Dr.BrenDr.PatExam1-GI/Liver/Kidney

Question 1

What is the most common oral manifestation of inflammatory bowel disease?

Answer 1

Aphthous stomatitis (interesting!)

Question 2

For an Active viral infection: active virus replication in the liver, antigen presence in the serum, signs and
symptoms of liver disease, elevated ________ for >6 months, persistent hepatic cellular necrosis

Answer 2

liver enzymes

Question 3

What are the most effected coagulation factors affected in Hepatitis?

Answer 3

Vit K dépendez factors (1972) II, VII, IX, X

Question 4

**What are the standards for both platelet count and INR for a patient with liver disease?

Answer 4

INR less than 3.5 and a platelet count over 50,000

Question 5

What are three main items to look for in a med consult with a patient with liver problems?

Answer 5

platelet count, liver function, and PT/INR

Question 6

You can do extractions if a liver disease patient is under 50,000 platelet count?

Answer 6

Yep, same day as a transfusion! (6hr window)

Question 7

What amount of lidocaine is considered limited for liver disease patients?

Answer 7

120mg

Question 8

What is the critical GFR for dental treatment? What about albumin-creatinine ratio?

Answer 8

GFR greater than 50mL/min…albumin-creatinine ratio greater than 30mg/g

Question 9

What are three oral manifestations/higher risk for patients with Chronic Kidney Disease?

Answer 9

1.Gingivitis 2.perio disease 3.DMFT

Question 10

What are the 4 principles for treating patients with Chronic Kidney disease?

Answer 10

1.Ability to withstand dental care 2.hemostasis 3.infection 4.drug interactions

Question 11

What should the hematocrit level be higher than for dental treatment?

Answer 11

greater than 25%

Question 12

What doe the absolute Neutrophil count need to be higher than for dental tx?

Answer 12

500mm3

Question 13

Chronic Kidney Disease is defined as Progressive, asymptomatic decline in renal function for MORE THAN ____ months

Answer 13

3 months

Question 14

Chronic Kidney Disease is defined as decreased GFR (LESS THAN ____ mL/min) OR urine ______:_____ ratio >30mg/g

Answer 14

less than 60 mL/min…..albumin:creatinine

Question 15

What are the two most common co-morbidities associated with CKD? Which sex is it more common?

Answer 15

HTN, DM…FEMALES

Question 16

YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ____ for STAGE 1 CKD

Answer 16

90 plus, with Kidney damage

Question 17

YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ___-___ for STAGE 2 CKD

Answer 17

60-89

Question 18

YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ___-___ for STAGE 3 CKD

Answer 18

30-59

Question 19

YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ___-___ for STAGE 4 CKD

Answer 19

15-29

Question 20

YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF _____ for STAGE 5 CKD

Answer 20

less than 15

Question 21

YOU GOT THIS WRONG: What are the 7 consequences of CKD?

Answer 21

DAB SHEI….1.Drug intolerance 2.Anemia 3.Bleeding 4.Skeletal 5.HTN 6.Electrolytes 7.Infection

Question 22

What are the 4 labs indicated for a med consult for a patient with CKD?

Answer 22

1.GFR 2.Serum Creatnine 3.Creatnine Clearance 4.Hemoglobin/Hematocrit

Question 23

4 Key oral manifestations of CKD….

Answer 23

1.Candadiasis 2.Gingivitis/PerioDisease/Caries 3.Xerostomia 4.Uremic Stomatitis

Question 24

What are 3 important principles for treating a pt with CKD?

Answer 24

1.hemostasis 2. infection 3. drug interactions/dosages

Question 25

What are the platelet and hematocrit standards for a patient with CKD?

Answer 25

platelet over 50,000….hematocrit over 25%

Question 26

What is the absolute neutrophil count standard for a pt with CKD?

Answer 26

over 500

Question 27

What is the GFR standard for altering DOSE of drugs in a pt with CKD?

Answer 27

GFR under 50 (she clarified this later)

Question 28

Which stage CKD do we need to obtain a Med Consult? What is the GFR range for this again? :)

Answer 28

Stage 4 or higher…GFR of 15-29

Question 29

What are the ABC’s of dental modifications with CKD pt’s?

Answer 29

A-Analgesics & Abi B-Bleeding C-Chair position D-Drugs E-Emergencies

Question 30

What is the most common condition causing liver disease?

Answer 30

viral hepititis

Question 31

What is the IRREVERSIBLE liver condition that leads to fibrosis?

Answer 31

cirrhosis

Question 32

What are the three most common causes of lichen planus?

Answer 32

1.Hep C 2.Nsaids 3.HTN,Cardio,Arthritis Meds