Dental Management of the Medically
Compromised Patient Exam 2026
Questions and Answers
List the flow of the cardiac circulation starting at the superior vena cava: - Correct
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 - Correct
answer-Infective endocarditis
Old classifications of IE - Correct answer-Acute and subacute
(3) new classification categories of IE - Correct answer-Causative microorganism,
type of valve, source of infection
Two potential causative organisms of IE - Correct answer-Streptococcal, candidal
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,Two potential valves impacted by IE - Correct answer-Native valve, prosthetic
valuve
Two potential sources of IE infection - Correct answer-Community/hospital, IV
drug use
Most common cause of community-acquired NVE (and 30-65% of IE cases) -
Correct answer-Viridans Streptococci (alpha-hemolytic streptococci)
(4) Strep strains found in IE - Correct answer-Sanguis, oralis, salivarius, mutans
(3) Classic findings in IE - Correct answer-Fever, heart murmur, positive blood
culture
Small red or purple spots on the skin (symptom of IE) - Correct answer-Petechiae
Painful, larger red lesion on the skin (symptom of IE) - Correct answer-Osler's
Node
Tiny red lines found underneath the nails (symptom of IE) - Correct answer-
Splinter hemorrhages
Red spot with a lighter center found in the retina (symptom of IE) - Correct
answer-Roth spot
Enlargement of the fingernails (symtom of IE) - Correct answer-Nail clubbing
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, ADA guidelines state that use of preventative antibiotics before certain dental
procedures is reasonable in these (5) categories of patients - Correct 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 -
Correct 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) - Correct
answer-True
If the patient does not pre-medicate before the procedure, the dosage may be
administered up to __ hours after the procedure - Correct 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 - Correct answer-
Different
A single dose should be administered _____ minutes before procedure - Correct
answer-30-60
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Compromised Patient Exam 2026
Questions and Answers
List the flow of the cardiac circulation starting at the superior vena cava: - Correct
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 - Correct
answer-Infective endocarditis
Old classifications of IE - Correct answer-Acute and subacute
(3) new classification categories of IE - Correct answer-Causative microorganism,
type of valve, source of infection
Two potential causative organisms of IE - Correct answer-Streptococcal, candidal
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,Two potential valves impacted by IE - Correct answer-Native valve, prosthetic
valuve
Two potential sources of IE infection - Correct answer-Community/hospital, IV
drug use
Most common cause of community-acquired NVE (and 30-65% of IE cases) -
Correct answer-Viridans Streptococci (alpha-hemolytic streptococci)
(4) Strep strains found in IE - Correct answer-Sanguis, oralis, salivarius, mutans
(3) Classic findings in IE - Correct answer-Fever, heart murmur, positive blood
culture
Small red or purple spots on the skin (symptom of IE) - Correct answer-Petechiae
Painful, larger red lesion on the skin (symptom of IE) - Correct answer-Osler's
Node
Tiny red lines found underneath the nails (symptom of IE) - Correct answer-
Splinter hemorrhages
Red spot with a lighter center found in the retina (symptom of IE) - Correct
answer-Roth spot
Enlargement of the fingernails (symtom of IE) - Correct answer-Nail clubbing
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, ADA guidelines state that use of preventative antibiotics before certain dental
procedures is reasonable in these (5) categories of patients - Correct 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 -
Correct 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) - Correct
answer-True
If the patient does not pre-medicate before the procedure, the dosage may be
administered up to __ hours after the procedure - Correct 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 - Correct answer-
Different
A single dose should be administered _____ minutes before procedure - Correct
answer-30-60
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
