robbypowell's version from 2017-05-02 02:03

study guide: Adrenal

Question Answer
Which of the following is NOT used to prevent patients w/hyperthyroidism from developing cardiac complications or thyroid storm? (synthroid, Local Anesthesia w/o epi, physician consultation, antibiotic therapy & anxiolytics)Synthroid not used
t/f: Addison disease causes weakness, fatigue, loss of weight and susceptibility to infectiontrue
Which of the following is characteristic for Graves Disease? Finding of ___ in circulation with ____-thyroidismTSI & Hyperthyroidism
A patient with systemic lupus with a recent flare was placed on 25 mg Prednisone for the last month. She stopped taking the prednisone last week. She presents to you for an emergency surgical extraction of severely carious and infected #32. How should the patient's treatment be modified?Doubling her daily exogenous steroid dose the day of procedure
Which of the following are ORAL findings that may indicate over-immunosuppression: (HSV, Zoster, CMV, Candida)All of the above
A hyperthyroid patient comes to your office for a surgical procedure. He is trembling, seems agitated, and his vital sings are BP 145/95 mmHg, pulse: 106, temperature 97.8F. What is your main concern when treating this patient?Cardiovascular complications (of an uncontrolled hyperthyroid state AND You would limit the amount of epi in the delivery of local anesthetic)
Thyrotoxic crisis (thyroid storm) may be precipitated in patients w/untreated or incompletely treated thyrotoxicosis by which of the following (Infection, Trauma, Surgical procedures, and stress)all of the above
The normal secretion rate of cortisol over a 24 hour period is approximately ____ mg
t/f: Radioactive iodine used to treat hyperthyroid conditions and thyroid cancer is associated w/hyposalivation and recurrent sialodenitisTrue
t/f: Patients w/untreated or incompletely treated thyrotoxicosis may be very sensitive to actions of epi and other pressor amines.True
t/f: radioactive iodine used to treat hyperthyroid conditions and thyroid cancer is associated hypo salivation and recurrent sialodenitistrue
t/f: patients with untreated or incompletely treated thyrotoxicosis may be very sensitive to the actions of epinephrine and other presor aminestrue

Organ transplant

Question Answer
what "disease" affects oral tissues and often mimics naturally occurring autoimmune diseases such as lichen plansGraft vs Host disease
___-___ days are required before transplanted bone marrow begins to function10-20 days
t/f: tinnitus is a sign of over immunosuppressionfalse

study guide: Renal

Question Answer
What is the most frequent cause of chronic renal disease?Diabetes mellitus
Which antibiotics should be avoided when treating patients with progressive renal disease?Tetracycline
What are six oral manifestations of chronic kidney failure1-Pallor of oral mucosa, 2-Xerostomia, 3-petechiae and ecchymosis of oral mucosa, 4-enamel hypoplasia, 5-osteodystrophy, & 6-recurrent parotitis
When prescribing medication to treat patients with progressive renal disease Avoid _____ drugs and change ____ ____ of the prescribed medicationnephrotoxic; dose interval
In renal ostodystrophy secondary to chronic renal failure, the following occurs: Excessive _____ causing decreased serum _____ and inability of the failing kidney to synthesize the active metabolite of vitamin ___Phosphate; Calcium; vitD
Which of the following are used in the medical management of chronic renal disease?: (Sodium bicarbonate, vitamin D supplement, dialysis, renal transplantation)All of the above
The biggest concern to dentists regarding risk of bleeding in patients w/chronic renal failure on hemodialysis results from: Anticoagulation w/ herparin during treatments, mechanical trauma to platelets during dialysis treatments, and/or platelet dysfunction and destruction secondary to uremiaall of the above
The kidney performs both excretory and non-excretory functions. List 3 substances that the kidney produces.Renin, Erythropoietin, & Albumin
What test compares the amount of creatinine in the blood with the amount excreted in the urine over a twenty-four hour period?Creatinine clearance test
Which of the following are used to monitor the progress of renal disease: (Urinalysis, BUN and Serum creatinine, Creatinine clearance, & Electrolytes)all of the above
Osteomalacia, Osteitis Fibrosa Cystica, & Osteosclerosis all constitute what condition?Renal Osteodystrophy
T/F: ESRD is caused by any condition that destroys nephronsTrue
T/F: The 3 most common causes of ESRD are DM, HTN, and chronic glomerular nephritisTrue

