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var D = {“flashcards”:[{“front”:”What does ASA classification estimate?”,”back”:”Overall medical/anaesthesia risk category, from ASA I (healthy) upward.”},{“front”:”Why continue anticoagulants for most routine hygiene procedures?”,”back”:”The thrombotic risk of stopping generally outweighs the bleeding risk of continuing.”},{“front”:”What blood pressure range generally warrants deferring elective treatment?”,”back”:”Very elevated readings (confirm exact current threshold); recheck and refer per guidance.”},{“front”:”What is medication reconciliation?”,”back”:”Comparing the patient’s current medication list against known oral health and bleeding effects.”},{“front”:”Name a common oral effect of calcium channel blockers.”,”back”:”Gingival overgrowth.”},{“front”:”Why should health history be updated at every visit?”,”back”:”Medications and diagnoses change between visits, not only at intake.”},{“front”:”What is a ‘red-flag’ symptom in health history review?”,”back”:”A symptom that should defer elective treatment and prompt medical consultation.”},{“front”:”What does SBAR stand for?”,”back”:”Situation, Background, Assessment, Recommendation.”},{“front”:”Why ask follow-up questions beyond a checkbox history?”,”back”:”Patients often disclose relevant details only when asked directly.”},{“front”:”What ASA category do most stable, healthy hygiene patients fall into?”,”back”:”ASA I or ASA II.”}],”quiz”:[{“q”:”ASA III or higher generally prompts:”,”options”:[“No change in care”,”Medical consultation before elective procedures”,”Immediate emergency referral”,”Ignoring the finding”],”answer”:1,”exp”:”Higher ASA categories warrant caution and consultation.”},{“q”:”Stopping a patient’s anticoagulant before scaling is usually:”,”options”:[“The hygienist’s decision to make”,”Inappropriate without physician involvement”,”Required for all patients”,”Irrelevant to bleeding risk”],”answer”:1,”exp”:”Only the prescribing physician should adjust anticoagulant therapy.”},{“q”:”Xerostomia is a common effect of which medication class?”,”options”:[“Anticholinergics”,”Antibiotics”,”NSAIDs”,”Local anaesthetics”],”answer”:0,”exp”:”Anticholinergics commonly cause dry mouth.”},{“q”:”A single elevated blood pressure reading should be:”,”options”:[“Treated as diagnostic immediately”,”Rechecked before acting”,”Ignored”,”Only recorded, no action”],”answer”:1,”exp”:”Rechecking confirms whether the elevation is persistent.”},{“q”:”Medication reconciliation should occur:”,”options”:[“Only at initial intake”,”At every visit”,”Only when symptoms appear”,”Only annually”],”answer”:1,”exp”:”It should be repeated at every visit.”},{“q”:”The ‘B’ in SBAR stands for:”,”options”:[“Blood pressure”,”Background”,”Behaviour”,”Billing”],”answer”:1,”exp”:”Background provides relevant history.”},{“q”:”Phenytoin is associated with which oral finding?”,”options”:[“Xerostomia”,”Gingival overgrowth”,”Enamel hypoplasia”,”Angular cheilitis”],”answer”:1,”exp”:”Phenytoin is a classic cause of gingival overgrowth.”},{“q”:”ASA I describes:”,”options”:[“A healthy patient”,”Severe systemic disease”,”A moribund patient”,”Mild systemic disease”],”answer”:0,”exp”:”ASA I is a healthy patient with no systemic disease.”},{“q”:”Why should a hygienist ask about symptom tolerance after a cardiac event?”,”options”:[“It’s irrelevant to dental care”,”It refines the current risk picture beyond a simple history checkbox”,”It replaces vital signs”,”It is only needed for surgery patients”],”answer”:1,”exp”:”Symptom tolerance clarifies current stability.”},{“q”:”A patient on anticoagulant therapy who bleeds during scaling should generally be managed with:”,”options”:[“Stopping the medication immediately”,”Local haemostatic measures”,”Emergency referral for all cases”,”No action needed”],”answer”:1,”exp”:”Local measures typically manage bleeding without stopping medication.”},{“q”:”The purpose of the ASA classification in dental hygiene is to:”,”options”:[“Bill insurance”,”Frame overall medical risk for the visit”,”Replace informed consent”,”Diagnose disease”],”answer”:1,”exp”:”It frames risk to guide care planning.”},{“q”:”A red-flag symptom disclosed at check-in should prompt:”,”options”:[“Proceeding as scheduled”,”Deferring elective treatment and further evaluation”,”Ignoring it if the patient seems fine”,”Only noting it in the chart”],”answer”:1,”exp”:”Red-flag symptoms warrant deferral and evaluation.”},{“q”:”Which best reflects updated risk assessment practice?”,”options”:[“Using last year’s history form”,”Reviewing and updating history and vitals every visit”,”Only updating history if patient volunteers changes”,”Skipping vitals for recall visits”],”answer”:1,”exp”:”History and vitals should be reviewed at every visit.”},{“q”:”The primary reason to avoid stopping antiplatelet therapy without physician input is:”,”options”:[“Cost”,”Thrombotic risk generally exceeds bleeding risk of continuing”,”It has no oral effect”,”It is illegal to discuss”],”answer”:1,”exp”:”Thrombotic risk is the key concern.”},{“q”:”Which vital sign combination would most concern a hygienist before treatment?”,”options”:[“120/80 mmHg, pulse 72″,”184/112 mmHg, patient asymptomatic”,”130/85 mmHg, pulse 80″,”118/76 mmHg, pulse 68″],”answer”:1,”exp”:”Very elevated BP warrants deferral and recheck.”},{“q”:”SBAR is most useful for:”,”options”:[“Concise handoff communication”,”Billing coding”,”Radiograph interpretation”,”Sterilisation monitoring”],”answer”:0,”exp”:”SBAR structures clear clinical handoff communication.”},{“q”:”A patient reporting new medications since last visit should prompt:”,”options”:[“No action”,”Updated medication reconciliation”,”Immediate treatment cancellation”,”A different form only”],”answer”:1,”exp”:”New medications require reconciliation against oral risk.”},{“q”:”Statins are generally relevant to hygiene care because they:”,”options”:[“Cause significant bleeding risk”,”Have minimal direct oral risk but confirm cardiovascular history”,”Cause gingival overgrowth”,”Require anaesthesia avoidance”],”answer”:1,”exp”:”Statins mainly signal cardiovascular history relevance.”},{“q”:”‘ASA II’ patients are best described as having:”,”options”:[“No systemic disease”,”Mild systemic disease”,”Severe systemic disease”,”Terminal illness”],”answer”:1,”exp”:”ASA II reflects mild systemic disease.”},{“q”:”The main purpose of a follow-up interview question is to:”,”options”:[“Fill time”,”Convert a checkbox answer into a usable clinical detail”,”Replace vital signs”,”Satisfy billing requirements”],”answer”:1,”exp”:”Follow-up questions clarify checkbox answers.”}]};
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