Medical Emergency Review Week 5 Chpt 7-8

Front 1

Use of local anesthetics or gingival retraction cords with epinephrine in clients using cocaine may cause:
a. tachycardia and a decrease in blood pressure.
b. tachycardia and an increase in blood pressure.
c. bradycardia and a decrease in blood pressure.
d. bradycardia and an increase in blood pressure.

Back 1

b. tachycardia and an increase in blood pressure.

Front 2

Intravenous drug users are at high risk for developing all of the following EXCEPT one. Which one is the EXCEPTION?
a. Increased caries
b. Infective endocarditis
c. Severe periodontal disease
d. Pulpal infection

Back 2

d. Pulpal infection

Front 3

Postoperative pain medication recommended for clients who abuse recreational drugs include:
a. acetaminophen and ibuprofen.
b. codeine and ibuprofen.
c. aspirin and acetaminophen-oxycodone (Percocet).
d. oxycodone and ibuprofen.

Back 3

a. acetaminophen and ibuprofen.

Front 4

When cocaine use is identified and local anesthesia is planned, the client should be advised to refrain from drug use:
a. 1 day before the appointment.
b. 1 week before the appointment.
c. 1 month before the appointment.
d. refraining from drug use is not indicated in this case.

Back 4

a. 1 day before the appointment.

Front 5

When marijuana use is identified and local anesthesia is planned, the client should be advised to refrain from drug use:
a. 1 day before the appointment.
b. 1 week before the appointment.
c. 1 month before the appointment.
d. Refraining from drug use is not indicated in this case.

Back 5

b. 1 week before the appointment.

Front 6

Delaying treatment in clients who report using controlled substances is indicated in which of the following situations? Select all that apply.
a. Blood pressure is ~ 180/100 mm Hg.
b. Temperature is elevated above 98.68°F.
c. Pulse rate is over 120 bpm.
d. Client has a history of cardiovascular disease.
e. Client has reduced liver function.

Back 6

a. Blood pressure is ~ 180/100 mm Hg.
c. Pulse rate is over 120 bpm.

Front 7

The prognosis for responding to periodontal therapy in clients who use tobacco products is less than favorable as a result of all of the following EXCEPT one. Which one is the EXC EPTION?
a. Vasoconstriction of vessels
b. Reduced host immune response
c. Inhibition of growth factors
d. Diminished leukocyte protective function

Back 7

c. Inhibition of growth factors

Front 8

From the following list, identify the oral diseases associated with using tobacco products.
a. Caries
b. Chronic obstructive pulmonary disease
c. Nicotine stomatitis
d. Hairy tongue
e. Squamous cell carcinoma
f. Cardiovascular disease
g. Periodontal disease
h. Halitosis

Back 8

a. Caries
b. Chronic obstructive pulmonary disease
c. Nicotine stomatitis
d. Hairy tongue
e. Squamous cell carcinoma
f. Cardiovascular disease
g. Periodontal disease
h. Halitosis

Front 9

Bidis are a new fad used by teenagers in the United States. Although they contain nicotine, they are made from natural ingredients and are safer than cigarettes.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 9

c. The first statement is true, and the second statement is false.

Front 10

Healthcare professionals who abuse substances should be treated in all of the following manners EXCEPT one. Which one is the EXCEPTION?
a. Terminated from their job.
b. Reported to the appropriate licensing authorities.
c. Counseled to seek professional help.
d. Limited to duties that will not jeopardize the health of the other clients.

Back 10

-

Front 11

Long-term alcohol abuse may result in poor liver function. If medications need to be prescribed after dental treatment:
a. doses will need to be lower than usual.
b. doses will not be affected.
c. doses will need to be higher than usual.
d. the practitioner should not prescribe medications for a client with alcohol abuse.

Back 11

a. doses will need to be lower than usual.

Front 12

The combination of alcohol abuse and use of tobacco products places the client at risk for:
a. candidal infections.
b. opportunistic infections.
c. squamous cell carcinoma.
d. cervical root caries.

Back 12

c. squamous cell carcinoma.

Front 13

Bleeding problems can occur in the alcoholic client as a result of:
a. abuse of other drugs.
b. alcoholic hepatitis.
c. reduction of platelet formation.
d. suppression of bone marrow function.

Back 13

c. reduction of platelet formation.

Front 14

An alcohol abuser who has gastrointestinal disease and dental pain may require analgesic medication. Which medication is the safest to use?
a. Antabuse
b. Acetaminophen
c. Aspirin
d. Ibuprofen

Back 14

b. Acetaminophen

Front 15

For how long should an alcohol abuse client ref rain from using alcohol when undergoing periodontal therapy?
a. 1 day
b. 3 days
c. 5 days
d. 8 days

Back 15

c. 5 days

Front 16

Clients who abuse alcohol and are ta king Antabuse should be counseled to use oral mouthrinses such as Listerine or Peridex. These oral rinses will be well tolerated by the client.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 16

b. Both statements are false.

