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