Oral and Maxillofacial Pathology Diagnostic Service P.O. Box 980566 Richmond, VA 23298-0566
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James Burns, DDS, PhD Chairman
John A. Svirsky, DDS, MEd Diplomates of the American Board of Oral and Maxillofacial Pathology
Laurie C. Carter, DDS, PhD Director of Oral and Maxillofacial Radiology
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Module 3 Quiz 2
Obtaining Missing and Supplemental Information
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Directions: Read the patient statement below, and using the five interrogatories as your guide (WHO, WHAT, WHEN, WHERE, HOW) answer the questions following. Write your answers on a piece of paper . After you have written your answers, check them with the answers under each section below(n/s=not supplied). Click on the down arrow on the answer box to see the answer.
Patient, Mrs. Lake: "I came in today because I get these rough areas all inside my cheek and I can't eat anything without it burning."
1. List the information the patient has supplied (what you know) beside the interrogatory to which it is related.
ANSWERS WHO: Mrs. lake WHAT: rough areas WHEN: n/s WHERE: inside my cheek HOW: can't eat without burning
2. List the Missing information the patient has not supplied beside the interrogatory to which it is related.
ANS: Missing information: WHEN: duration, constant vs off and on, circumstance of discovery, times free of pain
3. List the Supplemental information to flesh out what the patient has told you.
ANS: Supplemental information: confirm texture, location, details of burning
4. Construct questions or list other means (examinations etc.) to elicit the
information you need in Missing information and Supplemental information.
ANS: Missing information: 1. When did the burning start? 2. How long does it last?, 3. Are there times when it doesn't burn? 4. What were you doing the first time you noticed burning?
ANS: Supplemental information: 1. Palpate cheeks to feel areas. 2. Look at cheeks to see the areas she says are burning. 3. What foods cause the burning? 4. Have you tried anything that makes it feel better? 5. Does the pain keep you up at night? 6. Describe how the pain affects your function during the day?
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