Clinical Evaluation & Treatment Planning Flashcards
7 cards from real CCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Evaluation & Treatment Planning flashcards as text
During clinical evaluation, a patient reports a latex allergy. Which prosthetic material should be avoided in the treatment plan?
Answer: Natural rubber latex prosthetic components
Natural rubber latex contains proteins that trigger IgE-mediated hypersensitivity reactions in latex-allergic patients and must be strictly avoided.
When evaluating the defect margins of a nasal prosthesis patient, the anaplastologist observes excessive skin oiliness (seborrhea). How does this affect the treatment plan?
Answer: It necessitates a skin care regimen and may require more frequent adhesive reapplication
Sebaceous skin reduces adhesive bond strength, requiring a pre-application skin preparation regimen and potentially more frequent adhesive reapplication.
A patient with a mandibular resection defect is evaluated for a prosthetic ear on the same side. Which functional complication must be specifically assessed in the treatment plan?
Answer: Restricted mouth opening (trismus) affecting impressioning procedures
Trismus following mandibular surgery may limit mouth opening, requiring modified impression techniques and positioning to access the auricular region safely.
During psychosocial evaluation, a patient expresses unrealistic expectations about the prosthesis appearing completely natural in all lighting conditions. What is the best response?
Answer: Educate the patient about the realistic aesthetic limitations of prosthetics while emphasizing achievable goals
Informed consent requires honest education about realistic prosthetic outcomes while reinforcing the significant functional and aesthetic improvements achievable.
Which measurement is most critical when planning the pupillary distance (PD) for an ocular prosthesis?
Answer: Interpupillary distance of the contralateral eye from the midline
The monocular PD — the distance from the midline to the contralateral pupil — determines the prosthetic iris position for correct gaze alignment.
When evaluating a patient for an implant-retained facial prosthesis, which bone quality classification is most commonly referenced to assess implant viability?
Answer: Misch bone density classification (D1–D4)
The Misch bone density classification (D1–D4) categorizes cortical and trabecular bone quality to predict osseointegration success for craniofacial implants.
A patient in the terminal stage of illness requests a definitive facial prosthesis. What is the most ethically appropriate clinical approach in treatment planning?
Answer: Fabricate a simplified interim prosthesis focused on patient comfort, dignity, and quality of life
Palliative prosthetic care prioritizes patient dignity, comfort, and quality of life using simplified approaches appropriate to the patient's health status and goals.