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 In patients with atrial fibrillation on anticoagulants, NSAIDs are: Contraindicated Safe if BP is controlled Avoided only if on digoxin Safe with monitoring 2 / 53 NSAIDs are contraindicated in which of the following conditions? Congestive heart failure Controlled asthma Crohn’s disease in remission Well-controlled diabetes 3 / 53 In Poorly controlled hypothyroidism, opioid use is: Allowed if severe pain Relative only if severe pain Avoided if possible Avoided 4 / 53 In AF on anticoagulants, NSAID use is: Safe Avoid Contraindicated Only post-procedure 5 / 53 Routine dental care for MI within last month: Safe Delay Defer Only with antibiotics 6 / 53 In Alcoholic liver disease, opioid use is: Allowed if severe pain Relative only if severe pain Avoided Avoided if possible 7 / 53 Routine dental care for Unstable angina: Delay Safe Only with antibiotics Defer 8 / 53 Routine dental care for Active IE: Delay Safe Only with antibiotics Defer 9 / 53 In Unstable angina / MI <1 month, NSAID use is: Contraindicated Safe Avoid Only post-procedure 10 / 53 In CHF, NSAID use is: Avoid Safe Contraindicated Only post-procedure 11 / 53 Routine dental care for Uncontrolled diabetes: Delay Defer Safe Only with antibiotics 12 / 53 In Severe COPD (ASA IV), opioid use is: Allowed if severe pain Relative only if severe pain Avoided if possible Avoided 13 / 53 Alternative IE prophylaxis if allergic to penicillin: Metronidazole 250 mg Ciprofloxacin 500 mg Azithromycin 500 mg PO 30–60 min before Doxycycline 100 mg 14 / 53 Which condition matches this opioid use recommendation: 'avoid if possible'? Severe COPD (ASA IV) Substance dependence/abuse Alcoholic liver disease Poorly controlled hypothyroidism 15 / 53 Which condition matches this opioid use recommendation: 'relative only if severe pain'? Alcoholic liver disease Severe COPD (ASA IV) Poorly controlled hypothyroidism Dialysis / ESRD 16 / 53 In Substance dependence/abuse, opioid use is: Avoided Avoided if possible Relative only if severe pain Allowed if severe pain 17 / 53 Which condition matches this opioid use recommendation: 'avoid'? Poorly controlled hypothyroidism Poorly controlled hypothyroidism Alcoholic liver disease Severe COPD (ASA IV) 18 / 53 Routine dental care for BP ≥180/110: Delay Only with antibiotics Safe Defer 19 / 53 Routine dental care for Kidney transplant <6 months: Safe Delay Defer Only with antibiotics 20 / 53 In Peptic ulcer, NSAID use is: Avoid Safe Contraindicated Only post-procedure 21 / 53 At what BP should elective dental care be deferred? 180/110 mmHg 140/90 mmHg 170/105 mmHg 200/120 mmHg 22 / 53 Which condition matches this opioid use recommendation: 'avoid'? Alcoholic liver disease Poorly controlled hypothyroidism Severe COPD (ASA IV) Severe COPD (ASA IV) 23 / 53 NSAIDs are contraindicated in pregnancy during: All trimesters 2nd trimester 3rd trimester 1st trimester 24 / 53 Routine dental care for CVA <6 months: Only with antibiotics Defer Delay Safe 25 / 53 In Pregnancy 3rd trimester, NSAID use is: Safe Only post-procedure Avoid Contraindicated 26 / 53 Routine dental care for AIDS: Only with antibiotics Safe Delay Defer 27 / 53 In Dialysis / ESRD, opioid use is: Avoided Allowed if severe pain Relative only if severe pain Avoided if possible 28 / 53 Routine dental care for Uncontrolled asthma: Only with antibiotics Safe Defer Delay 29 / 53 Routine dental care for Active hepatitis: Delay Only with antibiotics Safe Defer 30 / 53 Routine dental care for Pregnancy after mid-3rd trimester: Only with antibiotics Safe Defer Delay 31 / 53 Routine dental care for Active chemo: Defer Only with antibiotics Safe Delay 32 / 53 In Severe asthma, opioid use is: Avoided if possible Allowed if severe pain Relative only if severe pain Avoided 33 / 53 Routine dental care for Pregnancy 1st trimester: Delay Defer Only with antibiotics Safe 34 / 53 In which of the following is opioid use generally avoided due to CNS depression risk? Well-controlled COPD Controlled diabetes Poorly controlled hypothyroidism Crohn’s disease in remission 35 / 53 Routine dental care for Active TB: Defer Safe Delay Only with antibiotics 36 / 53 Routine dental care for ESRD: Delay Safe Only with antibiotics Defer 37 / 53 Which condition matches this opioid use recommendation: 'avoid if possible'? Alcoholic liver disease Severe COPD (ASA IV) Alcoholic liver disease Poorly controlled hypothyroidism 38 / 53 Which condition matches this opioid use recommendation: 'allowed if severe pain'? Severe COPD (ASA IV) Alcoholic liver disease Severe asthma Poorly controlled hypothyroidism 39 / 53 In Crohn’s disease, NSAID use is: Safe Avoid Contraindicated Only post-procedure 40 / 53 In CVA, NSAID use is: Contraindicated Safe Only post-procedure Avoid 41 / 53 In Kidney transplant, NSAID use is: Only post-procedure Contraindicated Avoid Safe 42 / 53 Routine dental care should be delayed during which pregnancy periods? Only 1st trimester Entire 2nd trimester 1st trimester and after mid-3rd trimester Only last month of pregnancy 43 / 53 In Diabetes on sulfonylureas (ASA), NSAID use is: Only post-procedure Safe Contraindicated Avoid 44 / 53 Which condition requires avoiding opioids unless severe pain and no safer alternative is available? Mild hypertension Well-controlled hypothyroidism Dialysis / End-stage renal disease Mild asthma Based on the medical management summary notes. 45 / 53 What is the first-line antibiotic for infective endocarditis prophylaxis in dental procedures? Amoxicillin 2 g PO 30–60 min before procedure Clarithromycin 500 mg PO after procedure Metronidazole 500 mg PO before procedure Azithromycin 250 mg PO 1 hr before 46 / 53 Routine dental care for Active peptic ulcer: Defer Delay Only with antibiotics Safe 47 / 53 Elective dental treatment should be deferred if blood pressure is: 180/110 mmHg or higher 140/90 mmHg 170/105 mmHg 150/100 mmHg 48 / 53 In On digoxin, NSAID use is: Safe Avoid Only post-procedure Contraindicated 49 / 53 In Dialysis, NSAID use is: Safe Only post-procedure Contraindicated Avoid 50 / 53 In Active asthma, NSAID use is: Safe Avoid Only post-procedure Contraindicated 51 / 53 Routine dental care for Active Crohn’s flare: Safe Delay Only with antibiotics Defer 52 / 53 First-line IE prophylaxis regimen: Azithromycin 500 mg PO after Metronidazole 500 mg before Amoxicillin 2 g PO 30–60 min before Clarithromycin 250 mg before 53 / 53 In ESRD, NSAID use is: Safe Only post-procedure Avoid Contraindicated Your score is 0% Restart quiz
