EXAM I Test Review Flashcards
what is the prophylaxis requirement as recommended by the ADA for a pregnant patient in her 2nd trimester who has a mitral valve prolapse?
no prophylaxis required
do blue bloaters exhibit thrombocytopenia?
no
patients with myxedema (adult hypothyroidism) are susceptible to all of the following except…
weight gain
cold intolerance
coarse hair and bradychardia
thyroid storm
thyroid storm
patients presenting with characteristics of addison’s disease are at risk for…
autoimmune phenomenon
hypotensive
disturbances in salt and water balance
pigmentation due to ACTH
all of the above
a 55yo male comes to your office for tx of perio disease. he states he drinks about 1 qt of vodka every 7 days but has total control of his life. he bleeds easily when gingiva is probed. you decidethat in order to treat him, you need to get a lab panel to see if he is anemic since blood loss even during perio tx can be impressive. what type of anemia would you expect to see?
macrocytic megaloblastic anemia
*due to folate acid deficiency, which is characteristic of alcoholics
a woman in her 3rd trimester in pregnancy would exhibit changes in cardiovascular function. all are characteristic of these changes except…
plasma volume decreases
anemia increases
BP decreases and then increases
WBC counts exhibit a leukocytic rise
plasma volume decreases
pregnancy causes changes in gastrointestinal functions since body habitus changes. all are characteristic of pregnancy GI changes except…
heart burn
gagging and taste alterations
abnormal liver functions
increase in esophageal tone at gastroesophageal junction
all of the above
pharmacologic criteria for safety during pregnancy as per the FDA includes careful use of local anesthetics. all of the following are considered safe in the B group, where animal and human studies show no risk, except…
articaine
mepivicane
lidocaine
prilocaine
articaine and mepivicane (both C)
does the hypothalamus innervates the pituitary gland to produce arginine vasotosin (aka ADH aka vasopressin)?
no
does graves disease exhibits bradychardia due to toxicosis?
no
a 35 yo male comes to your office for removal of 3rd molars. he states he has a history of anemai diagnosed in his family of mediterranean descent. he denies any hx of blood transfusions and appears well nourished and a good historian. you decide to proceed with surgery because he most likely has…
thalassemia minor
which of the following are rule-outs for a bleeding dyscrasia (disorder)?
heavy menstruation (can be indicative of von willebrands disease which is factor 8C)
aspirin (ASA) use
aspirin use
34:00 a 75 yo males is referred to your office for removal of teeth 2, 3, 4, 5, and alveoloplasty. he has a history of atrial fibrillation. you requirest an INR. surgery can proceed if…
INR shows status of PTT and intrinsic pathway of clotting
INR shows a number of 3.5 and status of extrinsic pathway
if the INR shows a range between 2-3 and the status of his extrinsic pathway of clotting
if the INR shows a range between 2-3 and the status of his extrinsic pathway of clotting
a 35 yo obese female is referred to you for tx of a dental abscess in tooth 32 with severe pericoronal inflammation. she has a hx of DM that has been treated with an oral hypoglycemic agent. she states that she was told to start a short acting insulin regimen. your workup for this patient should include…
no concern for diabetes since she is under a physicians care
concern since she may be at risk for poor wound healing
finger stick for blood glucose level today
request a hemoglobic A1c level as a baseline for tx
concern since she may be at risk for poor wound healing
finger stick for blood glucose level today
request a hemoglobic A1c level as a baseline for tx
your patient tells you that she suffers from asthma. your approach to this patient should include…
what causes her attacks
when did she have her last attack
was she hospitalized
what does she use for medications
all of the above
a 65 yo male patient comes to see you. he is not a good historian about his health. he did say that he had heart surgery one year ago. you notice he has skin blotches that look like bruising on his arms and hands. you ask him if he is taking medication. he then remember that he was given a pill for his heart surgery that he takes daily because he has a stent. are you concerned about his medications?
if he is on an antiplatelet drug, he can still have surgery
all of the following are considered sutures appropriate for gingival tissues except…
vicryl
prolene
gut
chromic gut
prolene (this one is used for skin)
a 70yo male comes to your office for an implant. he is a former olympic swimmer in excellent condition with no health problems except he enjoys an occasional recreational drug experience. what is his ASA class?
ASA II
coumadin is considered to affect all of the floowing except..
vit K action
extrinsic pathway
factors 2, 7, 9, 10
intrinsic pathway for clotting
PT and INR
intrinsic pathway for clotting
thrombocytopenia can be caused by all of the following except…
qualitative changes in platelets
quantitative changes in platelets
certain drug regimens
platelet count of less than 150,000
all of the above
T or F
a pregnant patient can have a pano xray taken if needed for evaluating an odontogenic infection without a lead apron
false
all of the following can happen in pregnant patients except…
gingival hypoplasia
hyperpigmentation
periodontal disease
changes in pH of saliva
unusual growth changes in bone
gingival hypoplasia
when designing a surgical flap for oral surgery, the length should be no longer than twice the ___
width
the most common type of suture needle used in oral suturing is…
3/8 cutting needle
T or F
a 6-0 suture is thicker than a 3-0 suture
false
the suture with the most strength is…
vicryl
it lasts the longest in the mouth
when suturing an incision which requires multiple sutures, which of the following regarding interrupted sutures are correct…
the most common closure performed
if you are tying a suture that is interrupted, if one knot fails, the other knots will compensate for it
both
T or F:
vicryl causes the most tissue reaction
false
chromic gut causes the most tissue reaction
T or F
the knots from interrupted interproximal sutures should be placed on the lingual to prevent lip and buccal mucosa irritation
false
T or F
horizontal mattress sutures decrease the amount of sutures placed, slightly compress the wound edges together, and evert tissue edges
true
T or F
synthetic braided vicryl is non absorbable
false
an 18yo males comes to your office for 3rd molar exts. past medical hx is significant for thalassemia minor, DM type I, and has hx of 1 event of hospitalization. you will be doing the surgery under sedation so you told him to be NPO for 8hours. what are the following set of criteria that you enter in his chart?
