Oral med

olola's version from 2017-02-13 17:46

ASA Classification

Question Answer
alcohol abuse2
stage 1 or 2 hypertension2
well-controlled Type II DM2
drug allergy2
cardiac murmur2
controlled asthma2
well-controlled seizure disorder2
mild COPD2
HIV+ without systemic manifestations2
Type I DM3
stable angina pectoris3
MI within past year3
compensated CHF3
significant COPD3
advanced AIDS4
organ transplant4
immunosuppressed individuals4


Question Answer
first line of treatment for hypertensionACE inhibitors
evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypertensionJNC8
defer elective care within ___ of MI6 weeks
defer elective care of pts with BP range _____, or if symptomatic>180/110
normal platelet count150,000-400,000 platelets per microliter
blood pressure for "Hypertension"Stage 1 >140/90, Stage 2 >160/100
markers of MIcardiac troponin, creatinine kinase, lactate dehydrogenase
measurement of degree of heart failure based on LV functionEjection fraction (EF), normal = 50-70%
what drugs is the preferred initial pharmacological agent for Type 2 DMMetformin (a Biguanide that blocks liver production of glucose)
defer elective dental treatment with BG levels> 400 mg/dL

dental prophylaxis recommended for

Question Answer
cardiac pacemakersNO! (even in the presence of immunosuppression)
coronary artery stent placedNO!
prosthetic cardiac valveYes
previous IEYes
Congenital heart disease (CHD)Yes
prosthetic jointsNO!
cardiac transplant recipients who develop cardiac valvulopathyYes


Question Answer
t/f: A high therapeutic index indicates a lower safety risk of a drugfalse
A patient with accelerated dental eruption as a child, burning mouth syndrome, heat intolerance, increased appetite, weight loss, tremor and nervousness could be suffering from _____ disease and/or Toxic ______Graves Disease; Toxic Adenomas
True or False: Before any elective invasive dental treatment is performed for a patient with HIV, the complete blood count (CBC) should be evaluated. If the results indicate HIV has progressed then antibiotics should be added or treatment should be deferred.true
True or False: In Primary Hyperthyroidism one would expect a decrease in TSH and an increase in Free Thyroxine (FT) levels whereas Secondary Hyperthyroidism might either manifest with an increase or normal levels of TSH.True
Oral manifestations of CKD include: i. Pallor of the oral mucosa ii. Reduces salivary flow iii. Candidiasis iv. Parotid infections v. All of the aboveAll of the above
If a patient has a platelet count of ______, then there is an increased risk of clinical bleeding.60,000
T/F: The normal hemoglobin range for females is 12-16 gm/dl, and for males is 14-18gm/dlfalse
_________ is the preferred initial medication for type II diabetes because it does not cause the typical hypoglycemic episode associated with most diabetes medicationsMetformin
GFR is of interest because most drugs administered or prescribed in dentistry are eliminated from the body via ________renal excretion
Microcytes are often seen in patients with amyloidosis, severe hemolytic anemia, megaloblastic anemia.True
All of the following arrhythmias represent minor risk EXCEPT: a. Atrial fibrillation b. Sinus bradycardia c. Super ventricular arrhythmia d. Premature atrial beatsSVA
What characterizes PCR test? a) low sensitivity and high specificity b) high sensitivity and low specificityhigh sensitivity, low specificity
The effects of B1 adrenoreceptor stimulation include of all of the following except: Increased lipolysis, Tachycardia, Increased myocardial contractility, Increased peripheral resistance, Increased release of reninincreased peripheral resistance
Risk assessment for dental management of ischemic heart disease patients include all the following except: A) severity of the disease B) type of dental procedure C) cardiopulmonary reserve of the patient D)Magnitude of dental procedure E) All the above are correct (none are exceptions)all
t/f: Patients with a BP of <180/110 mmHg may receive any necessary dental treatment.true
Hyponatremia could be attributed to all of the following EXCEPT (a) CHF (b) Adrenal Insufficiency (c) Excess use of diuretics (d)Excess water lossexcess water loss
According to the 2008 AHA guidelines, approved by the ADA), antibiotic prophylaxis with dental procedures is recommended for patients with: A. previous infective endocarditis B. unrepaired cyanotic congenital heart disease C. cardiac transplants who develop cardiac valvulopathy D. all of the aboveall
Microcytes are spherical blue/black inclusions of red blood cells seen on Wright stained smears.false
If a person has more segmented PMNs "segs" this mean they are more mature and more effective at fighting infections. This would be considered a "left shift". A. Both Statements are true B. Both statements are false C. Statement 1 is true and statement 2 is false. D. Statement 1 is false, and statement 2 is true.Statement 1 is true and statement 2 is false.
A patients INR should be recorded every ________ weeks and patient should get an INR reading _____ hours before a surgical/ SRP procedures.4-6 weeks, 48 hours
In regards to hyperglycemia, what are symptoms what should we should look for?Thirst, Blurry vision, Feeling tired
Recommended INR for normal patients is _________, but is _________ for patients with atrial fibrillation, treatment and prevention of venous thrombosis, or postsurgical placement of hip, knee prostheses.0.8-1.2; 2.0-3.0
A high white blood cell count could mean a. Infection b. Neutropenia c. Malignancy d. A and C e. None of the aboveA & C
Normal platelet range values are ___-____150,000 - 450,000/μL
Identifiable causes of hypertension include all the following except: A) Sleep apnea B) Chronic kidney disease C) Migraines D) Chronic steroid therapymigraines
What is a cause of Hypothyroidism? a) Graves diseaes b) Toxic adenoma c) Pituitary gland malfunctions d) Overexposure to iodine e) All of the aboveoverexposure to iodine
At an ejection fraction of _____ there may be evidence of MI or cardiomyopathy40
Microcytic-hypochromic anemia can be caused by a. Thalessemia b. Iron deficiency c. Lead poisoning d. All of the above e. None of the aboveall
The American Diabetes Association diagnostic criteria for diabetes mellitus includes _________ greater than _________. A HbA1c; 6.5% B Fasting plasma glucose; 200 mg/dL C Random plasma glucose; 200 mg/dL D 2-h plasma glucose (after 75 g oral glucose load); 7% E. A and CA &C
All of the following constitute a physician referral with a diabetic patient before dental treatment except: a. Patient presents with signs and symptoms of DM, hypoglycemia or ketoacidosis b. Blood glucose value > 250 mg/dl c. Patient exhibits poor diabetic control d. Extensive dental treatment which may limit caloric intake necessitating altered insulin dosesB
If a patient admitted to having bulimia, characterized by episodes of binge eating and then vomiting, what would you expect in her chemistry 7 panel?High Sodium, Low Chloride
T/F: Endocarditis prophylaxis is reasonable for dental procedures that involve all dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosaTrue
In patients infected with HIV, at what CD4 count do oral lesions typically appear according to clinical studies?<400
Microcytes are spherical blue/black inclusions of red blood cells seen on Wright stained smears. They are often seen in patients with amyloidosis, severe hemolytic anemia, megaloblastic anemia.b) First statement is false. Second statement is true. (Howell-Jolly bodies)