CLINICAL MEDICINE EXAM 3
QUESTIONS AND CORRECT
ANSWERS LATEST REVISION
Dental management considerations of patients with psychiatric disease will include all of the
following EXCEPT:
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - ANS -B
Which clinical finding is suggestive of a platelet disorder?
A. ecchymosis
B. hemarthrosis
C. petechiae
D. delayed surgical bleeding - ANS -C
Which of the following is a hypercoagulable state?
A. thrombocytopenia
B. hereditary hemorrhagic telangiectasia
C. hemophilia A
D. protein C deficiency - ANS -D
,Patients with bipolar disorders will:
A. report an increased need for sleep
B. have no family history of bipolar disorder
C. present with distinct periods of euphoric mania
D. require pain management with NSAIDs only - ANS -C
Which factors are considered to be vitamin K dependent?
A. factors 7, 9
B. factors 9, 11
C. factors 7, 11
D. factors 8, 10 - ANS -A
*Factors II, VII, IX, X* are vitamin K-dependent
For which patient is DDAVP the initial agent used to promote hemostasis?
A. moderate hemophilia A
B. von Willebrand disease
C. idiopathic thrombocytopenia
D. liver disease - ANS -B
Schizophrenia:
, A. has a lifetime prevalence of 1.1% and occurs later in life
B. responds well to treatment with lithium
C. has a definite genetic cause
D. is characterized by disordered thinking, delusions or hallucinations - ANS -D
Pharmacologic adverse effects which are NOT of concern when managing patients with
psychiatric disorders are:
A. orthostatic hypertension
B. hypotension with use of epinephrine
C. tardive dyskinesia
D. agranulocytosis - ANS -A
Which of the following represents appropriate management of a patient who is scheduled for
the extraction of 2 maxillary anterior teeth?
A. discontinue aspirin 3-5 days prior to surgery
B. obtain and INRR 24 hrs prior to surgery for a patient who is taking LMWH (low molecular
weight heparin)
C. consider using adjunctive hemostatic agents (ex. fibrillar collagen) for the patient taking
Plavix
D. proceed with surgery in the patient with A. Fibrillation if INR is therapeutic b/w 2.5-3 - ANS -C
and D
Mood disorders:
A. are more common among men than among women
QUESTIONS AND CORRECT
ANSWERS LATEST REVISION
Dental management considerations of patients with psychiatric disease will include all of the
following EXCEPT:
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - ANS -B
Which clinical finding is suggestive of a platelet disorder?
A. ecchymosis
B. hemarthrosis
C. petechiae
D. delayed surgical bleeding - ANS -C
Which of the following is a hypercoagulable state?
A. thrombocytopenia
B. hereditary hemorrhagic telangiectasia
C. hemophilia A
D. protein C deficiency - ANS -D
,Patients with bipolar disorders will:
A. report an increased need for sleep
B. have no family history of bipolar disorder
C. present with distinct periods of euphoric mania
D. require pain management with NSAIDs only - ANS -C
Which factors are considered to be vitamin K dependent?
A. factors 7, 9
B. factors 9, 11
C. factors 7, 11
D. factors 8, 10 - ANS -A
*Factors II, VII, IX, X* are vitamin K-dependent
For which patient is DDAVP the initial agent used to promote hemostasis?
A. moderate hemophilia A
B. von Willebrand disease
C. idiopathic thrombocytopenia
D. liver disease - ANS -B
Schizophrenia:
, A. has a lifetime prevalence of 1.1% and occurs later in life
B. responds well to treatment with lithium
C. has a definite genetic cause
D. is characterized by disordered thinking, delusions or hallucinations - ANS -D
Pharmacologic adverse effects which are NOT of concern when managing patients with
psychiatric disorders are:
A. orthostatic hypertension
B. hypotension with use of epinephrine
C. tardive dyskinesia
D. agranulocytosis - ANS -A
Which of the following represents appropriate management of a patient who is scheduled for
the extraction of 2 maxillary anterior teeth?
A. discontinue aspirin 3-5 days prior to surgery
B. obtain and INRR 24 hrs prior to surgery for a patient who is taking LMWH (low molecular
weight heparin)
C. consider using adjunctive hemostatic agents (ex. fibrillar collagen) for the patient taking
Plavix
D. proceed with surgery in the patient with A. Fibrillation if INR is therapeutic b/w 2.5-3 - ANS -C
and D
Mood disorders:
A. are more common among men than among women
