WREB

Question 1

Pedo: Max dose for 2% Lido

Answer 1

4.4 mg/kg or 2 mg/lb

Question 2

Pedo: Max dose for 4% Septo

Answer 2

7 mg /kg

Question 3

Pre-Med: Amoxicillin

Answer 3

Adult: 2 g; Pedo: 50 mg/kg

Question 4

Pre-Med: Clindamycin

Answer 4

Adult: 600 mg; Pedo: 20 mg/kg

Question 5

Pre-Med: Azithromycin

Answer 5

Adult: 500 mg; Pedo: 15 mg/kg

Question 6

Infection: Amoxicillin

Answer 6

500 mg
Disp: 30 (thirty)
Sig: TID

Question 7

Infection: Clindamycin

Answer 7

300 mg
Disp: 30 (thirty)
Sig: QID

Question 8

Infection: Azithromycin

Answer 8

Tri pack: 500 mg
Disp: 1 pack(3 tabs)
Sig: qd (one a day)

Question 9

Infection: Pen VK

Answer 9

500 mg
Disp: 40 (forty)
Sig: QID

Question 10

PEDO Infection: Amoxicillin

Answer 10

50mg/kg

Sig: TID

Question 11

PEDO Infection: Clindamycin

Answer 11

8-20 mg/kg

Sig: QID

Question 12

PEDO Infection: Pen VK

Answer 12

25 mg/kg

Sig: QID

Question 13

PEDO Pain Control: Acetaminophen

Answer 13

10-15 mg/kg

Sig: Q4-6H

Question 14

PEDO Pain Control: IBU

Answer 14

4-10 mg/kg

Sig: Q6-8H

Question 15

Adult Pain Control: Acetaminophen

Answer 15

325 mg

Sig: 1-2 Q4H

Question 16

Adult Pain Control: IBU

Answer 16

200 mg

Sig: 1-2 Q4-6H

Question 17

Aspirin Allergic or Intolerant: Alternative drug

Answer 17

Acetaminophen: 325 mg
Sig: 1-2 Q4H, DO NOT EXCEED 4 g/day

Question 18

RX: IBU 600 mg

Answer 18

Disp: 28 (twenty-eight)
Sig: 1 tab TID or QID

Question 19

Severe Pain: Norco

Answer 19

Hydrocodone 5 mg; Acetaminophen 325 mg
Disp: ___ tablets
Sig: 1-2 QID PRN for pain (not to exceed 4 g Acetaminophen/day)

Question 20

Herpes Simplex Primary Attack

Answer 20

xylocaine 2% viscous
Valacyclovir (Valtrex) 500 mg
Disp: 8 (eight) tablets
Sig: Take 4 tabs at first sign of attack, take 4 tabs 12 h later

Question 21

Oral Fungal Infection

Answer 21

Clotrimazole Troche 10 mg
Disp: 70 (seventy) troches
Sig: Dissolve 1 troche in mouth 5 times/day until gone

Question 22

Fixed Prosth Lab Rx:

Answer 22

-Please pour maxillary PVS impression in die stone.
-Mount maxillary cast with enclosed mandibular cast utilizing enclosed bite registration.
-Fabricate porcelain to NOBEL metal crown for tooth #__.
-Metal lingual and occlusal with buccal porcelain and buccal porcelain margin.
-Tooth should be waxed to tight centric occlusion with no contacts in excursive movements as patient is in canine guided occlusion.
-Shade should match Vita Classic guide shade A-2
.Please increase incisal translucency over shade guide.

Question 23

When do you use ABX prophylaxis?

• *3 heart
• 5 other considerations

Answer 23

**Heart conditions that predispose to Infective Endocarditis
**Prosthetic cardiac valve
**Congenital Heart Disease
1. Unrepaired cyanotic CHD
2.Repaired CHD w/ prosth. material
3.Repaired CHD w/ residual defect
OTHERS:
-Immunosuppressed: Neutropenia<1,000 or CD4<200
-Poorly controlled DM Type I
-Poorly controlled organ transplant
-Pt w/ Splenectomy in last 6 mo.
-Total joint replacement

Question 24

Tx plan: What to include

Answer 24

• *ADDRESS CHIEF COMPLAINT
• Appropriate medical mods
• Rx: If needed (Drug, Dose, Quantity, Directions)
• Recommendations for additional tests (Spec referrals, biopsy) MUST INCLUDE DIAGNOSIS and PROPOSED TX
• Appropriately sequenced treatment

Question 25

What must be included in a work authorization: Lab RX

Answer 25

1. Description of restoration
2. Material specification
3. Desired occlusal scheme
4. Connector designs for FPD’s
5. Pontic design, material spec. for tissue contact
6. Substrate design for metal-ceramic restoration
7. Info regarding shade (for esthetic designs)
8. Proposed RPD design
9. Date of next patient apt and stage of completion required by then

Question 26

What conditions do you have to propose Tx recommendations?

Answer 26

1. Caries
2. Fractures
3. Missing teeth
4. Defective/failing restorations
5. Don’t specify material (Direct or Indirect restoration)