Pregnancy-Medically Compromised Flashcards
Female of 29 years who is pregnant is in the office. The assistant mentions that the PT is complaining of dizziness, nausea and the blood pressure is lower than normal. What likely happened? (PG 230)
A) Early Syncope
B) MI
C) The assistant kept the PT waiting for a long time
D) The assistant lowered the chair very swiftly (ANS)
Fast lowering causes postural hypotension
A Pregnant women in dental chair seems to have nose bleeding. She mentioned that this happened a few months scter her pregnancy. What is the likely cause?
A) Increase in Testosterone
B) Increase in Estrogen (Capillaries become engorged with blood causing edema) ANSWER.
C) Xerostomia
D) The PT’s history of rheumatoid arthritis (not the answer bcz RA improve due to shift in immunity)
Why are pregnant women at increased risk of Dental Decay?
A) Increase in Estrogen
B) Shift from TH1-TH2 immunity
C)Decrease in Platelets
D) Xerostomia
(Ans: leada to loss of protective functions of saliva due to open mouth breathing as nasal breathing is diffucult)
A Normal Dental Appointment at your clinic is 45 minute for a new PT. A Pregnant women comes in for her first visit. How would you adjust her apt and why?
A) Longer appt so that you can carefully examine
B) Regular appointment length
C) Shorter apt. Length (Ans: as PT is at risk of hypoglycemia and fainting in pregnancy)
Which treatments can be performed in first trimester?
A) Scaling, Polishing, extractions
B) Scaling, Polishing, restorations
C) Scaling, Polishing and root planning(Ans: to allow good oral hygiene)
D) Restorations, Exractions and polishing
Which of the following has the lowest fetal radiographic exposure?
A) Skull Radiograph
B) Full mouth dental series (0.00001)
C) Skull radiograph
A PT has been diagnosed with pregnancy gingivitis. What trimester are they likely in?
A) Second trimester
B) First trimester (Ans: Due to high levels of prog. & estrogen and high inflammation repsonse)
C) Third trimester
A PT has moderate tooth mobility . Upon inquiring the PT’s husband complained that since she has been pregnant their wife has not been consuming greens in their diet. What is the likely cause?
A) Vitamin C deficiency
What is the other cause of tooth mobility? A) Loss of periodontal ligament attachment
Which of these drugs should be avoided in third trimester in Pregnancy?
A) NSAID’s
B) Tetracyclines
C) Aspirin
D) All of the above
Drugs to use with caution in all trimesters
A) Nsaid’s
B) Codeine
C) Clarithromycin
