L3 Dental Management of the Medically
Compromised Patient Exam 2026
Questions and Answers
medical condition, functional capacity, emotional status, dental procedureu -
Correct answer-Four parts of Risk Assessment Principles
medical history
physical exam
ASA
procedure
limitations - Correct answer-patient management includes:
•A proper and in-depth review of ____ ____
•Pre-treatment evaluation and proper ____ ____
•____classification
•Knowledge of ____
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,•Knowledge of your skills but more importantly your ____
normal healthy patient without systemic disease - Correct answer-ASA 1
mild systemic disease - Correct answer-ASA 2
A patient with severe systemic disease that limits activity but is not incapacitating -
Correct answer-ASA 3
A patient with an incapacitating systemic disease that is a constant threat to life -
Correct answer-ASA4
Moribound patient not expected to live beyond 24 hours with or wihtou operation -
Correct answer-ASA 5
braindead - Correct answer-ASA 6
Emergency patient - Correct answer-ASA E
antibiotics - Correct answer-Antibiotics
Will the patient need antibiotics, either prophylactically or therapeutically? Is the
patient currently taking an antibiotic?
Analgesics
Is the patient taking aspirin or other NSAIDs that may increase bleeding? Will
analgesics be needed after the procedure?
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,Anesthesia
Are there any potential problems or concerns associated with the use of local
anesthetic or with vasoconstrictors?
Allergies
Does the patient have an allergy to substances or drugs that may be used or
prescribed?
Anxiety
Will the patient need a sedative or anxiolytic?
Bleeding
Is abnormal hemostasis a possibility?
Breathing
Does the patient have any difficulty breathing, or is the breathing abnormally fast
or slow?
Blood pressure
Is the blood pressure well controlled, or is it likely to increase or decrease during
dental treatment?
Chair position
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, Can the patient tolerate a supine chair position, or is the patient likely to experience
difficulty with rapid position changes?
Drugs
Have any drug interactions, adverse effects, or allergies been associated with any
of the drugs being taken by the patient or with drugs that the dentist may use or
prescribe?
Devices - Correct answer-Does the patient have prosthetic or therapeutic devices
that may require specific considerations in management? (e.g., prosthetic heart
valve, prosthetic joint, stent, pacemaker, defibrillator, arteriovenous fistula)
Equipment
Are there any potential problems associated with the use of dental equipment?
(e.g., x-ray machine, electrocautery, oxygen supply, ultrasonic cleaner). Are
devices such as a pulse oximeter or blood pressure monitor indicated?
Follow Up
Is any follow-up care indicated? Should the patient be contacted at home to assess
response to treatment?
do we need to do the procedure?
should i be treating this patient?
©COPYRIGHT 2025, ALL RIGHTS RESERVE 4
Compromised Patient Exam 2026
Questions and Answers
medical condition, functional capacity, emotional status, dental procedureu -
Correct answer-Four parts of Risk Assessment Principles
medical history
physical exam
ASA
procedure
limitations - Correct answer-patient management includes:
•A proper and in-depth review of ____ ____
•Pre-treatment evaluation and proper ____ ____
•____classification
•Knowledge of ____
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,•Knowledge of your skills but more importantly your ____
normal healthy patient without systemic disease - Correct answer-ASA 1
mild systemic disease - Correct answer-ASA 2
A patient with severe systemic disease that limits activity but is not incapacitating -
Correct answer-ASA 3
A patient with an incapacitating systemic disease that is a constant threat to life -
Correct answer-ASA4
Moribound patient not expected to live beyond 24 hours with or wihtou operation -
Correct answer-ASA 5
braindead - Correct answer-ASA 6
Emergency patient - Correct answer-ASA E
antibiotics - Correct answer-Antibiotics
Will the patient need antibiotics, either prophylactically or therapeutically? Is the
patient currently taking an antibiotic?
Analgesics
Is the patient taking aspirin or other NSAIDs that may increase bleeding? Will
analgesics be needed after the procedure?
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
,Anesthesia
Are there any potential problems or concerns associated with the use of local
anesthetic or with vasoconstrictors?
Allergies
Does the patient have an allergy to substances or drugs that may be used or
prescribed?
Anxiety
Will the patient need a sedative or anxiolytic?
Bleeding
Is abnormal hemostasis a possibility?
Breathing
Does the patient have any difficulty breathing, or is the breathing abnormally fast
or slow?
Blood pressure
Is the blood pressure well controlled, or is it likely to increase or decrease during
dental treatment?
Chair position
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
, Can the patient tolerate a supine chair position, or is the patient likely to experience
difficulty with rapid position changes?
Drugs
Have any drug interactions, adverse effects, or allergies been associated with any
of the drugs being taken by the patient or with drugs that the dentist may use or
prescribe?
Devices - Correct answer-Does the patient have prosthetic or therapeutic devices
that may require specific considerations in management? (e.g., prosthetic heart
valve, prosthetic joint, stent, pacemaker, defibrillator, arteriovenous fistula)
Equipment
Are there any potential problems associated with the use of dental equipment?
(e.g., x-ray machine, electrocautery, oxygen supply, ultrasonic cleaner). Are
devices such as a pulse oximeter or blood pressure monitor indicated?
Follow Up
Is any follow-up care indicated? Should the patient be contacted at home to assess
response to treatment?
do we need to do the procedure?
should i be treating this patient?
©COPYRIGHT 2025, ALL RIGHTS RESERVE 4
