DENTAL MANAGEMENT OF THE MEDICALLY
COMPROMISED PATIENT LITTLE ESSENTIAL
STUDY QUESTIONS AND ANSWERS
◉ Strep(toccus), candidiasis.
Answer: Microorganism causative agents of endocarditis (*2*)
◉ Nosocomial.
Answer: Hospital acquired infection
◉ viridians strep(tococci) (alpha-hemolytic)
(sanguis, oralis, salivarius, mutans).
Answer: Most common cause of community-acquired *Native Valve
Endocarditis* (NVE) (30-65% of all IE cases)
◉ Causitive microoganism, Type of valve, Source of infection
(community, nosocomial).
Answer: Infective endocarditis is classified based on which *3*
characteristics?
◉ - Fever
,- Heart murmur
- Positive blood culture
- Petechiae
- Osler nodes
- Splinter hemorrhages
- Roth spot (in retina)
- Nail clubbing.
Answer: Clinical findings of IE (*8*)
◉ petechia.
Answer: Clinical finding:
◉ Osler('s) node.
Answer: Clinical finding:
◉ splinter hemorrhage (blod clots under nails).
Answer: Clinical finding:
◉ Roth spot (red spot in retina).
Answer: Clinical finding:
◉ clubbing.
, Answer: Clinical finding:
◉ - prosthetic cardiac valves
- prosthetic material used for cardiac valve repair
- history of infective endocarditis
- cardiac transplant with valve regurgitation (due to structurally
abnormal valve)
- congenital heart disease (if unrepaired cyanotic or repaired with
residual shunts / valvular regurgitation).
Answer: the current ADA infective endocarditis / valvular heart
disease guidelines state that use of *preventative antibiotics* before
certain dental procedures is *reasonable* for patients with:
◉ - manipulation of gingival tissue
- manipulation of periapical region of teeth
- perforation of oral mucosa.
Answer: For the patients stated in the ADA guidelines, *antibiotic
prophylaxis* is recommended for all dental procedures that involve
_____
◉ 2.
Answer: according to the endocarditis prevention guidelines: if the
dosage of antibiotic is inadvertently not administered before the
COMPROMISED PATIENT LITTLE ESSENTIAL
STUDY QUESTIONS AND ANSWERS
◉ Strep(toccus), candidiasis.
Answer: Microorganism causative agents of endocarditis (*2*)
◉ Nosocomial.
Answer: Hospital acquired infection
◉ viridians strep(tococci) (alpha-hemolytic)
(sanguis, oralis, salivarius, mutans).
Answer: Most common cause of community-acquired *Native Valve
Endocarditis* (NVE) (30-65% of all IE cases)
◉ Causitive microoganism, Type of valve, Source of infection
(community, nosocomial).
Answer: Infective endocarditis is classified based on which *3*
characteristics?
◉ - Fever
,- Heart murmur
- Positive blood culture
- Petechiae
- Osler nodes
- Splinter hemorrhages
- Roth spot (in retina)
- Nail clubbing.
Answer: Clinical findings of IE (*8*)
◉ petechia.
Answer: Clinical finding:
◉ Osler('s) node.
Answer: Clinical finding:
◉ splinter hemorrhage (blod clots under nails).
Answer: Clinical finding:
◉ Roth spot (red spot in retina).
Answer: Clinical finding:
◉ clubbing.
, Answer: Clinical finding:
◉ - prosthetic cardiac valves
- prosthetic material used for cardiac valve repair
- history of infective endocarditis
- cardiac transplant with valve regurgitation (due to structurally
abnormal valve)
- congenital heart disease (if unrepaired cyanotic or repaired with
residual shunts / valvular regurgitation).
Answer: the current ADA infective endocarditis / valvular heart
disease guidelines state that use of *preventative antibiotics* before
certain dental procedures is *reasonable* for patients with:
◉ - manipulation of gingival tissue
- manipulation of periapical region of teeth
- perforation of oral mucosa.
Answer: For the patients stated in the ADA guidelines, *antibiotic
prophylaxis* is recommended for all dental procedures that involve
_____
◉ 2.
Answer: according to the endocarditis prevention guidelines: if the
dosage of antibiotic is inadvertently not administered before the
