TEST BANK For Little and Falace's Dental Management of the
Medically Compromised Patient, 10th Edition by Craig Miller
List the flow of the cardiac circulation starting at the superior vena cava: -
ANSWER: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 -
ANSWER:Infective endocarditis
Old classifications of IE - ANSWER:Acute and subacute
(3) new classification categories of IE - ANSWER:Causative microorganism, type of
valve, source of infection
Two potential causative organisms of IE - ANSWER:Streptococcal, candidal
Two potential valves impacted by IE - ANSWER:Native valve, prosthetic valuve
Two potential sources of IE infection - ANSWER:Community/hospital, IV drug use
Most common cause of community-acquired NVE (and 30-65% of IE cases) -
ANSWER:Viridans Streptococci (alpha-hemolytic streptococci)
(4) Strep strains found in IE - ANSWER:Sanguis, oralis, salivarius, mutans
(3) Classic findings in IE - ANSWER:Fever, heart murmur, positive blood culture
Small red or purple spots on the skin (symptom of IE) - ANSWER:Petechiae
Painful, larger red lesion on the skin (symptom of IE) - ANSWER:Osler's Node
Tiny red lines found underneath the nails (symptom of IE) - ANSWER:Splinter
hemorrhages
Red spot with a lighter center found in the retina (symptom of IE) - ANSWER:Roth
spot
Enlargement of the fingernails (symtom of IE) - ANSWER:Nail clubbing
ADA guidelines state that use of preventative antibiotics before certain dental
procedures is reasonable in these (5) categories of patients - ANSWER: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 -
ANSWER:gingival tissue, periapical, oral
It is important for a patient to pre-medicate before their appointment because it
allows the antibiotic time to reach adequate blood levels (True/False) -
ANSWER:True
If the patient does not pre-medicate before the procedure, the dosage may be
administered up to __ hours after the procedure - ANSWER:2
If a patient is currently taking antibiotics for another reason, it is suggested that
dentist select an antibiotic from the/a (same/different) class - ANSWER:Different
A single dose should be administered _____ minutes before procedure -
ANSWER:30-60
Oral prophylactic antibiotic name/dose for adults - ANSWER:Amoxicillin, 2g
Oral prophylactic antibiotic name/dose for children - ANSWER:Amoxicillin, 50mg/kg
Oral prophylactic antibiotic name/dose for an adult who is unable to take oral
medications - ANSWER:Ampicillin, 2g IM or IV /
Cefazolin or Ceftriaxone, 1g IM or IV
Oral prophylactic antibiotic name/dose for a child who is unable to take oral
medications - ANSWER:Ampicillin, 50mg/kg IM or IV /
Cefazolin or Ceftriaxone, 50mg/kg IM or IV
Oral prophylactic antibiotic name/dose for an adult who is allergic to penicillins or
ampicillin - ANSWER:Cephalexin, 2g /
Clindamycin, 600mg /
Azithromycin or Clarithromycin, 500mg
Oral prophylactic antibiotic name/dose for a child who is allergic to penicillins or
ampicillin - ANSWER:Cephalexin, 50mg/kg /
Clindamycin, 20mg/kg /
Azithromycin or Clarithromycin, 15mg/kg
Oral prophylactic antibiotic name/dose for an adult who is allergic to penicillins or
ampicillin AND unable to take oral medication - ANSWER:Cefazolin or Ceftriaxone, 1g
IM or IV /
Clindamycin phosphate, 600mg IM or IV
Medically Compromised Patient, 10th Edition by Craig Miller
List the flow of the cardiac circulation starting at the superior vena cava: -
ANSWER: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 -
ANSWER:Infective endocarditis
Old classifications of IE - ANSWER:Acute and subacute
(3) new classification categories of IE - ANSWER:Causative microorganism, type of
valve, source of infection
Two potential causative organisms of IE - ANSWER:Streptococcal, candidal
Two potential valves impacted by IE - ANSWER:Native valve, prosthetic valuve
Two potential sources of IE infection - ANSWER:Community/hospital, IV drug use
Most common cause of community-acquired NVE (and 30-65% of IE cases) -
ANSWER:Viridans Streptococci (alpha-hemolytic streptococci)
(4) Strep strains found in IE - ANSWER:Sanguis, oralis, salivarius, mutans
(3) Classic findings in IE - ANSWER:Fever, heart murmur, positive blood culture
Small red or purple spots on the skin (symptom of IE) - ANSWER:Petechiae
Painful, larger red lesion on the skin (symptom of IE) - ANSWER:Osler's Node
Tiny red lines found underneath the nails (symptom of IE) - ANSWER:Splinter
hemorrhages
Red spot with a lighter center found in the retina (symptom of IE) - ANSWER:Roth
spot
Enlargement of the fingernails (symtom of IE) - ANSWER:Nail clubbing
ADA guidelines state that use of preventative antibiotics before certain dental
procedures is reasonable in these (5) categories of patients - ANSWER: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 -
ANSWER:gingival tissue, periapical, oral
It is important for a patient to pre-medicate before their appointment because it
allows the antibiotic time to reach adequate blood levels (True/False) -
ANSWER:True
If the patient does not pre-medicate before the procedure, the dosage may be
administered up to __ hours after the procedure - ANSWER:2
If a patient is currently taking antibiotics for another reason, it is suggested that
dentist select an antibiotic from the/a (same/different) class - ANSWER:Different
A single dose should be administered _____ minutes before procedure -
ANSWER:30-60
Oral prophylactic antibiotic name/dose for adults - ANSWER:Amoxicillin, 2g
Oral prophylactic antibiotic name/dose for children - ANSWER:Amoxicillin, 50mg/kg
Oral prophylactic antibiotic name/dose for an adult who is unable to take oral
medications - ANSWER:Ampicillin, 2g IM or IV /
Cefazolin or Ceftriaxone, 1g IM or IV
Oral prophylactic antibiotic name/dose for a child who is unable to take oral
medications - ANSWER:Ampicillin, 50mg/kg IM or IV /
Cefazolin or Ceftriaxone, 50mg/kg IM or IV
Oral prophylactic antibiotic name/dose for an adult who is allergic to penicillins or
ampicillin - ANSWER:Cephalexin, 2g /
Clindamycin, 600mg /
Azithromycin or Clarithromycin, 500mg
Oral prophylactic antibiotic name/dose for a child who is allergic to penicillins or
ampicillin - ANSWER:Cephalexin, 50mg/kg /
Clindamycin, 20mg/kg /
Azithromycin or Clarithromycin, 15mg/kg
Oral prophylactic antibiotic name/dose for an adult who is allergic to penicillins or
ampicillin AND unable to take oral medication - ANSWER:Cefazolin or Ceftriaxone, 1g
IM or IV /
Clindamycin phosphate, 600mg IM or IV
