Caselet Three – 4 of 4 questions Beth, a 16-year-old teenage…

Caselet Three – 4 of 4 questions Beth, a 16-year-old teenager, comes into the office complaining of tooth sensitivity.  She has not been seen in the office for 3 years.  When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months.  Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges.  She says she thinks she is obese.  Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent.  She also notes that the right parotid gland is swollen. The dental hygienist found a swollen parotid salivary gland on Beth. The following oral conditions also may be present, except:

Caselet One  Mr. Patton presents in your office for a tooth…

Caselet One  Mr. Patton presents in your office for a tooth extraction.  His dental chart indicates that he has asthma.  He uses an albuterol (Ventolin) inhaler four times per day to treat the asthma.  Mr. Patton reports that his cardiologist has recently prescribed captopril (Capoten) because his blood pressure has been high.  The dentist plans on using a local anesthetic containing epinephrine.  Question 5 of 5 The best medication to advise the patient to take as an analgesic drug of choice is:

Caselet Three Mr. Landis, a 35-year-old white male, presents…

Caselet Three Mr. Landis, a 35-year-old white male, presents for dental care.  He has Von Willebrand disease and is HIV positive.  The patient is concerned with his bleeding gingival tissue and increased tooth mobility of his mandibular anterior teeth.  The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm3.  His last dental appointment was over a year ago.  Mr. Landis’ vital signs were within normal limits. Question 2 of 6 The patient’s platelet count is important in treatment planning because platelets:

Caselet Three Mr. Landis, a 35-year-old white male, presents…

Caselet Three Mr. Landis, a 35-year-old white male, presents for dental care.  He has Von Willebrand disease and is HIV positive.  The patient is concerned with his bleeding gingival tissue and increased tooth mobility of his mandibular anterior teeth.  The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm3.  His last dental appointment was over a year ago.  Mr. Landis’ vital signs were within normal limits. Question 5 of 6 After periodontal debridement, the patient indicates that his mouth is sore and he is in pain.  The best pain medication to prescribe for this patient is: