4. SIGNIFICANCE OF DRUGS IN ORAL DIAGNOSIS

Question 1

What is the major concern in dental practice for the drug adrenocorticosteroids?

Answer 1

Suppression of corticotropin and reduced activity of adrenal cortex

Question 2

Mg of adrenocorticosteroid (prednisone) that d not cause adrenocortical suppression

Answer 2

5mg

Question 3

Less than ___ weeks of corticosteroid administration does not cause a concern

Answer 3

1 week

Question 4

A patient is stressful, what medication do you need to reduce of eliminate patients ability to respond physiologically to stressful stimuli?

Answer 4

Adrenoccorticosteorids

Adrenocortical suppression

Question 5

Route of administration of adrenocorticosteroids

Answer 5

Orally, parenterally and topically

Question 6

Narcotics drugs such as __, __, __ has side effects of ____ and have a high potential for abuse

Answer 6

Meperidine, oxycodone, hydromorphone

Respiratoy depression

Question 7

Drugs to correct a reduction in heomglobin or RBC count

Answer 7

Antianemic compound

Question 8

Used in treatment of pernicious anemia

Answer 8

Antianemic compound

Question 9

Symptoms for anemic individuals

Answer 9

Burning tongue
Atrophy of the papillae
Chronic fatigue
Weakness and tingling of extremities

Question 10

What is the cause of antianemic compounds if given in liquid form?

Answer 10

Pigmentation of the teeth

Question 11

Are iron compounds, vitamin b12, folic acid and liver extract

Answer 11

Antianemic compound

Question 12

Relive angina pectoris

Answer 12

Antianginal agents

Question 13

Drug to give in patients having angina pectoris

Answer 13

Nitroglycerin and propranolol

Question 14

A beta blocking agent causes bronchial constriction and may precipitate heart failure

Answer 14

Propranolol

Question 15

Most common anti anxiety agents

Answer 15

Diazepam

Question 16

Side effects of diazepam (anti anxiety agent)

Answer 16

Drowsiness (chief side effect)

Dryness of mouth

Question 17

Drugs frequently used to control tachycardia, atrial flutter, atrial fibrillation, or premature contractions

Answer 17

Quinidine, procainamide, phenytoin, propranolol

Anti arrhythmic agents

Question 18

An anti arrhythmic agent that may cause thrombocytopenia that may lead to gingival bleeding or prolonged bleeding following oral surgery

Answer 18

Quinidine

Question 19

Drug that may cause gingival enlargement

Answer 19

Phenytoin

Question 20

_____ bacteria has been attributed to the use of clindamycin and lincomycin

Answer 20

Membranous colitis (clostridium difficile)

Question 21

Prolonged use of this drug encourages a change in oral flora

There is an overgrowth of candida albicans and infection of the oral mucosa

Answer 21

Antibiotics

Question 22

Most common drugs for anticoagulants

Answer 22

Heparin and coumarin

Question 23

This drug controls thromboembolic disease such as thrombophleebitis, cerebrovacular disease and cardiovascular disease

Answer 23

Anticoagulants aka blood thinner

Question 24

Diagnostic test for anticoagulation

Answer 24

Prothrombin time (PT)
Activated partial Thromboplastin time (aPTT)

Should be done on the day of the surgery

Question 25

Anticonvulsant drugs

Answer 25

Phenytoin (dilantin) Carbamazepine (tegretol) Diazepam (valium) Phenobarbital Widely used

Question 26

A type of drug that us used to prevent or treat seizure or convulsions by controlling abnormal electrical activity in the brain

Answer 26

Anticonvulsants

Question 27

A major well known side effects of phenytoin

Answer 27

Gingival enlargement

Question 28

Drugs that use for management of mimld endogenous depression in patients

Answer 28

Tricyclic antidepressants (antidepressants)

Question 29

Side effect of antidepressants

Answer 29

Dry mouth

Question 30

Drugs hat potentiate the effects of epinephrine and other sympathomimetic amines in local anesthetics

Answer 30

Antidepressants

Question 31

Are urocosuric agent used in the management of gout

Answer 31

Allopurinol, probenecid sulfinpyrazone, ticrynafen Antigoud medications

Answer 32

Allopurinol, probenecid sulfinpyrazone, ticrynafen Antigoud medications

Question 33

Anti gout medication that inhibit the excretion of penicillin, prolonging the blood level produced by each dose of antibiotics

Answer 33

Probenecid and ticrynafen

Question 34

Medication prescribed for the treatment of gout, a painful arthritic condition caused by excessive uric acid in the blood that gets deposited as monosodium urate crystals in joints

Answer 34

Antigout medication

Question 35

Two side effects of antihistamines

Answer 35

Sedation and anticholinergic effect

Question 36

Drug that can possibly give stomatitis to the patient

Answer 36

Antineoplastic and immunosuppressants

Question 37

Drugs that relax gastrointestinal smooth muscle are used in the treatment of several functional GI problems as well as peptic ulcer and pancreatitis

Answer 37

Antispasmodics

Question 38

Commonly used antispasmodics drugs

Answer 38

Atropine, belladona, hyocamine and propanthel

Question 40

Diuretics aympathetic deperssants, vasodilators and angiotensin antagonists

Answer 40

Antihypertensive

Question 42

Used for the treament of bronchial asthma and emphysema

Answer 42

Bronchial dilators

Question 43

Chief side effect of bronchial dilators involves?

Answer 43

Cardiovascular and central nervous system

Question 44

Used primary and adjunctive treatment in hypertension and congestive heart failure Also used in renal failure, gaucoma and various forms of edema

Answer 44

Diuretics

Question 46

Chief concern in dental practice for patients receiving long term diuretic therapy

Answer 46

Dry mouth and susceptibility to dental caries

Question 47

Drugs used to alter biologic effect of internally produced hormones

Answer 47

Estrogens, progesterone and progestins

Question 48

Postmenopausal reduction in estrogen may be related to oral complains of ____ and mucosal atrophy

Answer 48

Burning mouth

Question 49

Long term use of barbiturates may lead to ___ and therefore should be avoided

Answer 49

Habituation

Question 51

Drugs that can cause postural hypotension

Answer 51

Antihypertensive drugs

Question 52

Anticonvulsant drug that can cause gingival enlargement

Answer 52

Phenytoin

Question 55

Combination with these drugs with aspirin may reduce their biologic half life by accelerating their excretion

Answer 55

Analgesics

Question 56

Mild analgesics, in general, may enhance the effect of ____, resulting in risk of serious postoperative hemorrhage

Answer 56

Oral anti coagulants