Patient Assessment & Clinical Evaluation Flashcards
7 cards from real CIT 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 & Clinical Evaluation flashcards as text
During patient assessment, an ASA III classification indicates which of the following?
Answer: A patient with severe systemic disease that is not incapacitating
ASA III denotes severe systemic disease (e.g., poorly controlled diabetes, stable COPD) that limits activity but is not immediately life-threatening.
Which clinical measurement is used to assess the buccolingual width of available bone at a proposed implant site without surgical exposure?
Answer: Bone caliper sounding under local anesthesia (bone mapping)
Bone mapping (transgingival sounding with a calibrated probe under local anesthesia) provides a direct measurement of ridge width.
A patient presents with a C-shaped (Class III) ridge defect at the edentulous site. What does this morphology most likely indicate for implant placement?
Answer: Significant horizontal bone loss requiring guided bone regeneration prior to or simultaneous with implant placement
A Class III ridge defect indicates insufficient horizontal bone width, necessitating regenerative procedures to achieve adequate implant support.
Which finding on a panoramic radiograph would most directly contraindicate posterior maxillary implant placement without additional intervention?
Answer: Extensive pneumatization of the maxillary sinus encroaching on the residual ridge
Sinus pneumatization reduces the available bone height in the posterior maxilla, requiring sinus augmentation before or during implant placement.
What is the clinical significance of a positive fremitus finding at a tooth adjacent to a planned implant site?
Answer: It indicates excessive occlusal force on that tooth, suggesting occlusal adjustment or assessment before implant planning
Fremitus — palpable vibration of a tooth during occlusal contact — signals occlusal trauma that must be addressed to protect both natural teeth and future implants.
Which of the following laboratory values is most relevant to assess before implant surgery in a patient on anticoagulant therapy?
Answer: International Normalized Ratio (INR)
The INR reflects the degree of anticoagulation; values above the safe surgical threshold require coordination with the patient's physician before proceeding.
A patient has a narrow zone of attached keratinized tissue (<1 mm) at the planned implant site. What is the recommended approach prior to implant placement?
Answer: Perform a soft tissue augmentation procedure (e.g., free gingival graft) to establish adequate keratinized tissue width
A minimum band of keratinized tissue is needed for peri-implant health; soft tissue grafting before implant placement establishes the necessary tissue architecture.