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