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 Which condition matches this opioid use recommendation: 'avoid'? Alcoholic liver disease Severe COPD (ASA IV) Poorly controlled hypothyroidism Severe COPD (ASA IV) 2 / 53 Routine dental care for Uncontrolled asthma: Delay Defer Only with antibiotics Safe 3 / 53 Routine dental care for Active TB: Defer Delay Safe Only with antibiotics 4 / 53 In Severe asthma, opioid use is: Avoided Allowed if severe pain Relative only if severe pain Avoided if possible 5 / 53 Routine dental care for Pregnancy 1st trimester: Delay Only with antibiotics Defer Safe 6 / 53 Routine dental care for Uncontrolled diabetes: Safe Defer Delay Only with antibiotics 7 / 53 In Crohn’s disease, NSAID use is: Contraindicated Safe Avoid Only post-procedure 8 / 53 In On digoxin, NSAID use is: Contraindicated Only post-procedure Safe Avoid 9 / 53 Which condition matches this opioid use recommendation: 'avoid'? Poorly controlled hypothyroidism Poorly controlled hypothyroidism Severe COPD (ASA IV) Alcoholic liver disease 10 / 53 Routine dental care should be delayed during which pregnancy periods? Only last month of pregnancy Only 1st trimester Entire 2nd trimester 1st trimester and after mid-3rd trimester 11 / 53 In Severe COPD (ASA IV), opioid use is: Relative only if severe pain Avoided Allowed if severe pain Avoided if possible 12 / 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. 13 / 53 In ESRD, NSAID use is: Only post-procedure Contraindicated Safe Avoid 14 / 53 In CHF, NSAID use is: Safe Only post-procedure Avoid Contraindicated 15 / 53 In CVA, NSAID use is: Contraindicated Avoid Safe Only post-procedure 16 / 53 Routine dental care for AIDS: Delay Only with antibiotics Safe Defer 17 / 53 Routine dental care for Active Crohn’s flare: Only with antibiotics Delay Defer Safe 18 / 53 NSAIDs are contraindicated in which of the following conditions? Congestive heart failure Well-controlled diabetes Controlled asthma Crohn’s disease in remission 19 / 53 In Active asthma, NSAID use is: Safe Contraindicated Avoid Only post-procedure 20 / 53 In Peptic ulcer, NSAID use is: Avoid Only post-procedure Safe Contraindicated 21 / 53 In Substance dependence/abuse, opioid use is: Relative only if severe pain Avoided Allowed if severe pain Avoided if possible 22 / 53 First-line IE prophylaxis regimen: Clarithromycin 250 mg before Amoxicillin 2 g PO 30–60 min before Metronidazole 500 mg before Azithromycin 500 mg PO after 23 / 53 In Dialysis, NSAID use is: Contraindicated Only post-procedure Safe Avoid 24 / 53 Which condition matches this opioid use recommendation: 'avoid if possible'? Poorly controlled hypothyroidism Severe COPD (ASA IV) Substance dependence/abuse Alcoholic liver disease 25 / 53 Routine dental care for Kidney transplant <6 months: Defer Only with antibiotics Delay Safe 26 / 53 What is the first-line antibiotic for infective endocarditis prophylaxis in dental procedures? Clarithromycin 500 mg PO after procedure Metronidazole 500 mg PO before procedure Azithromycin 250 mg PO 1 hr before Amoxicillin 2 g PO 30–60 min before procedure 27 / 53 Routine dental care for BP ≥180/110: Only with antibiotics Safe Delay Defer 28 / 53 Which condition matches this opioid use recommendation: 'allowed if severe pain'? Alcoholic liver disease Poorly controlled hypothyroidism Severe COPD (ASA IV) Severe asthma 29 / 53 Routine dental care for MI within last month: Safe Defer Delay Only with antibiotics 30 / 53 Routine dental care for Active hepatitis: Defer Safe Only with antibiotics Delay 31 / 53 In Pregnancy 3rd trimester, NSAID use is: Avoid Only post-procedure Safe Contraindicated 32 / 53 In which of the following is opioid use generally avoided due to CNS depression risk? Controlled diabetes Crohn’s disease in remission Well-controlled COPD Poorly controlled hypothyroidism 33 / 53 Alternative IE prophylaxis if allergic to penicillin: Metronidazole 250 mg Azithromycin 500 mg PO 30–60 min before Doxycycline 100 mg Ciprofloxacin 500 mg 34 / 53 In Dialysis / ESRD, opioid use is: Relative only if severe pain Allowed if severe pain Avoided Avoided if possible 35 / 53 Routine dental care for Unstable angina: Defer Safe Only with antibiotics Delay 36 / 53 In Unstable angina / MI <1 month, NSAID use is: Contraindicated Avoid Safe Only post-procedure 37 / 53 In AF on anticoagulants, NSAID use is: Avoid Safe Contraindicated Only post-procedure 38 / 53 In Kidney transplant, NSAID use is: Avoid Contraindicated Safe Only post-procedure 39 / 53 In Alcoholic liver disease, opioid use is: Avoided Relative only if severe pain Allowed if severe pain Avoided if possible 40 / 53 Which condition matches this opioid use recommendation: 'relative only if severe pain'? Severe COPD (ASA IV) Dialysis / ESRD Alcoholic liver disease Poorly controlled hypothyroidism 41 / 53 Routine dental care for Active IE: Defer Only with antibiotics Delay Safe 42 / 53 NSAIDs are contraindicated in pregnancy during: 1st trimester 3rd trimester 2nd trimester All trimesters 43 / 53 Routine dental care for CVA <6 months: Only with antibiotics Defer Delay Safe 44 / 53 Which condition matches this opioid use recommendation: 'avoid if possible'? Alcoholic liver disease Severe COPD (ASA IV) Alcoholic liver disease Poorly controlled hypothyroidism 45 / 53 Elective dental treatment should be deferred if blood pressure is: 150/100 mmHg 170/105 mmHg 140/90 mmHg 180/110 mmHg or higher 46 / 53 Routine dental care for Active peptic ulcer: Defer Delay Safe Only with antibiotics 47 / 53 Routine dental care for ESRD: Only with antibiotics Defer Safe Delay 48 / 53 Routine dental care for Active chemo: Delay Safe Only with antibiotics Defer 49 / 53 At what BP should elective dental care be deferred? 170/105 mmHg 180/110 mmHg 140/90 mmHg 200/120 mmHg 50 / 53 In Poorly controlled hypothyroidism, opioid use is: Avoided Relative only if severe pain Avoided if possible Allowed if severe pain 51 / 53 Routine dental care for Pregnancy after mid-3rd trimester: Delay Only with antibiotics Safe Defer 52 / 53 In Diabetes on sulfonylureas (ASA), NSAID use is: Safe Contraindicated Only post-procedure Avoid 53 / 53 In patients with atrial fibrillation on anticoagulants, NSAIDs are: Contraindicated Avoided only if on digoxin Safe with monitoring Safe if BP is controlled Your score is 0% Restart quiz
