Patient Assessment and Diagnosis Flashcards
7 cards from real ADEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Diagnosis flashcards as text
A patient reports taking warfarin for atrial fibrillation. Which laboratory value is most critical to review before initiating periodontal debridement?
Answer: International Normalized Ratio (INR)
The INR reflects anticoagulation status; an INR above the therapeutic range increases bleeding risk during periodontal procedures.
Which radiographic technique best demonstrates the relationship between the alveolar crest and the CEJ in posterior sextants?
Answer: Bitewing radiograph
Bitewing radiographs show both maxillary and mandibular crestal bone levels in relation to the CEJ with minimal distortion.
A patient presents with generalized 5-6 mm probing depths, radiographic bone loss, and heavy biofilm accumulation. According to the 2017 AAP classification, this most likely represents:
Answer: Generalized Stage III Grade B periodontitis
Generalized bone loss with probing depths ≥5 mm and heavy biofilm in the absence of rapid progression aligns with Stage III Grade B periodontitis.
During an extraoral examination, the hygienist notes asymmetric swelling of the parotid gland bilaterally in a patient with a BMI of 16. Which condition should be considered?
Answer: Bulimia nervosa-related sialadenosis
Bilateral parotid enlargement (sialadenosis) combined with a very low BMI is associated with bulimia nervosa due to repeated purging.
When using the Ramfjord index teeth for periodontal assessment, which teeth are selected?
Answer: #3, #9, #12, #19, #25, #28
Ramfjord index teeth are #3, #9, #12, #19, #25, and #28, representing all six sextants.
A patient's health history reveals uncontrolled type 2 diabetes with an HbA1c of 10.5%. How does this most directly affect the periodontal assessment findings?
Answer: Increased susceptibility to periodontal disease and impaired healing
Uncontrolled diabetes impairs neutrophil function, increases inflammatory mediators, and compromises wound healing, exacerbating periodontal disease.
Which finding during intraoral assessment is most consistent with oral candidiasis in a denture-wearing patient?
Answer: Erythematous patches under the denture-bearing mucosa
Denture stomatitis (chronic atrophic candidiasis) presents as erythema and inflammation of the palatal mucosa under the denture.