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Oral Surgery I > EXAM I Test Review > Flashcards

EXAM I Test Review Flashcards

1
Q

what is the prophylaxis requirement as recommended by the ADA for a pregnant patient in her 2nd trimester who has a mitral valve prolapse?

A

no prophylaxis required

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2
Q

do blue bloaters exhibit thrombocytopenia?

A

no

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3
Q

patients with myxedema (adult hypothyroidism) are susceptible to all of the following except…

weight gain

cold intolerance

coarse hair and bradychardia

thyroid storm

A

thyroid storm

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4
Q

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

A

all of the above

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5
Q

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?

A

macrocytic megaloblastic anemia

*due to folate acid deficiency, which is characteristic of alcoholics

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6
Q

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

A

plasma volume decreases

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7
Q

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

A

all of the above

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8
Q

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

A

articaine and mepivicane (both C)

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9
Q

does the hypothalamus innervates the pituitary gland to produce arginine vasotosin (aka ADH aka vasopressin)?

A

no

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10
Q

does graves disease exhibits bradychardia due to toxicosis?

A

no

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11
Q

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…

A

thalassemia minor

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12
Q

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

A

aspirin use

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13
Q

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

A

if the INR shows a range between 2-3 and the status of his extrinsic pathway of clotting

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14
Q

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

A

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

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15
Q

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

A

all of the above

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16
Q

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?

A

if he is on an antiplatelet drug, he can still have surgery

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17
Q

all of the following are considered sutures appropriate for gingival tissues except…

vicryl

prolene

gut

chromic gut

A

prolene (this one is used for skin)

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18
Q

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?

A

ASA II

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19
Q

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

A

intrinsic pathway for clotting

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20
Q

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

A

all of the above

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21
Q

T or F

a pregnant patient can have a pano xray taken if needed for evaluating an odontogenic infection without a lead apron

A

false

22
Q

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

A

gingival hypoplasia

23
Q

when designing a surgical flap for oral surgery, the length should be no longer than twice the ___

A

width

24
Q

the most common type of suture needle used in oral suturing is…

A

3/8 cutting needle

25
Q

T or F

a 6-0 suture is thicker than a 3-0 suture

A

false

26
Q

the suture with the most strength is…

A

vicryl

it lasts the longest in the mouth

27
Q

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

A

both

28
Q

T or F:

vicryl causes the most tissue reaction

A

false

chromic gut causes the most tissue reaction

29
Q

T or F

the knots from interrupted interproximal sutures should be placed on the lingual to prevent lip and buccal mucosa irritation

A

false

30
Q

T or F

horizontal mattress sutures decrease the amount of sutures placed, slightly compress the wound edges together, and evert tissue edges

A

true

31
Q

T or F

synthetic braided vicryl is non absorbable

A

false

32
Q

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

A

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

33
Q

the schilling test rules out ___

A

pernicious anemia

34
Q

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

A

is a chronic anemia associated with impaired renal function, folic deficiency, and splenomegaly

35
Q

all of the following can be administered to pregnant patient except…

doxycycline

amoxycillin

acetomenaphine with codeine

acyclovir

fluoroquinolones

A

fluoroquinolones

36
Q

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

A

the pt is at risk for megaloblastic anemias because valves cause enlargements of valves

37
Q

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

A

all of the above

38
Q

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

A

all of the above

39
Q

which BP measurements are characteristic of prehypertension in stage 1 hypertension?

A

>159 systolic

>99 diastolic

40
Q

you have a patient who claims she has trouble breathing even when lifting a cup off the kitchen table. what is her MET?

A

1

41
Q

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

A

PTT/INR

**PTT is INTRINSIC**

42
Q

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)

A

hypertensive and syncope (fainting)

43
Q

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

A

schilling test

44
Q

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?

A

intro

past medical hx

allergies

meds

plan

45
Q

T or F

a pt complaint should be documented within med hx record in pts own words

A

true

46
Q

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?

A

ASA II

47
Q

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?

A

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

48
Q

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?

A

provide morphine, oxygen, nitroglycerin, and aspirin

(MONA)

49
Q

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

A

false

2 carpules

50
Q

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?

A

clindomycin 6mg orally 30 minutes before

51
Q

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

A

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

Oral Surgery I (13 decks)

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