objects
what is proper protocol for caring for a patient that is having a seizure in the dental chair?
status epilepticus
•prolonger seizure lasting 5 -30 minutes are more and brain injury could occur resulting in
death
Parkinson's disease
what is a slowly progressive neurodegenerative disorder of the production of the
neurotransmitter dopamine and with no cause?
blank mask like expression, bradykinesia, tremors, muscle rigidity, stooped posture
what are the manifestations of PD?
Dysarthia
distorted speech
dysphagia
difficulty swallowing
, PD
which neurological disease often presents with patients fingers involved in "pill rolling motion"
Sjogren's syndrome
An immune system disorder characterized by dry eyes and dry mouth.
With this disorder, the body's immune system attacks its own healthy cells that produce
saliva and tears.
Bells Palsy
Paralysis of facial muscles innervated by the VII cranial nerve (facial nerve)
This is temporary
-herpes simplex I
-Cold draft or wind (Zhong Feng- known as wind attack in China
-Higher incidence in pregnancy, diabetic -Lyme disease
-Inflammation to nerve or trauma
what are possible caused of bells palsy?
- Antiviral medications (acyclovir)
-oral glucocorticoids (prednisone)
-combination of both
what are possible medications used for treatment of bells palsy?
-Tarsorrhaphy (suturing the eye partially shut)
-eyelid weights
-facial hypoglossal nerve crossover
what are non-medication treatments for bells palsy?
beam sparing procedure for noncancerous tissue (salivary gland)
what are lead lined stents use for in radiation therapy?