study guide: Liver & GI

Question Answer
The clinician can asses the current severity of IBD in what 2 ways?1-Take the patient’s temperature & 2-Thorough ROS including number of diarrheal bowel movements per days and whether blood is present
What are 3 causes of hepatitis?Viruses, Alcoholic related liver disease, & Autoimmune connective tissue disease
Monitoring w/ ______ levels and HCV RNA and anti-HCV at baseline, _________ and ___ months apart is recommended regarding accidental needle stick exposureaminotransferase levels; 1 & 6 mos apart
this condition is a chronic, relapsing idiopathic disease characterized by segmental distribution of intestinal ulcers interruptedCrohn’s disease
(two t/f statements... which true, which false) 1.There are five forms of viral hepatitis. 2.They are all RNA virusesFirst True, Second False
T/F: Serologic tests are adequate for the diagnosis of viral hepatitisTrue
All of the following are associated with severe alcohol abuse EXCEPT Parotid gland _____Atrophy, not associated with alcohol abuse
What is the main route of transmission for hep C virus?Blood
For which of the following viruses is there an available protective vaccine for healthcare workers ?Hep B virus
T/F: Crohn’s disease has unique oral manifestations based on the location of the affected tissue.True
Hepatitis patients with _____ are most infectiveHBeAg+
What are the 3 most efficient tests to determine liver function and bleeding tendency prior to performing an extraction on a patient with hepatitisPT, PTT & INR

study guide: Pulmonary

Question Answer
t/f: The primary goal of the dental management of the asthma patient is preventing an asthma attach in the dental chairTrue
Which of the following are medical management goals of a patient with asthma (Preventing chronic coughing during the night, Allowing the person to participate in all activities of daily living, including work, school, and exercise, Tx to decrease nighttime symptoms, &/or Preventing repeated asthma attacks)All are
What are 4 questions that you would ask a patient w/asthma when taking their medical history1-When was last attack? 2-Have they been hospitalized for asthma? 3-What causes attacks? 4-Do they have inhaler with them?
Which drugs should be avoided when possible in asthma patients?Aspirin containing medications, NSAIDS, Narcotics & Barbiturates
The following describes a patient with what conditon?: Onset age 50 plus, Overweight, Chronic productive cough, copious mucopurulent sputum, frequent respiratory infections, mild dyspnea, cardiomegalyChronic Bronchitis
T/F: Patients with active sputum-positive TB should have tx limited to emergency dental careTrue
T/F: Patients producing consistently negative sputum after undergoing at least 2 to 3 weeks of chemotherapy can be treated as a normal patientFalse
T/F: For patients with a past history of TB, dental tx should be postponed if they have signs/symptoms of relapseTrue
T/F: Patients w/ signs/symptoms of TB should be referred to their physician and have elective tx postponedTrue
What are 4 things you should avoid in patients with COPD (as tx modification)Bilateral mandibular blocks, Rubber dam, Barbiturates & Nitrous Oxide
the following are dental tx modifications for a patient with asthma: Operatory ____ should be reduced before tx - Instruct patients to regularly use their ____ - Instruct patients to bring their ____ to each aptodorants; meds; inhalers
t/f: There is no cure for COPDtrue
t/f: Smoking cessation and elimination of exposure to environmental pollutants and irritants limits progressiontrue
A 20-year old male presents to you fro fabrication of a maxillary anterior bridge. His past med history is significant for a history of asthma and an allergy to penicillin. His medications include albuterol. During tx of the patient, he starts coughing and wheezing and complains of shortness of breath. What would be your first line of tx.Stop your procedure and place the patient in a comfortable upright position. Use albuterol for 1-2 deep inhalations and administer oxygen.
t/f: the primary goal of dental mgmt of asthma patients is to prevent an asthma attack in the chairtrue
t/f: patients with nocturnal asthma should be scheduled for early morning appointmentsfalse
t/f: early intervention for TPB has not been shown to alter the progression of the diseasefalse
t/f: patients with COPD should be treated in a supine positionfalse (upright)

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