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Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller $17.99   Add to cart

Exam (elaborations)

Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller

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Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller

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  • September 10, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
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TEST BANK For Little and Falace's Dental Management of the
Medically Compromised Patient, 10th Edition by Craig Miller
List the flow of the cardiac circulation starting at the superior vena cava: -
ANSWER:Superior vena cava, right atrium, tricuspid valve, right ventricle, pulmonary
valve, pulmonary artery, lungs, pulmonary vein, left atrium, mitral valve, left
ventricle, aortic valve, aorta, systemic circulation, superior vena cava

Microbial infection of the endothelial surface of the heart or heart valves that most
often occurs in proximity to congenital or acquired cardiac defects -
ANSWER:Infective endocarditis

Old classifications of IE - ANSWER:Acute and subacute

(3) new classification categories of IE - ANSWER:Causative microorganism, type of
valve, source of infection

Two potential causative organisms of IE - ANSWER:Streptococcal, candidal

Two potential valves impacted by IE - ANSWER:Native valve, prosthetic valuve

Two potential sources of IE infection - ANSWER:Community/hospital, IV drug use

Most common cause of community-acquired NVE (and 30-65% of IE cases) -
ANSWER:Viridans Streptococci (alpha-hemolytic streptococci)

(4) Strep strains found in IE - ANSWER:Sanguis, oralis, salivarius, mutans

(3) Classic findings in IE - ANSWER:Fever, heart murmur, positive blood culture

Small red or purple spots on the skin (symptom of IE) - ANSWER:Petechiae

Painful, larger red lesion on the skin (symptom of IE) - ANSWER:Osler's Node

Tiny red lines found underneath the nails (symptom of IE) - ANSWER:Splinter
hemorrhages

Red spot with a lighter center found in the retina (symptom of IE) - ANSWER:Roth
spot

Enlargement of the fingernails (symtom of IE) - ANSWER:Nail clubbing

ADA guidelines state that use of preventative antibiotics before certain dental
procedures is reasonable in these (5) categories of patients - ANSWER:Prosthetic
cardiac valves, prosthetic material used for cardiac valve repair, history of IE, cardiac

, transplant with valve regurgitation due to structurally abnormal valve, congenital
heart disease

Antibiotic prophylaxis is recommended for the (5) categories of patients for all dental
procedures that involve manipulation of the _______________ (2 words) or the
______________ region of the teeth, or perforation of the ______ mucosa -
ANSWER:gingival tissue, periapical, oral

It is important for a patient to pre-medicate before their appointment because it
allows the antibiotic time to reach adequate blood levels (True/False) -
ANSWER:True

If the patient does not pre-medicate before the procedure, the dosage may be
administered up to __ hours after the procedure - ANSWER:2

If a patient is currently taking antibiotics for another reason, it is suggested that
dentist select an antibiotic from the/a (same/different) class - ANSWER:Different

A single dose should be administered _____ minutes before procedure -
ANSWER:30-60

Oral prophylactic antibiotic name/dose for adults - ANSWER:Amoxicillin, 2g

Oral prophylactic antibiotic name/dose for children - ANSWER:Amoxicillin, 50mg/kg

Oral prophylactic antibiotic name/dose for an adult who is unable to take oral
medications - ANSWER:Ampicillin, 2g IM or IV /
Cefazolin or Ceftriaxone, 1g IM or IV

Oral prophylactic antibiotic name/dose for a child who is unable to take oral
medications - ANSWER:Ampicillin, 50mg/kg IM or IV /
Cefazolin or Ceftriaxone, 50mg/kg IM or IV

Oral prophylactic antibiotic name/dose for an adult who is allergic to penicillins or
ampicillin - ANSWER:Cephalexin, 2g /
Clindamycin, 600mg /
Azithromycin or Clarithromycin, 500mg

Oral prophylactic antibiotic name/dose for a child who is allergic to penicillins or
ampicillin - ANSWER:Cephalexin, 50mg/kg /
Clindamycin, 20mg/kg /
Azithromycin or Clarithromycin, 15mg/kg

Oral prophylactic antibiotic name/dose for an adult who is allergic to penicillins or
ampicillin AND unable to take oral medication - ANSWER:Cefazolin or Ceftriaxone, 1g
IM or IV /
Clindamycin phosphate, 600mg IM or IV

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