Prescriptions

Question 1

Your pt needs antibiotic prophylaxis. Write a script that will last them 4 appointments.

Answer 1

Amoxicillin 500 mg tablets
Dispense 16 tablets
Take 4 tablets 1 hr prior to dental apt
0 refills

Question 2

Your pt needs antibiotic prophylaxis but is allergic to penicillins. Write a script that will last them 5 appointments.

Answer 2

Clindamycin 300 mg tablets
Take 2 tablets 1 hr prior to dental apt
0 refills

Question 3

Your pt needs antibiotic prophylaxis but is allergic to penicillins and has pseudomembranous colitis. Write a script that will last them 3 appointments.

Answer 3

Azithromycin 250 mg tablets
Dispense 6 tablets
Take 2 tabs 1 hr prior to dental apt
0 refills

Question 4

Patient has pseudomembranous candidiasis. Write a prescription for antifungal suspension.

Answer 4

Nystatin Suspension 100,000 units/ml
Dispense 240 ml
Rinse with 1 tsp for 3 min QID and swallow
Avoid eating/drinking for 30 min after rinsing.
1 refill

Question 5

What is antibiotic prophylaxis needed for?

Answer 5

1. Prosthetic heart valves
2. Previous infective endocarditis
3. Congenital heart diseases
4. Cardiac transplant with valve regurgitation
5. Prosthetic material used for cardiac valve repairs

Question 6

If patient needs antibiotic prophylaxis but is already taking penicillin for something else, what should you prescribe?

Answer 6

An antibiotic from a different class. Clindamycin 600 mg or Azithromycin 500 mg.

Question 7

Patient has lichen planus or aphthous ulcers. Write a prescription for an oral suspension steroid.

Answer 7

Dexamethasone elixir 0.5 mg/5 ml
Dispense 240 ml
Rinse with 1 tsp for 3 min and expectorate after meals and at bedtime.
1 refill

Question 8

Patient has closed VDO and has developed angular cheilitis.

Write a prescription for an ointment (anti-fungal/steroid).

Answer 8

Mycolog II (Nystatin 100,000 U/gm and Triamcinolong acrtonide 0.1% ointment)
Dispense 15 gm
Apply sparingly to affected area QID
1 refill

Question 9

Patient needs stronger analgesic than OTC medications. Write a prescription for Norco.

Answer 9

Norco 5/325 tablets
Dispense 10 tablets
Take 1 tablet q4-6 hr prn for pain
Do not exceed 6 tablets in 24 hours.
0 refills

Question 10

Pediatric pt has an abscess and you’d like to prescribe antibiotics. Pt weighs 12 kg (25 pounds).

Answer 10

Amoxicillin 125 mg/5 ml suspension
Disp 150 ml
Take 1 tsp q8h for 10 days or until gone
0 refills

Question 11

Pediatric pt has an abscess and you’d like to prescribe antibiotics. Pt weighs 24 kg (50 lbs)

Answer 11

Amoxicillin 250 mg/5ml suspension
Dispense 150 ml
Take 1 tsp q8h for 10 days or until gone
0 refills

Question 12

Pediatric pt has an abscess and you’d like to prescribe antibiotics but pt is allergic to penicillins.

Answer 12

Clindamycin 75 mg/5 ml
Dispense 200 ml
Take 1 tsp q8h for 10 days
0 refills

Question 13

Acetaminophen dose for a child?
Dose?
How much do you dispense?

Answer 13

10mg/kg/dose every 4-6 hours, don’t exceed 5 doses in one day

Dose: 160 mg/5mL
Dispense: 160 mL

Question 14

Ibuprofen dose for a child?
Dose?
Dispense?

Answer 14

5-10mg/kg/dose every 4-6 hours
Dose: 100mg/5ml
Dispense: 120 ml

Question 15

Clindamycin dose for a child?
Dose?
Dispense?

Answer 15

10mg/kg/day
Dose: 75 mg/5ml
Dispense: 200 ml
Take 1 tsp (5ml) every 8 hours for 10 days (this is for a 12kg kid)

Question 16

Amoxicillin dose for a child?
Dose?
Dispense?

Answer 16

20mg/kg/day
Dose: 125 mg/5ml
Dispense: 150 ml
Take 1 tsp (5ml) every 8 hrs for 10 days for 12kg child

Question 17

Toothpaste

Answer 17

1.1% neutral sodium fluoride

Question 18

PreviDent Varnish

Answer 18

5% Sodium Fluoride

Question 19

What requires SRP

Answer 19

Teeth having CAL with pocket depths >= 5 mm or 4mm with BOP

Question 20

Furcations

Class 1/2/3

Answer 20

Class 1: tissue destruction extends 1mm but not more than 2mm
Class 2: tissue destruction extends deeper than 2mm
Class 3: through and through, tissue destruction extends through the entire furcation

Question 21

Mobility

Class 1/2/3

Answer 21

Class 1: facial-lingual tooth movement less than 1mm
Class 2: movement 1-2mm
Class 3: more than 2mm and/or movement in a vertical direction (depressible)

Question 22

Periodontal Prognosis

Good/fair/poor/hopeless

Answer 22

Good: Cal = 0, no mobility, no furcation, easily maintained

Fair: slight or moderate CAL, class 1 mobility or furcation involvement, allows proper maintenance

Poor: involves one or more- severe CAL resulting in poor crown to root ratio, class 2 furcations or class 3 furcations, class 2 or 3 mobility, significant root proximity

Hopeless: involves one or more of above with inadequate attachment to maintain the tooth, extraction is suggested