Oral Med Review Flashcards

1
Q

Hypertensive Crisis

A

180/120

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2
Q

CO*Peripheral Resistance

A

Arterial BP

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3
Q

This system controls the arterial BP

A

Renin-Angiotensin-Aldosterone System

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4
Q

What do baroreceptors in the kidney sense?

A

Drop in BP

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5
Q

What does the kidney release to increase BP?

A

Renin

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6
Q

Converts Angiotensinogen to Angiotensin I

A

Renin

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7
Q

Converts Angiotensin I to II

A

Angiotensin Converting Enzyme

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8
Q

Body’s most potent vasoconstrictor.

A

Angiotensin II

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9
Q

-Ides

A

Diuretics

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10
Q

Avoid these drugs in diabetics

A

Diuretics

Avoid diuretics in diabetics bc they raise blood sugar!

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11
Q

Reduce blood volume.

A

Diuretics

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12
Q

Can cause orthostatic hypotension

A

Diuretics

Beta blockers

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13
Q

End in -lol

A

Beta blockers

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14
Q

Decrease cardiac output and block sympathetic outflow.

A

Beta blockers

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15
Q

Inhibit the release of renin from the kidneys.

A

Beta blockers

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16
Q

These enhance the pressor effect of epi.

A

Non-selective beta blockers

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17
Q

Abrupt withdrawal of these can lead to rebound hypertension.

A

Beta blockers

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18
Q

These receptors dilate the arterioles in skeletal muscle and liver.

A

Beta 2

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19
Q

These receptors constrict arterioles in the skin and mucosa.

A

Alpha 1

20
Q

Block conversion of Angiotensin I to II.

A

ACE Inhibitors

21
Q

Adverse effect of ACE Inhibitor

A

Orthostatic Hypotension

Dry cough

22
Q

-Pine

A

Ca2+ channel blockers

23
Q

Major adverse effect of calcium channel blockers.

A

Gingival hyperplasia

24
Q

How long after use of Calcium channel blockers does gingival hyperplasia show?

A

1-3 months later

25
Q

1 carpule of lido has how much epi?

A

.017 mg

26
Q

Contraindications to epi

A
  • Uncontrolled HTN
  • Refractory arrhythmias
  • Recent MI (3 months)
  • Unstable angina
  • Recent coronary bypass (3 months)
27
Q

Increase the release of Insulin from the liver.

A

Sulfonylureas

28
Q

Prevent the liver from making Glucose

A

Biguanides

29
Q

Delay carbohydrate digestion

A

Gamma-glucosidase inhibitors

30
Q

Avoid this in poorly controlled diabetics.

A

Systemic steroid use

31
Q

Invasive procedures that may cause an infection to spread in poorly controlled diabetics may require pre-medication.

A

True

32
Q

There’s NO connection between perio disease and what in pregnant patients?

A

Pre-term birth.

33
Q

Safest trimester for dental treatment

A

2nd trimester

34
Q

T/F: There’s no evidence relating early spontaneous abortion to first trimester oral health care or dental procedures.

A

True

35
Q

Safe amt of radiation exposure in a pregnant patient.

A

5-10cGy (centiGray)

36
Q

A full mouth series of dental radiographs with a lead apron results in how many cGy?

A

.00001

37
Q

Anesthetics that are Pregnancy Category C

A

Articaine

Mepivicaine

38
Q

Should we avoid Tetracyclines in pregnant patients?

A

YES

39
Q

May want this test before a procedure if liver is severely damaged.

A

INR

40
Q

Chronic liver disease may cause this.

A

Bleeding problems, need INR.

41
Q

These are metabolized by the liver.

A

Xylocaine, Mepivacaine, Prilocaine, Bupivacaine

Aspirin

Ibuprofin

Codeine

Many antibiotics

42
Q

Inhibits osteoclast differentiation, thereby increasing bone mass.

A

Bisposphonates

43
Q

You can interrupt bisphosphonate tx 3 months prior to surgery and re-start after bone healing for patients on BP therapy for more than 3 years to reduce the risk of ostenecrosis.

A

True

44
Q

This condition is not a contraindication to dental care in the pregnant patient.

A

Pre-eclampsia.

45
Q

T/F: Periodontal care should be provided during pregnancy.

A

True