AAPD OCE EXAM COMPLETE
QUESTIONS WITH CORRECT ANSWERS
\.Normal value for ANC - Answer- >1500
\.Defer elective treatment when ANC levels are - Answer- <1000
\.Normal value for Hgb - Answer- 12-18
\.Normal value for hematocrit - Answer- 35-50%
\.Normal value for platelets - Answer- 150,000-450,000
\.What is absolute minimum for platelet count for any elective dental treatment where
additional support is not needed - Answer- >75,000
if between 40,000-75,000: platelet transfusion
\.Tylenol Dosage - Answer- 10-15mg/kg/dose q4-6h prn for pain
max: 75mg/kg
must not exceed 4g
,\.Ibuprofen Dosage - Answer- 4-10mg/kg/dose q6-8h prn for pain
max: 400mg
\.Amoxicillin Dosage (infection) - Answer- 20-40mg/kg/day divided into 3 for q8h
\.Amoxicillin Dosage (endocarditis prophylaxis) - Answer- 50mg/kg 30-60min prior to
procedure,
maximum: 2g
\.Clindamycin Dosage (infection) - Answer- 10-25mg/kg/day divided into 3 for q8h
\.According to the AAPD guidelines, if someone is allergic to PCN what antibiotic can no longer
be prescribed for endocarditis prophylaxis?
Instead what should be considered? - Answer- Clindamycin
Azithromycin 15mg/kg (max: 500mg) 30-60min before treatment. Important: may cause cardiac
arrhythmias
\.S/S of malignant hyperthermia - Answer- masseter muscle twitching, pt bites down and
won't release, rapid temp rise (late sign) and elevating etCO2
\.What should the platelet count be to defer treatment - Answer- <40,000
\.treatment for malignant hyperthermia - Answer- Dantrolene
, \.triggers of malignant hyperthermia - Answer- halothane gases (ie., sevo and iso) or
depolarizing muscle relaxant (ie., succinylcholine)
\.1 drop of SDF contain how much fluoride - Answer- 2.24
\.5% fluoride varnish contain how much fluoride - Answer- 11.3mg
\.Toxic dose of fluoride - Answer- 5 mg/kg
\.Lethal dose of fluoride - Answer- 15 mg/kg
\.Is CHX recommended for preventing oral mucosititis - Answer- NO
\.What is effective in treating fungal infections of immunocompromised hosts? - Answer- Use
clotrimazole or fluconazole rather than nystatin
\.For HCT patients, what should be asked - Answer- type of transplant
HCT source
matching status of donor
conditioning protocol
date of transplant
presence of GVHD or s/s of transplant rejection
\.What are two big points of HCT - Answer- 1. all pts receive total body irradiation and chemo
a few days before transplant
2. there will be prolonged immunosuppression following transplant
QUESTIONS WITH CORRECT ANSWERS
\.Normal value for ANC - Answer- >1500
\.Defer elective treatment when ANC levels are - Answer- <1000
\.Normal value for Hgb - Answer- 12-18
\.Normal value for hematocrit - Answer- 35-50%
\.Normal value for platelets - Answer- 150,000-450,000
\.What is absolute minimum for platelet count for any elective dental treatment where
additional support is not needed - Answer- >75,000
if between 40,000-75,000: platelet transfusion
\.Tylenol Dosage - Answer- 10-15mg/kg/dose q4-6h prn for pain
max: 75mg/kg
must not exceed 4g
,\.Ibuprofen Dosage - Answer- 4-10mg/kg/dose q6-8h prn for pain
max: 400mg
\.Amoxicillin Dosage (infection) - Answer- 20-40mg/kg/day divided into 3 for q8h
\.Amoxicillin Dosage (endocarditis prophylaxis) - Answer- 50mg/kg 30-60min prior to
procedure,
maximum: 2g
\.Clindamycin Dosage (infection) - Answer- 10-25mg/kg/day divided into 3 for q8h
\.According to the AAPD guidelines, if someone is allergic to PCN what antibiotic can no longer
be prescribed for endocarditis prophylaxis?
Instead what should be considered? - Answer- Clindamycin
Azithromycin 15mg/kg (max: 500mg) 30-60min before treatment. Important: may cause cardiac
arrhythmias
\.S/S of malignant hyperthermia - Answer- masseter muscle twitching, pt bites down and
won't release, rapid temp rise (late sign) and elevating etCO2
\.What should the platelet count be to defer treatment - Answer- <40,000
\.treatment for malignant hyperthermia - Answer- Dantrolene
, \.triggers of malignant hyperthermia - Answer- halothane gases (ie., sevo and iso) or
depolarizing muscle relaxant (ie., succinylcholine)
\.1 drop of SDF contain how much fluoride - Answer- 2.24
\.5% fluoride varnish contain how much fluoride - Answer- 11.3mg
\.Toxic dose of fluoride - Answer- 5 mg/kg
\.Lethal dose of fluoride - Answer- 15 mg/kg
\.Is CHX recommended for preventing oral mucosititis - Answer- NO
\.What is effective in treating fungal infections of immunocompromised hosts? - Answer- Use
clotrimazole or fluconazole rather than nystatin
\.For HCT patients, what should be asked - Answer- type of transplant
HCT source
matching status of donor
conditioning protocol
date of transplant
presence of GVHD or s/s of transplant rejection
\.What are two big points of HCT - Answer- 1. all pts receive total body irradiation and chemo
a few days before transplant
2. there will be prolonged immunosuppression following transplant
