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