Oral Med Review

Question 1

Hypertensive Crisis

Answer 1

180/120

Question 2

CO*Peripheral Resistance

Answer 2

Arterial BP

Question 3

This system controls the arterial BP

Answer 3

Renin-Angiotensin-Aldosterone System

Question 4

What do baroreceptors in the kidney sense?

Answer 4

Drop in BP

Question 5

What does the kidney release to increase BP?

Answer 5

Renin

Question 6

Converts Angiotensinogen to Angiotensin I

Answer 6

Renin

Question 7

Converts Angiotensin I to II

Answer 7

Angiotensin Converting Enzyme

Question 8

Body’s most potent vasoconstrictor.

Answer 8

Angiotensin II

Question 9

-Ides

Answer 9

Diuretics

Question 10

Avoid these drugs in diabetics

Answer 10

Diuretics

Avoid diuretics in diabetics bc they raise blood sugar!

Question 11

Reduce blood volume.

Answer 11

Diuretics

Question 12

Can cause orthostatic hypotension

Answer 12

Diuretics

Beta blockers

Question 13

End in -lol

Answer 13

Beta blockers

Question 14

Decrease cardiac output and block sympathetic outflow.

Answer 14

Beta blockers

Question 15

Inhibit the release of renin from the kidneys.

Answer 15

Beta blockers

Question 16

These enhance the pressor effect of epi.

Answer 16

Non-selective beta blockers

Question 17

Abrupt withdrawal of these can lead to rebound hypertension.

Answer 17

Beta blockers

Question 18

These receptors dilate the arterioles in skeletal muscle and liver.

Answer 18

Beta 2

Question 19

These receptors constrict arterioles in the skin and mucosa.

Answer 19

Alpha 1

Question 20

Block conversion of Angiotensin I to II.

Answer 20

ACE Inhibitors

Question 21

Adverse effect of ACE Inhibitor

Answer 21

Orthostatic Hypotension

Dry cough

Question 22

-Pine

Answer 22

Ca2+ channel blockers

Question 23

Major adverse effect of calcium channel blockers.

Answer 23

Gingival hyperplasia

Question 24

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

Answer 24

1-3 months later

Question 25

1 carpule of lido has how much epi?

Answer 25

.017 mg

Question 26

Contraindications to epi

Answer 26

- Uncontrolled HTN - Refractory arrhythmias - Recent MI (3 months) - Unstable angina - Recent coronary bypass (3 months)

Question 27

Increase the release of Insulin from the liver.

Answer 27

Sulfonylureas

Question 28

Prevent the liver from making Glucose

Answer 28

Biguanides

Question 29

Delay carbohydrate digestion

Answer 29

Gamma-glucosidase inhibitors

Question 30

Avoid this in poorly controlled diabetics.

Answer 30

Systemic steroid use

Question 31

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

Answer 31

True

Question 32

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

Answer 32

Pre-term birth.

Question 33

Safest trimester for dental treatment

Answer 33

2nd trimester

Question 34

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

Answer 34

True

Question 35

Safe amt of radiation exposure in a pregnant patient.

Answer 35

5-10cGy (centiGray)

Question 36

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

Answer 36

.00001

Question 37

Anesthetics that are Pregnancy Category C

Answer 37

Articaine | Mepivicaine

Question 38

Should we avoid Tetracyclines in pregnant patients?

Answer 38

YES

Question 39

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

Answer 39

INR

Question 40

Chronic liver disease may cause this.

Answer 40

Bleeding problems, need INR.

Question 41

These are metabolized by the liver.

Answer 41

Xylocaine, Mepivacaine, Prilocaine, Bupivacaine Aspirin Ibuprofin Codeine Many antibiotics

Question 42

Inhibits osteoclast differentiation, thereby increasing bone mass.

Answer 42

Bisposphonates

Question 43

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.

Answer 43

True

Question 44

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

Answer 44

Pre-eclampsia.

Question 45

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

Answer 45

True