El Maestro – Pharm| 81 QUESTIONS|
COMPLETE SOLUTIONS
Which is greater risk for ORN? IV bis for a year, radiation 65 grays Correct
Answer: radiation 65 grays
Bisphosphonates used for all except:
multiple myeloma,
osteomyelitis,
metastasis to bones from breast cancer,
metastasis to bones from prostate cancer Correct Answer: osteomyelitis,
Indication for bishphosphonates? Correct Answer: Osteoporosis
What is the mechanism of action of bisphosphonates? Correct Answer: Inhibit
osteoclasts
Pt taking bisphosphonates for 1 yr. IV, highest risk during dental tx? Correct
Answer: Osteonecrosis
Osteonecrosis of jaw - Correct Answer: more common in mandibular & has
nothing to do with radiation
Best tx for bisphosphate pt: Correct Answer: Section crown off & still do RCT
Pt has sickle cell anemia & has a thrombolytic crisis, what could precipitate this?
a. Nitrous oxide / oxygen use
b. Cold
c. Trauma
d. Infection Correct Answer: b. Cold
What disease is more predominate in males? Mandibular dysostosis (Treacher
Collins syndrome)
Hypothyroidism
Diabetes
Sickle cell anemia
, Hemophilia Correct Answer: Hemophilia
Macrocytic anemia which vitamin deficient? A, B, C, D, E
Which one is microcytic anemia? Correct Answer: B
Iron deficiency anemia
Pt is taking warfarin (Coumadin), what test do you run prior to extraction or
surgery: Correct Answer: INR (= 2.0-3.0)
The Higher the INR the ______________ it takes for blood to clot Correct
Answer: Longer
High INR means they cant coagulate
Patient is on Coumadin, what do you do prior to extractions?
a. Stop for 1 day
b. Stop medication of 5 days
c. Do not need to stop medication Correct Answer: b. Stop medication of 5 days
stop drug 5 days before, and resume the day after surgery)
The most important anti-coagulant effect of heparin is to interfere with the
conversion of
A. PTA to PTC.
B. PTC to Factor VIII.
C. fibrinogen to fibrin.
D. prothrombin to thrombin. E. proaccelerin to accelerin. Correct Answer: C.
fibrinogen to fibrin.
(hepaRIN ---> fibRIN)
Pt is taking dicumarol, what are they being treated for? Correct Answer:
Myocardial infarction (dicumarol is similar to warfarin)
Coumadin (warfarin): Correct Answer: give vitamin KKKKKKKKKK
COMPLETE SOLUTIONS
Which is greater risk for ORN? IV bis for a year, radiation 65 grays Correct
Answer: radiation 65 grays
Bisphosphonates used for all except:
multiple myeloma,
osteomyelitis,
metastasis to bones from breast cancer,
metastasis to bones from prostate cancer Correct Answer: osteomyelitis,
Indication for bishphosphonates? Correct Answer: Osteoporosis
What is the mechanism of action of bisphosphonates? Correct Answer: Inhibit
osteoclasts
Pt taking bisphosphonates for 1 yr. IV, highest risk during dental tx? Correct
Answer: Osteonecrosis
Osteonecrosis of jaw - Correct Answer: more common in mandibular & has
nothing to do with radiation
Best tx for bisphosphate pt: Correct Answer: Section crown off & still do RCT
Pt has sickle cell anemia & has a thrombolytic crisis, what could precipitate this?
a. Nitrous oxide / oxygen use
b. Cold
c. Trauma
d. Infection Correct Answer: b. Cold
What disease is more predominate in males? Mandibular dysostosis (Treacher
Collins syndrome)
Hypothyroidism
Diabetes
Sickle cell anemia
, Hemophilia Correct Answer: Hemophilia
Macrocytic anemia which vitamin deficient? A, B, C, D, E
Which one is microcytic anemia? Correct Answer: B
Iron deficiency anemia
Pt is taking warfarin (Coumadin), what test do you run prior to extraction or
surgery: Correct Answer: INR (= 2.0-3.0)
The Higher the INR the ______________ it takes for blood to clot Correct
Answer: Longer
High INR means they cant coagulate
Patient is on Coumadin, what do you do prior to extractions?
a. Stop for 1 day
b. Stop medication of 5 days
c. Do not need to stop medication Correct Answer: b. Stop medication of 5 days
stop drug 5 days before, and resume the day after surgery)
The most important anti-coagulant effect of heparin is to interfere with the
conversion of
A. PTA to PTC.
B. PTC to Factor VIII.
C. fibrinogen to fibrin.
D. prothrombin to thrombin. E. proaccelerin to accelerin. Correct Answer: C.
fibrinogen to fibrin.
(hepaRIN ---> fibRIN)
Pt is taking dicumarol, what are they being treated for? Correct Answer:
Myocardial infarction (dicumarol is similar to warfarin)
Coumadin (warfarin): Correct Answer: give vitamin KKKKKKKKKK
