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Patient Assessment and Management (14Q- 20%)

1.
a.
b.
c.
d.

Pt is on warfarin therapy. What is way to continue treatment


Vit K (FFP best antidote)
Stop 24 hrs before
Consult with his hematologist
No need to stop carry on with Xn

2.
Which of the following drugs is contraindicated in pt with
bronchial asthma
a. NSAIDS
b. Acetaminafen
c. Beta Blockers
d. Pencillin
3.
Which of the following is not a secondary immuno-deficiency
state
a. Malnutrition
b. Anemia
c. Luekemia
d. Lymphocytopenia
e. Steroidal Therapy
f. Immunodefiency Drugs
4.
Which of the following values
hypertensive
a. 135/85
b. 140/90 peterson P.49 2nd eddition
c. 145/95
d. 150/90

would

you

term

to

be

5.
55 years old female patient presented to dental clinic for
extraction, Bp was 145/90, after 10 min. the reading was 140/90, this
is considered:
a. Hypertension type I
b. Hypertension type II
c. Normal in her age
6.
18 year old girl is predisposed to fainting attacks and gives a
positive history of syncope and shortness of breath. Her examination
reveals a mid systolic click and a late systolic murmur. She is on GTN
and anti hypertensives. The dental treatment for such a patient
includes
a. a. SABE prophylaxis
7.
A 54 year old man with a ho of type 2 DM is diagnose and
taking treatment with Glipizide and diet control and exercise. His
blood reports are as follows RBS, FBS, PPBS, glycosylated Hb. (All
within normal values)(THEY HAVE GIVEN THE RANGE)
1

8.
What is the mode of tretament for him
a. Infective prophylaxis
b. No change in treatment
c. 2 other choices I cant remember
9.
a.
b.
c.
d.

What feature is seen in renal failure is:


Hypocalcemia++ (Hyperkalemia + Hypocalcemia + Hyper Magnesemia)
Hypokalemia
Hypernatremia
Metabolic Alkalosis

10.
Chemotherapy results in
a. Reduced count of WBC
b. Reduced count and function of WBC
c. Reduced function but normal count
d. Reduced count but normal function
11.
Secondary immunodeficiency is associated with all except
a. Malnutrition
b. Anemia ++ (Refer Abubaker pg 208) secrets
c. Immunodeficiency drugs
d. Steroid
12.
***Patient has been treated for rheumatoid arthritis was
taking steroids for the last year (6 Years) and he needs multiple
tooth extraction. The surgeon should(20/18 )
a. Give supplement 50-100mg before surgery ++?
b. Give 100-150mg steroid supplement
c. Proceed extraction without steroid supplement Just control stress
13.
Cyclosporine effect is
a. Increase T-Lymphocytes and decrease B-Lymphocytes
b. Increase T-Lymphocytes and B-Lymphocytes
c. Decrease T-Lymphocyte and decrease B-Lymphocytes
d. Affect T-Lymphocytes only++
14.
24 year women with history of fatigue and lethargy and history
of syncope. Clinically mid systolic click with late systolic murmur.
Probably she is suffering from
a. Hypertrohic Cardiomyopathy
b. Mitral valve prolapse
c. Aortic regurgitation
d. Mitral stenosis
15.
24 year woman with history of fall with fracture central incisor
comes to the clinic for extraction and immediate implant placement.
She gives history of fatigue and lethargy and history of syncope.
Clinically mid systolic click with late systolic murmur. What is your
line of management in this pt
a. Avoid local anaesthesia with vasoconstriction
2

