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