What are the ADA recommendations for when pre-med is required - Correct
Answer -- prosthetic cardiac valves, including
... [Show More] transcatheter-implanted
prostheses and homografts
- prosthetic material used for cardiac valve repair, such as annuloplasty rings
and chords
- a history of infective endocarditis
- a cardiac transplanta with valve regurgitation due to a structurally
abnormal valve
- the following congenital (present from birth) heart disease
--unrepaired cyanotic congenital heart disease, including palliative shunts
and conduits
--any repaired congenital heart defect with residual shunts or valvular
regurgitation at the site of or adjacent to the site of a prosthetic patch or a
prosthetic device
**ADA website**
https://www.ada.org/en/member-center/oral-health-topics/antibioticprophylaxis
41-yo woman, pregnant; prev rheumatic fever with heart murmur (no
valvular abnormality); allergy to penicillin. Positive history of infective
endocarditis. Does she need to pre med?
- yes
- no - Correct Answer -yes
- REVIEW HEALTH HISTORY - on my exam, this patient had a previous history
of infective endocarditis. Pre-med IS indicated
- many of the OSCE quizlets say no....
Pre-med options for pregnant woman w/hx of infective endocarditis and
penicillin allergy
- amoxicillin
- cephalexin
- clarithromycin
- ciproflaxacin - Correct Answer -*clarithromycin*
I may not be correct, the correct option may be cephalexin. however I chose
clarithromycin due to penicillin allergy, cross reaction with cephalosporins,
and since clindamycin/erythromycin/azthromycin were not options.
Ciproflaxacin is contraindicated in pregnancy. article for reference
https://www.parents.com/pregnancy/my-body/is-it-safe/antibiotics-andpregnancy/
What procedure can a dentist perform without consulting MD if a patient is
currently taking bisphosphonates?
- endo therapy
- prophy and scaling
- extraction
- occlusal restoration - Correct Answer -*occlusal restoration*
although the main HELL NO is extraction, completing endo therapy increases
risk if the apex is compromised/damaged during therapy. I teetered on
prophy and scaling, but since it did not specify supragingival, decided that
the risk of scaling can negatively affect the periosteum of a bisphosphanate
patient. ADA recommendations:
http://www.centreoms.com/admin/storage/news/ADA%20Recommendations
%20for%20Treatment%20of%20Patients%20on%20Bisphosphon.pdf
Pregnant person afraid of needles - stress management by putting patient in
what position when in your chair (BEFORE they even get to the point of
passing out)?
- supply oxygen
- place in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup - Correct Answer -place her in Trendelburg
position. [Show Less]