Front 17

Oral Diseases associated with the use of Tabaco products include:
a. nicotina stomatitis
b. hairy tongue.
c. squamous cell carcinoma.
d. all of the above.

Back 17

d. all of the above.

Front 18

Intravenous drug users are at high risk for developing:
a. Increased caries
b. Infective endocarditis
c. Severe periodontal disease
d. all of the above

Back 18

d. all of the above

Front 19

Delaying treatment in clients who report using controlled substances is indicated when:
a. blood pressure is at or over 180/100 mm Hg
b. temperature is elevated above 98.6oF
c. pulse rate is over 120 bpm
d. a and c only

Back 19

d. a and c only

Front 20

Additional follow-up recommendations for clients who abuse controlled substances include all of the following EXCEPT one. Which one is the EXCEPTION?
a. notify the client’s family of the condition
b. medical consultation regarding concurrent systemic disease
c. using standard infection control precautions
d. determining functional capacity of the client

Back 20

a. notify the client’s family of the condition

Front 21

Which trimesters of pregnancy are associated with the greatest risk for medical emergencies?
a. First and second trimesters
b. First and third trimesters
c. Second and third trimesters
d. First, second, and third trimesters

Back 21

b. First and third trimesters

Front 22

Which U.S. Food and Drug Administration categories of drugs are considered safe for use with pregnant clients?
a. A and B
b. A and D
c. B and D
d. C and D

Back 22

a. A and B

Front 23

Syncope is common in the third trimester of pregnancy as a result of
a. increased blood flow to the heart.
b. increased blood flow to the left atrium of the heart.
c. the weight of the fetus depressing the vena cava vein.
d. the weight of the fetus stimulating the vena cava vein.

Back 23

c. the weight of the fetus depressing the vena cava vein.

Front 24

For those clients who use oral contraceptives and require antibiotic therapy, advise them to use a backup contraceptive:
a. during the course of antibiotic therapy and for 1 week after antibiotic therapy is completed.
b. during the course of antibiotic therapy and for 2 weeks after antibiotic therapy is completed.
c. during the course of antibiotic therapy and for 1 month after antibiotic therapy is completed.
d. during the course of antibiotic therapy only.

Back 24

a. during the course of antibiotic therapy and for 1 week after antibiotic therapy is completed.

Front 25

All clients, whether pregnant or not, should receive dental X-rays on a regular basis. Use of a lead apron and thyroid collar provides adequate safety for the client and developing fetus.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 25

d. The first statement is false, and the second statement is true.

Front 26

Periodontal disease progression is a feature associated with osteoporosis. Studies have shown that clinical attachment loss occurs with a decrease in bone mineral density.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 26

b. Both statements are false.

Front 27

Dental implications for the client diagnosed with osteoporosis include all of the following EXCEPT one. Which is the EXCEPTION?
a. Consider positioning in dental chair.
b. Protect the neck from excessive bending.
c. Prescribe calcium fluoride supplements.
d. Encourage plaque control and periodontal maintenance.
e. Recommend calcium and vitamin D supplements.

Back 27

c. Prescribe calcium fluoride supplements.

Front 28

Which of the following conditions requires prophylactic antibiotic coverage before dental treatment?
a. Kidney stones leading to kidney infection
b. Alcohol abuse
c. Prosthetic heart valve
d. Seizure disorder involving tonic contractions

Back 28

c. Prosthetic heart valve

Front 29

Infective endocarditis (IE) can be caused by
a. septicemia during oral treatment
b. anemia during oral treatment
c. bleeding during oral treatment
d. bacteremia produced during oral treatment

Back 29

d. bacteremia produced during oral treatment

Front 30

Ideally when should prophylactic antibiotics be taken?
a. 30 minutes before the appointment
b. Within 2 hours of the appointment
c. 30 minutes to 1 hour before the appointment
d. 1 hour before the appointment and 3 hours after the appointment

Back 30

c. 30 minutes to 1 hour before the appointment

Front 31

The antibiotic of choice recommended for antibiotic prophylaxis to prevent IE is
a. clarithromycin or azithromycin.
b. clindamycin.
c. amoxicillin.
d. cephalexin

Back 31

c. amoxicillin.

Front 32

Select from the following list, the three antibiotics that are recommended if a penicillin allergic client requires antibiotic prophylaxis.
a. Clarithromycin
b. Clindamycin
c. Amoxicillin
d. Azithromycin

Back 32

a. Clarithromycin
b. Clindamycin
d. Azithromycin