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CTP Exam Flashcards

1
Q

What is the prophylaxis regimen for Amoxicillin?

A

Amoxicillin 500 mg
Disp: 4
Sig: Take 4 tablets by mouth 1 hour prior to dental appointment

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2
Q

What is the regimen for Amoxicillin for an acute infection?

A

Amoxicillin 500 mg
Disp: 21
Sig: Take 1 tablet by mouth t.i.d. until gone

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3
Q

What is the prophylaxis regimen for Amoxicillin for a child?

A

50 mg/kg 1 hour prior to dental appointment

Amoxicillin oral suspension can be in 150 mg/5 ml or 250 mg/ 5 ml

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4
Q

What is the regimen for Amoxicillin in a child for an acute infection?

A

20-40 mg/kg/day divided into doses every 8 hours (3x per day)

Amoxicillin oral suspension can be in 150 mg/5 ml or 250 mg/5ml

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5
Q

When should Clindamycin be used?

A

If patient is allergic to Penicillins – Watch out for C. Diff

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6
Q

What is the prophylaxis regimen for Clindamycin?

A

Clindamycin 150 mg
Disp: 4
Sig: Take 4 tablets by mouth 1 hour prior to dental appointment

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7
Q

What is the regimen for Clindamycin for an acute infection?

A

Clindamycin 150 mg
Disp: 28
Sig: Take 1 tablet by mouth q.i.d. until gone

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8
Q

What is the prophylaxis regimen for Clindamycin for a child?

A

20 mg/kg 1 hour prior to dental appointment

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9
Q

What is the regimen for Clindamycin in a child for an acute infection?

A

8-20 mg/kg/day divided into doses every 6-8 hours

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10
Q

When should Erythromycin be used?

A

If the patient is allergic to both Penicillins and Clindamycin

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11
Q

What is the regimen for Erythromycin for an acute infection?

A

Erythromycin 500 mg
Disp: 14
Sig: Take 1 tablet by mouth b.i.d until gone

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12
Q

When should Azithromycin be used?

A

If a patient has a penicillin allergry, but does not respond to Clindamycin – Note: Can cause arrythmias in patients with pre-existing conduction defects

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13
Q

What is the prophylaxis regimen for Azithromycin?

A

Azithromycin 250 mg
Disp: 2
Sig: Take 2 tablets by mouth 1 hour prior to dental appointment

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14
Q

What is the prophylaxis regimen for Azithromycin for a child?

A

15 mg/kg 1 hour prior

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15
Q

What is the regimen for Azithromycin in an acute infection?

A

Azithromycin 250 mg
Disp: 6
Sig: Take 2 tablets by mouth on day 1 and 1 tablet y mouth on days 2-5

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16
Q

When is a prophylactic abx necessary for dentlal treatment?

A

Previous Infective Endocarditis
Congenital Heart Disease
Prosthetic Heart Valve

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17
Q

What analgesics are useful for mild to moderate pain?

A

Acetaminophen, Ibuprofen, Tylenol #3

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18
Q

What is the regimen for Acetaminophen (prescription strength)?

A

Acetaminophen 325 mg
Disp: 18
Sig: Take 1-2 tablets by mouth every 4-6 hours prn. Do not exceed 12 tablets/24 hours.

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19
Q

What is the max dose of Acetaminophen in adults and children?

A

Adults: 4 g/24 hours or 12 325 mg tabs/day

Children: 90 mg/kg/24 hours but not to exceed 2.6 g/24 hours

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20
Q

What is the regimen for Acetaminophen for children?

A

10-15 mg/kg/dose every 4 hours prn

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21
Q

What is the regimen and max dose for OTC Ibuprofen?

A

Ibuprofen 200 mg
Take 1-2 tabs by mouth every 4-6 hours prn.

Do not exceed 1.2 g/24 hours.

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22
Q

What is the regimen and max dose of prescription strength Ibuprofen?

A

Ibuprofen 600 mg
Disp: 12
Sig: Take 1 tab by mouth every 6-8 hours prn.

Do not exceed 3.2 g/24 hours

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23
Q

What is the regimen and max dose for OTC Ibuprofen in children?

A

4-10 mg/kg divided into doses every 6-8 hours prn

Max is 40 mg/kg/24 hours

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24
Q

What is Tylenol #3?

A

Acetaminophen + Codeine

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25
Q

What is the regimen and max dose for Tylenol #3?

A

Acetaminophen with codeine (300 mg/30 mg)
Disp: 12
Sig: Take 1-2 tabs by mouth q.i.d. prn

Codeine max dose = 360 mg/24 hours

Acetaminophen max dose = 4 g/24 hours

26
Q

What is Norco? What can it be used for?

A

Acetaminophen + Hydrocodone, for moderate to severe pain

27
Q

What is the regimen and max dose for Norco (aka Lortab, aka Vicodin)?

A

Acetaminophen with hydrocodone (325 mg/5 mg)
Disp: 18
Sig: Take 1 tab q.i.d. prn

Hydrocodone max dose = > 50 kg is 60 mg/24 hours

Acetaminophen max dose = 4 g/24 hours

28
Q

What is Atarax?

A

Hydroxyzine

29
Q

What is the dose and regimen for Atarax?