b. SABE prophylaxsis
c. Lab investigation for bleeding problem
d. Do nothing
16.
Patient with history of rheumatic heart disease, scaling and
subgingival curettage was done, developed weakness, weight loss,
and fatigue post operatively, this may indicate:
a. AIDS
b. SABE
c. Hep B
d. Pernicious Anemia
17.
Hepatitis B can be transmitted by all except (controversial)
a. Dialysis
b. Blood products
c. Transfusion
d. Child birth
18.
Lab Test to diagnose HBV: HBsAg??
19.
Increase serum sodium level
a. Dehydration
b. Renal problem
c. Liver problem
d. GIT
20.
Normal fasting Sugar
a. 70-90 mg/dl
b. 90-130 mg/dl
c. 150-250 mg/dl
21.
DM period of control evaluation
a. HbA1c
b. FBS
c. GTT
d. 24 hr serum creatinine
22.
COPD pt for extraction of multiple teeth you will give
a. 2.5 L oxygen
b. 4L oxygen
c. 6L oxygen
d. No need if its only COPD
23.

Management of hypoglycemic shock in

24.

Largest compartment where fluid is present

25.
In thrombocytopenic patient, extraction of upper molar is
contraindicated when platelets count is:
a. Less than 40000 mm++++
b. Less than 80000 mm
3

c. Less than 150 mm


d. Less than 250mm
26.
Lab findings which is not seen in Von-Willebrand disease is:
a. Increases APTT
b. Normal PT
c. Deficiency of Factor VIII-C and Von-Willebrand factor
d. Normal platelet aggregate studies ++
27.
8 year old patient required extraction of decayed tooth and
had history of easy bleeding. Hematological picture includes
increases BT, elevated APTT and normal PT. His condition is
a. Deficincy Factor VIII-C
b. Von Willbrand disease +++
c. Thrombocytopenic prupria
28.
Prophylactic antibiotic for endocardititis is indicated in
a. Prosthetic valve replacement ++
b. Coronary bypass surgery 6 months ago
c. mitral valve prolapsed without regurgitation
29.
Prophylactic antibiotic for endocarditis is
a. Amoxicillin
b. Flagyl
c. Clindamycin
d. Penicillin G
30.
8 year girl require lower molar extraction due to severe caries.
Gives history of bleeding. On lab investigation, increased bleeding,
increased APTT, normal PT. she is suffering from
a. Factor eight deficiency
b. Von Willbrand factor deficiency
c. DIC
d. Thrombocytopenia
31.
The responsible for release of growth factor after 3-4 days of
wound healing after platelet is:
a. Megakaryocytes
b. Monocytes
c. macrophages
d. Neutrophils
Check wound healing process (after 72 h fibroplasts)

32.
Cyclosporine
a. Increase T, decrease B lymphocyte
b. Decrease T, Increase B lymphocyte
c. Decrease T and B lymphocyte
d. Decrease T lymphocyte only

33.
24 year women with history of fatigue and lethargy and history
of syncope. Clinically mid systolic click with late systolic murmur.
Probably she is suffering from
a. Hypertrophic Cardiomyopathy
b. Mitral valve prolapse
c. Aortic regurgitation
d. Mitral stenosis
34.
Which is a most relevant finding for a patient in shock
a. Pulse pressure
b. Heart rate
c. Systoic blood pressure
d. Diastolic blood pressure
35.
pregnant lady in the 6th month with tooth indicated for
extraction
a. Do the extraction
b. Consult the Gynecologist
c. Postpone after delivery
36.
a patient on aspirin for multiple extractions
a. Do bleeding time
b. Stop it for 9 days before surgery
c. no problem with that
37.
aspirin irreversibly inhibits cyclo-oxygenase
38.
dead
infection

space

affects

wound

healing

and

increase

risk

of

39.
compartment that contain the highest amount of fluid of the
body:
a. intra-cellular
b. extracellular
c. interstitial
d. intravascular
40.
a 45 years old diabetic patient with his ABGs showing diabetic
ketoacidosis and a PH of 7.2
a. Management is fluid and insulin
41.
Hb a 1c test in d.m-------every 1, 3, 6 months
42.
Best test to measure the blood sugar in long time is
a. Blood glucose test
b. Fasting blood sugar
c. Hba1c
43.
gingival hyperplasia caused by
a. Dilantin (cyclosporine, ca channel blocker)
b. Nephidipine

