Bacteria/virus/fungal/chemo Agent Drugs

Question 1

Y or N: AB for systemic agressive perio

Answer 1

Yes

Question 2

Y or n: AB for chronic perio and gingivitis

Answer 2

No, but perio-stat for localized chronic perio

Question 3

Y or N: AB for NUG w fever

Answer 3

Yes

Question 4

y or N: endodontic

Answer 4

No if uncomplicated

Question 5

Y or n AB for implant

Answer 5

Yea systemic and mouth rinse

Question 6

Y or N:AB for péri-implantitis and mucositis

Answer 6

Yes for implantitis no for mucositis

Question 7

Drug interactions of AB

Answer 7

Oral contraceptives, oral anticoagulants, other antibiotics (antagonistic)

Question 8

What is Penicillin

Answer 8

AB, Cidal, Broad spec, for NUG, preventative.

Question 9

Erythromycin

Answer 9

AB static narrow, poor second choice (not effective for anaerobic)

Question 10

Azithromycin & clarithromycin

Answer 10

Static, narrow, alt for prophylactics, adjunct of aggressive perio

Question 11

Tetra, doxy, mino cycline

Answer 11

Static, broad for local aggressive refractory perio (periostat). Do not use in young kids, breast feeding or preg. Do not take with dairy

Question 12

Clindamycin

Answer 12

Static, broad for if allergic to pen. Causes bloody stool mucus. Don’t give to ct w crohns or ulcerative colitis

Question 13

Metronidazole

Answer 13

Cidal, narrow (anaerobes), for nug, refractory perio, aggressive perio, péri implant. Do not mix with alcohol

Question 14

Cephalosporins

Answer 14

Cidal, broad, infections resistant to pen - cousin of pen so don’t give if allergic to pen

Question 15

Acyclovir (Zovirax)

Answer 15

Antiviral (herpes topical for recurent and systemic) for IMMUNOCOMP ct only

Question 16

Docosanol (abreva)

Answer 16

Anti viral (OTC for herpes sore)

Question 17

Penciclovir (denavir)

Answer 17

Antiviral (rx topical for herpes)

Question 18

Valacyclovir (valtrex)

Answer 18

Antiviral (oral herpes tabs, systemic)

Question 19

First sign of aids, and what is only seen in aids (2 things)

Answer 19

First sign: Kaposi sarcoma
Only seen: hairy leukoplakia

Question 20

AZT & Retrovir

Answer 20

NRTIs (viral) - no effect on HIV cells, but stop others from becoming infected

Question 21

VP & viramune

Answer 21

NNRTIs (viral) - no effect on HIV cells, but stop others from becoming infected

Question 22

Saquinavir

Answer 22

protease inhibitor (most potent of HIV tx - works in HIV cells)

Question 23

Fusion inhibitors

Answer 23

HIV viral tx

Question 24

Nystatin (myostatin)

Answer 24

Antifungal - for acute pseudomembranous, pastilles most effective, drug of choice

Question 25

Clotrimazole

Answer 25

Antifungal, systemic infection, prevent thrush in immunocomp and topical for angular colitis

Question 26

Ketoconazole (nizoral)

Answer 26

Antifungal , Severe lesions other than oral (shampoos for scalp, creams)

Question 27

Fluconazole (diflucan)

Answer 27

Antifungal Extensive candidiasis, and prophylactic in HIV ct

Question 28

Amphotericin B

Answer 28

Antifungal - severe fungal infections via needle

Question 29

Griseofulvin

Answer 29

Antifungal not for dental (ring worm, jock itch, etc)

Question 30

Acute pseudomembranous (thrush)

Answer 30

White curd, wipe off, red under. Tx: nystatin rinse

Question 31

Erythematous

Answer 31

Loss of filiform papilla localized. Nystatin rinse

Question 32

Chronic atrophic (denture stomatitis)

Answer 32

Most common, limited to area of denture, painless. Tx: nystatin rinse or ointment.

Question 33

Chronic hyperplastic

Answer 33

White lesion does not wipe off. Send for biopsy maybe and referral

Question 34

Angular cheilitis

Answer 34

Red fissures at labial commissures

Question 35

Chronic mucocutaneous candidiasis

Answer 35

Non- oral - skin lesion, invoke nails and skin folds

Question 36

Cytotoxan

Answer 36

Antineoplastic alkylating - slow growing (hemostological and would tumors)

Question 38

Leustatin, methotrexate, floxuridine

Answer 38

Antineoplastic Antimetabolites - most widely used

Question 39

Tamoxifen, prednisone

Answer 39

Antineoplastic hormones, selective estrogen. Prevent breast cancer (taken during remission)

Question 40

Bleomycin

Answer 40

Antineoplastic - anti Tumor antibiotics, more toxic to cells, slow growinf neoplasms

Question 41

Interferon

Answer 41

Antineoplastic - immunomodulators - boost immune system for multiple myeloma

Question 42

Oncovin, taxol

Answer 42

Plant extracts

Question 43

Bisohosponates

Answer 43

Antineoplastic, for osteoporosis, and bone tumors can cause ONJ