FREE ADEX Dental Hygiene Medical History Evaluation Questions and Answers

Question 1

During a medical history review, a 68-year-old patient reports taking Warfarin (Coumadin) daily.
Which of the following is the most critical information for the dental hygienist to obtain before proceeding with periodontal debridement?

Accepted Answer

The patient's most recent International Normalized Ratio (INR) level.

Answer

The specific type of Warfarin being taken.

Answer

The patient's dietary restrictions while on Warfarin.

Answer

The patient's current blood pressure reading.

Question 2

A patient indicates on their medical history form that they have a prosthetic heart valve. According to current American Heart Association (AHA) guidelines, which of the following dental procedures typically requires antibiotic prophylaxis?

Accepted Answer

Scaling and root planing.

Answer

Routine radiographic examination.

Answer

Local anesthetic injection into non-infected tissue.

Answer

Placement of removable prosthodontic appliances.

Question 3

Which of the following medical conditions, when reported by a patient, is most indicative of a potential need for medical consultation before elective dental treatment due to increased risk of adrenal crisis?

Accepted Answer

Long-term systemic corticosteroid use.

Answer

Controlled Type 2 Diabetes.

Answer

History of asthma managed with an inhaler.

Answer

Seasonal allergies.

Question 4

When reviewing a patient's medical history, which of the following is the primary reason for asking about a history of infective endocarditis?

Accepted Answer

To determine the need for antibiotic prophylaxis before certain dental procedures.

Answer

To assess the patient's risk for future cardiac events.

Answer

To identify potential drug interactions with dental medications.

Answer

To evaluate the patient's overall cardiovascular fitness.

Question 5

A patient reports taking a bisphosphonate medication for osteoporosis. What is the most significant dental concern associated with this class of drugs?

Accepted Answer

Osteonecrosis of the jaw (ONJ).

Answer

Increased risk of dental caries.

Answer

Xerostomia.

Answer

Increased bleeding tendency.

Question 6

Which of the following questions is most crucial to ask a patient who reports a 'penicillin allergy' on their medical history form?

Accepted Answer

What type of reaction did you experience?

Answer

What other antibiotics have you taken successfully?

Answer

When was your last allergic reaction to penicillin?

Answer

Are you allergic to any foods?

During a medical history review, a 68-year-old patient reports taking Warfarin (Coumadin) daily.Which of the following is the most critical information for the dental hygienist to obtain before proceeding with periodontal debridement?

During a medical history review, a 68-year-old patient reports taking Warfarin (Coumadin) daily.
Which of the following is the most critical information for the dental hygienist to obtain before proceeding with periodontal debridement?