DENTAL MANAGEMENT OF THE
MEDICALLY COMPROMISED PATIENT.
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS | LATEST
VERSION 2025/2026.
List the flow of the cardiac circulation starting at the superior vena cava: - ANS Superior vena
cava, right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary artery, lungs,
pulmonary vein, left atrium, mitral valve, left ventricle, aortic valve, aorta, systemic circulation,
superior vena cava
Microbial infection of the endothelial surface of the heart or heart valves that most often
occurs in proximity to congenital or acquired cardiac defects - ANS Infective endocarditis
Old classifications of IE - ANS Acute and subacute
(3) new classification categories of IE - ANS Causative microorganism, type of valve, source of
infection
Two potential causative organisms of IE - ANS Streptococcal, candidal
Two potential valves impacted by IE - ANS Native valve, prosthetic valuve
1 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Two potential sources of IE infection - ANS Community/hospital, IV drug use
Most common cause of community-acquired NVE (and 30-65% of IE cases) - ANS Viridans
Streptococci (alpha-hemolytic streptococci)
(4) Strep strains found in IE - ANS Sanguis, oralis, salivarius, mutans
(3) Classic findings in IE - ANS Fever, heart murmur, positive blood culture
Small red or purple spots on the skin (symptom of IE) - ANS Petechiae
Painful, larger red lesion on the skin (symptom of IE) - ANS Osler's Node
Tiny red lines found underneath the nails (symptom of IE) - ANS Splinter hemorrhages
Red spot with a lighter center found in the retina (symptom of IE) - ANS Roth spot
Enlargement of the fingernails (symtom of IE) - ANS Nail clubbing
ADA guidelines state that use of preventative antibiotics before certain dental procedures is
reasonable in these (5) categories of patients - ANS Prosthetic cardiac valves, prosthetic
material used for cardiac valve repair, history of IE, cardiac transplant with valve regurgitation
due to structurally abnormal valve, congenital heart disease
Antibiotic prophylaxis is recommended for the (5) categories of patients for all dental
procedures that involve manipulation of the _______________ (2 words) or the
______________ region of the teeth, or perforation of the ______ mucosa - ANS gingival
tissue, periapical, oral
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
MEDICALLY COMPROMISED PATIENT.
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS | LATEST
VERSION 2025/2026.
List the flow of the cardiac circulation starting at the superior vena cava: - ANS Superior vena
cava, right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary artery, lungs,
pulmonary vein, left atrium, mitral valve, left ventricle, aortic valve, aorta, systemic circulation,
superior vena cava
Microbial infection of the endothelial surface of the heart or heart valves that most often
occurs in proximity to congenital or acquired cardiac defects - ANS Infective endocarditis
Old classifications of IE - ANS Acute and subacute
(3) new classification categories of IE - ANS Causative microorganism, type of valve, source of
infection
Two potential causative organisms of IE - ANS Streptococcal, candidal
Two potential valves impacted by IE - ANS Native valve, prosthetic valuve
1 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Two potential sources of IE infection - ANS Community/hospital, IV drug use
Most common cause of community-acquired NVE (and 30-65% of IE cases) - ANS Viridans
Streptococci (alpha-hemolytic streptococci)
(4) Strep strains found in IE - ANS Sanguis, oralis, salivarius, mutans
(3) Classic findings in IE - ANS Fever, heart murmur, positive blood culture
Small red or purple spots on the skin (symptom of IE) - ANS Petechiae
Painful, larger red lesion on the skin (symptom of IE) - ANS Osler's Node
Tiny red lines found underneath the nails (symptom of IE) - ANS Splinter hemorrhages
Red spot with a lighter center found in the retina (symptom of IE) - ANS Roth spot
Enlargement of the fingernails (symtom of IE) - ANS Nail clubbing
ADA guidelines state that use of preventative antibiotics before certain dental procedures is
reasonable in these (5) categories of patients - ANS Prosthetic cardiac valves, prosthetic
material used for cardiac valve repair, history of IE, cardiac transplant with valve regurgitation
due to structurally abnormal valve, congenital heart disease
Antibiotic prophylaxis is recommended for the (5) categories of patients for all dental
procedures that involve manipulation of the _______________ (2 words) or the
______________ region of the teeth, or perforation of the ______ mucosa - ANS gingival
tissue, periapical, oral
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