ASA status of III, you don’t do surgery
he has an ASA status of II, you do surgery if you give him preoperative abx and told him to take full dose of insulin prior to surgery
ASA status of II, reduce insulin level and take finger stick glucose level prior to surgery
he has ASA status of III and you ask him to reduce insulin level and ask him to take finger stick glucose level prior to surgery
ASA status of II, reduce insulin level and take finger stick glucose level prior to surgery
ASA III status would be if he had more than one hospitalization, or one hospitalization due to diabetic ketoacidosis
the schilling test rules out ___
pernicious anemia
normochromic normocytic anemia…
is a broad category of aplastic anemia diseases characterized by liver dysfunction
is a chronic anemia associated with RBC dysfunction, folic acid deficiencies, and normal renal function
is an acute anemia associated with RBC dysfunction
is a chronic anemia associated with impaired renal function, folic deficiency, and splenomegaly
is a chronic anemia associated with impaired renal function, folic deficiency, and splenomegaly
all of the following can be administered to pregnant patient except…
doxycycline
amoxycillin
acetomenaphine with codeine
acyclovir
fluoroquinolones
fluoroquinolones
a 67 yo males comes for placement of implant. he has hx of artificial heart valve that may have been a ball and basket design as per his records. all of the following are knowns that an oral healthcare provider should be aware of except
preoperative abx needed prior to surgery
the pt is at risk for megaloblastic anemias because valves cause enlargements of valves
the pt is at risk for hemolytic anemia due to increased RBC distruction
all of the above
none of the above
the pt is at risk for megaloblastic anemias because valves cause enlargements of valves
you are trained to follow a set of criteria with pts who are either going to receive and transplant or have already received one. which criteria are part of this approach?
monitor hypertension
screen blood panels for hep B
need to give prophylactic abx prior to surgery
must give corticosteroid bolus
all of the above
all of the above
pts that require dialysis for renal insufficiency are often seen by dental practitioner. all of the following are considerations by the dentist in this population except…
examine labs for evidence of hypercalcemia secondary to hyperparathyroidism
consult physician nephrologist about abx dosing adjustments
avoid use of NSAIDS
avoid use of drugs that require renal clearance
all of the above
which BP measurements are characteristic of prehypertension in stage 1 hypertension?
>159 systolic
>99 diastolic
you have a patient who claims she has trouble breathing even when lifting a cup off the kitchen table. what is her MET?
1
all are characteristic of the extrinsic pathway of clotting except…
vitamin K as causative agent
factors 2, 7, 9, 10
PTT/INR
PT and INR
PTT/INR
**PTT is INTRINSIC**
adrenal insufficiency is best exemplified by all of the following except…
chronic use of corticosteroids
chronic deficiency of mineralocorticoids
moon facies
hypotensive and syncope (fainting)
hypertensive and syncope (fainting)
hypertensive and syncope (fainting)
the work up of a bleeding dyscrasia includes the following parameters except…
CBC with differential
liver profile
PT, PTT, and INR
bleeding time
the schilling test
schilling test
you are assigned your first OS rotation in dental school. after reviewing all pertinents pt info and remembering distinctly to never say “this is not my pt”, you prepare to present your patient. which format best describes the sequence and content for pt presentation to the attending surgeon?
intro
past medical hx
allergies
meds
plan
T or F
a pt complaint should be documented within med hx record in pts own words
true
a 47yo male with past med hx of hypertension, smoking, DM, and hyperlipidemia, presents to OS clinic for removal of all remaining maxillary teeth. he is currently medicated for above conditions and BP today is 127/87. what is the pts ASA status?
ASA II
a 67yo female presents to the clinic with hx of severe dental phobia and HTN. upon arriving, you obtain a baseline BP of 197/122. you are concerned that the BP level and obtain another level 5 min later in her other arm and get 201/127. you are now very concerned about BP level. what is the most important next step?
question the pt about associated symptoms to ascertain if this is a hypertensive emergency
headache, change in vision, and numbness in the face down toward the arm are some of these symptosm
a 45yo male with a past med hx of DM type 2, HTN, obstructive sleep apnea, and obesity, presents for removal of 4 fully erupted 3rd under LA. after completing all necessary workup, you begin anesthetizing the pt. after 8 carpules of lidocaine administration, the pt complains of severe chest pain, clutching his chest, and is having difficulty talking. what is the best method to address the pts discomfort?
provide morphine, oxygen, nitroglycerin, and aspirin
(MONA)
T or F
a pt with known ischemic heart disease rquires a lower dose of epi, 0.04mg in a 30 min period which is equivalent to 3 dental carpules
false
2 carpules
a 27yo female with past med hx significant for prosthetic heart valve presents for removal of tooth 31. she is otherwise healthy. her tooth is currently infected and she is in pain. she was placed on azythromycin 250mg daily for infection due to penicillin allergy. what is the next best step before rendering tx?
clindomycin 6mg orally 30 minutes before
hyperparathyroidism…
can be iatrogenically caused by removal of the thyroid gland
can arise due to a tumor in the pituitary
can cause hypocalcemia and hyperphosphate
can cause hypercalcemia with resultant kidney stones
can be iatrogenically caused by removal of the thyroid gland
can arise due to a tumor in the pituitary
can cause hypercalcemia with resultant kidney stones