44.
Normal Blood Surgar, Low serum CO2, hyperventilation
a. breath in small bag
high co2 acidosis

45.
Patient on warfarin needs extraction:
a. Stop warfarin one day before extraction and give heparin
b. Hospitalize Pa., Stop warfarin give heparin
c. Give Vit. K
46.
The best empirical antibiotic to treat odontogenic infections in
end stage renal failure patients is:
a. Cefaclor
b. Flagyl
c. Clindamycin
d. Penicillin
e. Doxycillin
Can we give flagyl to ranal??
Clinda metabolite in liver and discharge in bile
Doxy in liver and discharge in kidney

47.
The best empirical antibiotic to treat odontogenic infections in
end stage renal failure patients who is allergic to penicillin
a. Trimethoprim/Sulbactum
b. Flagyl
c. Clindamycin
d. Doxycycline
e. Cefaclor
48.
Murmurs means:
a. Mitral stenosis
b. Aortic regurgitation
c. Cardiopathy
49.
Increase in Na indicates:
a. Liver disease
b. Kidney disease
c. Dehydration
d. Addisons disease
50.
Which drug contraindicated in Asthma:
a. NSAIDs
51.
Hepatitis B transferred by all except:
a. Delivery
b. Blood transfusion
c. Blood component
d. Dialysis

52.
45 years old Patient with odontogenic infection. Recurrent
infections, weight loss, had good appetite and polydypsia,
investigation should be done for:
a. Chronic glomerulonephritis
b. Diabetes mellitus
c. Malignancy
d. Infectious mononucleosis
53.
Increased bleeding time is seen in:
a. Thrombocytopenia
b. Hemophilia A
c. Hemophilia B
54.
Hemophilic shows:
a. Increased bleeding time & clotting time
b. Decreased bleeding time & clotting time
c. Decreased bleeding time & increased clotting time
d. Normal bleeding time & increased clotting time
55.
12 years old Patient with episodes of hemarthrosis, but
petechiae or ecchymosis were not seen. His PT and Platelet count
was normal. This is picture of:
a. Hemophilia A
b. Thrombocytopenia
c. Von Willebrand Disease
d. Scurvey
56.
12 years old Patient of Thrombocytopenic Purpura has to
undergo minor Oral surgery procedure, he should first be given:
a. Packed red cells
b. Fresh Frozen Plasma (FFP)
c. Platelet Rich Plasma
d. None of the above
57.
Bleeding time is increased in:
a. Thrombocytopenia
b. Thrombasthenia
c. Renal failure
d. All of the above
58.
Hemophilia A has increased
a. PT
b. PTT
c. PT and PTT
59.
Recurrent oral ulcers, atrophic glossitis, burning tongue,
candidiasis and angular chelitis are suggestive of:
a. Leukemia
b. Anemia
c. Thrombocytopenia
7

d. All of the above


60.
CBC is:
a. RBCS WBCS Platelet
b. RBCS WBCS Platelet - bilirubin
c. RBCS WBCS Platelet - Sugar
61.
Migraine all except:
a. Include hemiplegia
b. Prodromae proceed
c. Vomiting and nausea is constant
62.
Hemoglobin and hematocrit decrease at (and increase at)
a. Pregnancy
b. Heavy smoking
c. birth Physiology
d. dehydration
63.
a health care provider underwent an acid fast staining test,
the treatment is:

a. ampicillin
b. refampicillin
c. izoniazide, streptomycine, Pyrazinamide and rifambicin for nine months
d. ethambitol and Pyrazinamide for six months
64.
Inflammatory shinig tongue, angular cheilitis, Xerostomia,
bleeding gingival are manifestations of:
a. Anemia
65.
Most common cause of fever 72h after surgery:
a. Thrombophlebitis
b. Aspiration pneumonia
c. Urinary tract infection