A

50-100 mg dose

Hydroxyzine 50 mg
Disp: 1
Sig: Bring to dental office at time of appointment

30
Q

What is Halcion? What is it good for?

A

Triazolam, good for short to moderate length appointments

31
Q

What is the dose and regimen for Halcion?

A

0.125 -0.5 mg dose

Triazolam, 0.125 mg
Disp: 1
Sig: Bring to dental office at time of appointment

32
Q

What is Ativan? What is it good for?

A

Lorazepam, it is good for longer appointments (3+) hours

33
Q

What is the dose and regimen for Ativan?

A

0.25-4 mg dose

Lorazepam 0.5 mg
Disp: 1
Sig: Bring to dental office at time of appointment

34
Q

What is Valium?

35
Q

What is the dose and regimen for Valium?

A

2-10 mg dose

Diazepam 5 mg
Disp: 1
Sig: Take at bedtime the night before dental appointment

*Patient must be monitored and be drive to office for appt

36
Q

What is Versed?

37
Q

What is the dose and regimen for Versed?

A

7.5-15 mg dose

Midazolam 10 mg
Disp: 1
Sig: Bring to dental office at time of appointment

38
Q

What is Xanax?

A

Alprazolam

39
Q

What is the dose and regimen for Xanax?

A

0.25 -4 mg

Alprazolam, 0.25 mg
Disp: 1
Sig: Bring to dental office at time of appointment

40
Q

What is Ambien?

41
Q

What is the dose and regimen for Ambien?

A

5-10 mg dose

Zolpidem 5 mg
Disp: 1
Sig: Bring to dental office at time of appointment

42
Q

What is Sonata? What is it good for?

A

Zaleplon, it is good for short appointments

43
Q

What is the dose and regimen of Sonata?

A

5-20 mg dose

Zaleplon 10 mg
Disp: 1
Sig: Bring to dental office at time of appointment

44
Q

What percentage should nitrous oxide be titrated to for adults and for children?

A

Adults: 50%
Children: 20-30%

45
Q

What can be used for candida infections?

46
Q

What is the regimen for Nystatin tablets?

A

Nystatin 500,000 units
Disp: 30
Sig: Dissolve 1 tablet in mouth t.id. until gone

47
Q

What is the regimen for Nystatin oral suspension?

A

Nystatin 100,000 units/ml
Disp: 300 ml
Sig: Rinse with 1 tbs for 2 minutes and expectorate, q.i.d.

48
Q

What is the regimen for Nystatin and Triamcinolone cream?

A

For angular cheilitis…
Nystatin 100,000 units/gm and Triamcinolone acetonide .01% ointment
Disp: 15 g
Sig: Apply sparingly to corners of mouth q.i.d.

49
Q

What is the regimen for Clotrimazole Troches?

A

Clotrimazole Troche 10 mg
Disp: 50
Sig: Dissolve 1 tab slowly in mouth 5 times per day until gone

50
Q

What is the regimen for Acyclovir capsules?

A

Acyclovir 200 mg
Disp: 50
Sig: Take 1 cap 5 times per day for 5 days at earliest signs of disease

51
Q

What is the regimen for Acyclovir ointment?

A

Acyclovir 5% ointment
Disp: 15 g
Sig: Apply 5 times per day with fingercot for 5 days at earliest signs of disease

52
Q

What is the regimen for Valacyclovir?

A

Valacyclovir 500 mg
Disp: 28
Sig: Take 2 tabs b.i.d. at earliest signs of disease for 5 days

53
Q

What is the maximum recommended dose of Lidocaine?

A

Lidocaine aka Xylocaine

4.4 mg/kg or 2.0 mg/lb

54
Q

What is the maximum recommended dose of Mepivacaine?

A

Mepivacaine aka Carbocaine

4.4 mg/kg or 2.0 mg/lb

55
Q

What is the maximum recommended dose of Prilocaine?

A

Prilocaine aka Citanest

  1. 0 mg/kg or 2.7 mg/lb
    * contraindicated in pts with methemoglobinemia, sickle cell anemia, anemia, or hypoxia
56
Q

What is the maximum recommended dose of Articaine?

A

Articaine aka Septocaine

7.0 mg/kg or 3.2 mg.lb

57
Q

What is the maximum recommended dose of Bupivacaine?

A

Bupivacaine aka Marcaine

1.3 mg/kg or 0.6 mg/lb

58
Q

What is the tx of ANUG?

A
  1. Debridement under LA
  2. Chlorhexidine
  3. Pain meds as needed (Ibuprofen is fine)
  4. Improve pt oral hygiene
  5. Clindamycin if systemic
59
Q

What is the management of BRONJ?

A
  1. Antibiotics (Penicillin V 500 mg q.i.d or Doxycycline 100 mg per day)
  2. Chlorhexidine rinse
  3. Round sharp bony margins - no debridement
  4. TIME
60
Q

What things are included in a prescription?

A
  1. Dr’s name, address, phone number
  2. Pt’s name, address, DOB
  3. date
  4. Drug name and size
  5. Dosage
  6. Disp
  7. Sig
  8. Dr’s signature
  9. Dr’s license #

CTP Exam (1 decks)

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