Medically Compromised Pts 3Dentistry MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. Medically Compromised Patients Management 3 1 / 53 Routine dental care should be delayed during which pregnancy periods? Only last month of pregnancy Entire 2nd trimester Only 1st trimester 1st trimester and after mid-3rd trimester 2 / 53 In patients with atrial fibrillation on anticoagulants, NSAIDs are: Safe if BP is controlled Contraindicated Avoided only if on digoxin Safe with monitoring 3 / 53 In Dialysis, NSAID use is: Only post-procedure Safe Avoid Contraindicated 4 / 53 In Poorly controlled hypothyroidism, opioid use is: Allowed if severe pain Relative only if severe pain Avoided Avoided if possible 5 / 53 Routine dental care for ESRD: Defer Safe Only with antibiotics Delay 6 / 53 In Pregnancy 3rd trimester, NSAID use is: Safe Only post-procedure Contraindicated Avoid 7 / 53 Which condition matches this opioid use recommendation: 'avoid if possible'? Alcoholic liver disease Alcoholic liver disease Poorly controlled hypothyroidism Severe COPD (ASA IV) 8 / 53 Which condition requires avoiding opioids unless severe pain and no safer alternative is available? Dialysis / End-stage renal disease Mild asthma Well-controlled hypothyroidism Mild hypertension Based on the medical management summary notes. 9 / 53 Which condition matches this opioid use recommendation: 'avoid if possible'? Substance dependence/abuse Poorly controlled hypothyroidism Alcoholic liver disease Severe COPD (ASA IV) 10 / 53 Which condition matches this opioid use recommendation: 'allowed if severe pain'? Severe asthma Alcoholic liver disease Severe COPD (ASA IV) Poorly controlled hypothyroidism 11 / 53 Routine dental care for BP ≥180/110: Defer Only with antibiotics Delay Safe 12 / 53 Routine dental care for Unstable angina: Safe Delay Only with antibiotics Defer 13 / 53 In Alcoholic liver disease, opioid use is: Relative only if severe pain Avoided if possible Avoided Allowed if severe pain 14 / 53 Routine dental care for AIDS: Delay Safe Defer Only with antibiotics 15 / 53 In Dialysis / ESRD, opioid use is: Allowed if severe pain Avoided if possible Relative only if severe pain Avoided 16 / 53 Routine dental care for Active peptic ulcer: Delay Safe Defer Only with antibiotics 17 / 53 Routine dental care for Active hepatitis: Safe Only with antibiotics Delay Defer 18 / 53 In Substance dependence/abuse, opioid use is: Avoided Relative only if severe pain Allowed if severe pain Avoided if possible 19 / 53 In which of the following is opioid use generally avoided due to CNS depression risk? Controlled diabetes Well-controlled COPD Poorly controlled hypothyroidism Crohn’s disease in remission 20 / 53 In CHF, NSAID use is: Only post-procedure Contraindicated Avoid Safe 21 / 53 Routine dental care for MI within last month: Delay Safe Defer Only with antibiotics 22 / 53 In Peptic ulcer, NSAID use is: Only post-procedure Safe Avoid Contraindicated 23 / 53 What is the first-line antibiotic for infective endocarditis prophylaxis in dental procedures? Metronidazole 500 mg PO before procedure Azithromycin 250 mg PO 1 hr before Clarithromycin 500 mg PO after procedure Amoxicillin 2 g PO 30–60 min before procedure 24 / 53 NSAIDs are contraindicated in which of the following conditions? Crohn’s disease in remission Controlled asthma Well-controlled diabetes Congestive heart failure 25 / 53 Routine dental care for Active chemo: Delay Safe Only with antibiotics Defer 26 / 53 In Unstable angina / MI <1 month, NSAID use is: Only post-procedure Avoid Contraindicated Safe 27 / 53 In Crohn’s disease, NSAID use is: Only post-procedure Safe Avoid Contraindicated 28 / 53 In Kidney transplant, NSAID use is: Only post-procedure Contraindicated Avoid Safe 29 / 53 Routine dental care for Active Crohn’s flare: Only with antibiotics Delay Defer Safe 30 / 53 Routine dental care for CVA <6 months: Defer Only with antibiotics Safe Delay 31 / 53 Routine dental care for Pregnancy after mid-3rd trimester: Safe Defer Delay Only with antibiotics 32 / 53 In AF on anticoagulants, NSAID use is: Safe Only post-procedure Avoid Contraindicated 33 / 53 First-line IE prophylaxis regimen: Metronidazole 500 mg before Amoxicillin 2 g PO 30–60 min before Clarithromycin 250 mg before Azithromycin 500 mg PO after 34 / 53 In Severe COPD (ASA IV), opioid use is: Relative only if severe pain Allowed if severe pain Avoided if possible Avoided 35 / 53 Routine dental care for Active IE: Delay Safe Defer Only with antibiotics 36 / 53 Routine dental care for Active TB: Only with antibiotics Delay Safe Defer 37 / 53 Routine dental care for Uncontrolled asthma: Only with antibiotics Delay Defer Safe 38 / 53 Routine dental care for Pregnancy 1st trimester: Safe Defer Only with antibiotics Delay 39 / 53 Which condition matches this opioid use recommendation: 'avoid'? Alcoholic liver disease Severe COPD (ASA IV) Poorly controlled hypothyroidism Severe COPD (ASA IV) 40 / 53 In CVA, NSAID use is: Only post-procedure Safe Contraindicated Avoid 41 / 53 In Severe asthma, opioid use is: Avoided if possible Avoided Relative only if severe pain Allowed if severe pain 42 / 53 In Active asthma, NSAID use is: Only post-procedure Avoid Contraindicated Safe 43 / 53 Alternative IE prophylaxis if allergic to penicillin: Ciprofloxacin 500 mg Azithromycin 500 mg PO 30–60 min before Metronidazole 250 mg Doxycycline 100 mg 44 / 53 In Diabetes on sulfonylureas (ASA), NSAID use is: Safe Contraindicated Only post-procedure Avoid 45 / 53 NSAIDs are contraindicated in pregnancy during: 3rd trimester 1st trimester 2nd trimester All trimesters 46 / 53 Routine dental care for Kidney transplant <6 months: Only with antibiotics Delay Safe Defer 47 / 53 Which condition matches this opioid use recommendation: 'relative only if severe pain'? Alcoholic liver disease Dialysis / ESRD Poorly controlled hypothyroidism Severe COPD (ASA IV) 48 / 53 Routine dental care for Uncontrolled diabetes: Defer Safe Delay Only with antibiotics 49 / 53 In ESRD, NSAID use is: Safe Contraindicated Only post-procedure Avoid 50 / 53 Elective dental treatment should be deferred if blood pressure is: 140/90 mmHg 170/105 mmHg 180/110 mmHg or higher 150/100 mmHg 51 / 53 Which condition matches this opioid use recommendation: 'avoid'? Poorly controlled hypothyroidism Poorly controlled hypothyroidism Alcoholic liver disease Severe COPD (ASA IV) 52 / 53 At what BP should elective dental care be deferred? 180/110 mmHg 140/90 mmHg 200/120 mmHg 170/105 mmHg 53 / 53 In On digoxin, NSAID use is: Contraindicated Safe Only post-procedure Avoid Your score is 0% Restart quiz
