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