References

Question 1

When is Coumadin (Warfarin) prescribed?

Answer 1

Atrial fibrillation
Myocardial infarction (heart attack)
Stroke
Deep Vein Thrombosis
Prosthetic valve replacement

Question 2

Used to see how long it takes for a patient’s blood to clot.

Answer 2

INR

Question 3

Therapeutic INR range for most conditions.

Answer 3

2-3

Question 4

When should an INR be done if invasive procedures are occurring (like multiple extractions)?

Answer 4

24 hrs before

Question 5

This is a famous anti-coagulant.

Answer 5

Warfarin/Coumadin

Question 6

These are anti-platelets

Answer 6

Aspirin and Clopidogrel (Plavix)

Question 7

Used to prevent stroke, heart attack, and to maintain cardiac stent placement.

Answer 7

Anti-platelets like Aspirin

Question 8

Anti-platelet therapy should NOT be discontinued within _____ year of stent placement.

Answer 8

One

Question 9

What patients should you be cautious about using local anesthesia with epinephrine?

Answer 9

Hypertensive patients and those with uncontrolled HYPERthyroidism.

Epi in people with uncontrolled hyperthyroid can cause a hypertensive crisis.

Question 10

At what BP do we avoid elective dental care?

Answer 10

> 180/110

Question 11

What about retraction cords impregnated with epi?

Answer 11

Avoid in ALL patients with hypertension.

Question 12

Diabetic patients should be questioned about this test

Answer 12

Hb A1C

Question 13

Measures glycosylated Hb over a 3-month period.

Answer 13

A1C

Question 14

What is the blood glucose reading of a HYPOglycemic event?

Answer 14

<72 mg/dL

Question 15

What to do during a hypoglycemic event?

Answer 15

Give sugar (orange juice, cake frosting, etc).

Question 16

What do you do when a patient loses consciousness?

Answer 16

Call a code 5

Question 17

Antibiotic prophylaxis should be given to all patients within _____ years of joint replacement.

Answer 17

2

Question 18

Do orthopedic pins, plates, and screws need antibiotic prophylaxis?

Answer 18

NO

Question 19

Avoid elective dental care in which trimesters for a pregnant patient?

Answer 19

First trimester and latter half of the third trimester.

Question 20

Elective dental care in a pregnant patient should be deferred to when?

Answer 20

Post-partum phase (after birth).

Question 21

Pregnancy Category A

Answer 21

No risk to fetus

Question 22

Positive evidence of human fetal risk.

Answer 22

Pregnancy Category D

Question 23

Cause fetal abnormalities and should be avoided in all pregnant women.

Answer 23

Pregnancy Category X

Question 24

Heart conditions in which antibiotic prophylaxis should be done before a dental procedure to prevent bacterial endocarditis:

Answer 24

1) Prosthetic valves
2) Previous infective endocarditis
3) Congenital Heart Defect that is Unrepaired
4) Completely repaired congenital heart defect with prosthetic material or device placed within the last 6 months.
5) Heart transplant recipient who developed cardiac valvulpapthy.

Question 25

Amoxicillin dose given to patients as prrophylaxis,

Answer 25

2 g 30-60 minutes prior to the procedure.

Question 26

Amoxicillin dose given to kids as prophylaxis.

Answer 26

50 mg/kg