TEST BANK For Little and Falace's Dental Management of the
Medically Compromised Patient, 10th Edition by Craig Miller
What is an oral finding of infective endocarditis? - ANSWER:oral petechia
if on a Ca+ channel blocker, what medications must be avoided? -
ANSWER:erythromycin and clarithromycin because it might enhance affect and
cause hypotension
When is elective tx avoided in stage II HTN? - ANSWER:always
If patient has HTN, when is elective treatment avoided? - ANSWER:When there is
target organ involvement
Why should NSAIDS be avoided with HTN medications? - ANSWER:Long term use of
> 2 weeks might interfere with the effectiveness os some antihypertensive
medications
For non selective beta blocker how much epi can be given? - ANSWER:Around 2
carpules of 1:100k =0.036mg
For MCI, no elective treatment for how long? - ANSWER:The first month
What medication should be avoided after MCI? - ANSWER:anticholinergics
What are common anticholinergics? - ANSWER:dramamine, atropine, Benadryl,
scopolamine
What dental considerations should be done for high risk arrhythmias (AV block,
uncontrolled rate, symptomatic ventricular arrhythmias)? - ANSWER:1. defer elective
tx
2. consult with a physician
What medication is often Rx for arrhythmias? - ANSWER:digoxin (digitalis)
What does digoxin do? - ANSWER:1. positive ionotrope
2. anti-arrhythmic agent (has vagal effect in parasympathetic nervous system
especially in those with atrial fibrillation with CHF)
What is cardiac output a result of? - ANSWER:stroke volume x heart rate
What is a complication of digoxin? - ANSWER:levels can fluctuate to become toxic
What should be avoided for a patient with digoxin? - ANSWER:epinephrine. May
cause arrythmia
, What oral manifestation can be seen in patients who take digoxin? -
ANSWER:enhanced gag reflex
What are the stages of CHF? - ANSWER:NYHA class I to IV
What classes are asymptomatic? - ANSWER:class I and II and sometimes III (safe to
provide dental care)
What can be done for patients with severe COPD? - ANSWER:use a pulse oximeter
What is normal O2 levels in the blood? - ANSWER:Normal arterial oxygen is
approximately 75 to 100 millimeters of mercury (mm Hg). Values under 60 mm Hg
usually indicate the need for supplemental oxygen. Normal pulse oximeter readings
usually range from 95 to 100 percent. Values under 90 percent are considered low.
What medications should be avoided with those who have COPD? - ANSWER:1.
barbiturates
2. narcotics
3. antihistamines
4. anticholinergics
What are the macrolide antibiotics to be avoided when taking theophylline? -
ANSWER:erythromycin and clarithromycin
(also avoid taking ciprofloxacin)
What should be done for a patient with moderate to severe asthma? - ANSWER:1.
inhaler prophylaxis
2. avoid aspirin and NSAIDs
3. avoid narcotics and barbiturates
4. consider avoiding sulfite containing LA (anything with a vasopressor preservative)
5. pulse oximeter
What are some rare oral conditions of TB? - ANSWER:1. ulcers on tongue
2. cervical and submandibular lymph mode involvement (scrofula) calcified
What is renal osteodystrophy? - ANSWER:A variety of bone disorders seen in end
stage renal disease
What affect does kidney disease have on serum calcium? - ANSWER:Kidney disease
produces less vitamin D therefore Ca is not absorbed causing hypocalcemia
What happens endocrine wise when hypocalemia occurs? - ANSWER:parathyroid
begins to excessively secrete PTH to cause osteoclasts to release Ca into the blood
stream
Medically Compromised Patient, 10th Edition by Craig Miller
What is an oral finding of infective endocarditis? - ANSWER:oral petechia
if on a Ca+ channel blocker, what medications must be avoided? -
ANSWER:erythromycin and clarithromycin because it might enhance affect and
cause hypotension
When is elective tx avoided in stage II HTN? - ANSWER:always
If patient has HTN, when is elective treatment avoided? - ANSWER:When there is
target organ involvement
Why should NSAIDS be avoided with HTN medications? - ANSWER:Long term use of
> 2 weeks might interfere with the effectiveness os some antihypertensive
medications
For non selective beta blocker how much epi can be given? - ANSWER:Around 2
carpules of 1:100k =0.036mg
For MCI, no elective treatment for how long? - ANSWER:The first month
What medication should be avoided after MCI? - ANSWER:anticholinergics
What are common anticholinergics? - ANSWER:dramamine, atropine, Benadryl,
scopolamine
What dental considerations should be done for high risk arrhythmias (AV block,
uncontrolled rate, symptomatic ventricular arrhythmias)? - ANSWER:1. defer elective
tx
2. consult with a physician
What medication is often Rx for arrhythmias? - ANSWER:digoxin (digitalis)
What does digoxin do? - ANSWER:1. positive ionotrope
2. anti-arrhythmic agent (has vagal effect in parasympathetic nervous system
especially in those with atrial fibrillation with CHF)
What is cardiac output a result of? - ANSWER:stroke volume x heart rate
What is a complication of digoxin? - ANSWER:levels can fluctuate to become toxic
What should be avoided for a patient with digoxin? - ANSWER:epinephrine. May
cause arrythmia
, What oral manifestation can be seen in patients who take digoxin? -
ANSWER:enhanced gag reflex
What are the stages of CHF? - ANSWER:NYHA class I to IV
What classes are asymptomatic? - ANSWER:class I and II and sometimes III (safe to
provide dental care)
What can be done for patients with severe COPD? - ANSWER:use a pulse oximeter
What is normal O2 levels in the blood? - ANSWER:Normal arterial oxygen is
approximately 75 to 100 millimeters of mercury (mm Hg). Values under 60 mm Hg
usually indicate the need for supplemental oxygen. Normal pulse oximeter readings
usually range from 95 to 100 percent. Values under 90 percent are considered low.
What medications should be avoided with those who have COPD? - ANSWER:1.
barbiturates
2. narcotics
3. antihistamines
4. anticholinergics
What are the macrolide antibiotics to be avoided when taking theophylline? -
ANSWER:erythromycin and clarithromycin
(also avoid taking ciprofloxacin)
What should be done for a patient with moderate to severe asthma? - ANSWER:1.
inhaler prophylaxis
2. avoid aspirin and NSAIDs
3. avoid narcotics and barbiturates
4. consider avoiding sulfite containing LA (anything with a vasopressor preservative)
5. pulse oximeter
What are some rare oral conditions of TB? - ANSWER:1. ulcers on tongue
2. cervical and submandibular lymph mode involvement (scrofula) calcified
What is renal osteodystrophy? - ANSWER:A variety of bone disorders seen in end
stage renal disease
What affect does kidney disease have on serum calcium? - ANSWER:Kidney disease
produces less vitamin D therefore Ca is not absorbed causing hypocalcemia
What happens endocrine wise when hypocalemia occurs? - ANSWER:parathyroid
begins to excessively secrete PTH to cause osteoclasts to release Ca into the blood
stream
