Antibiotic Treatment for Odontogenic Infection
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Questions and Answers

What antibiotics would be suitable for a patient with a facial abscess and odontogenic infection on tooth #17?

  • Macrolid and Cephalexin
  • Amoxicillin and Clindamycin
  • Penicillin and Metronidazole (correct)
  • Doxycycline and Ciprofloxacin

    • Why may penicillin or Amoxicillin be ineffective against streptococcus bacteria in some cases?

  • The patient is allergic to the antibiotics
  • The bacteria are resistant to the antibiotics
  • The antibiotics are inactivated by beta lactamase enzyme (correct)
  • The patient has a history of valve replacement

    • What antibiotic would be suitable for prophylaxis in a patient with a valve replacement and carotid stent, who is allergic to penicillin and cannot tolerate Macrolid antibiotics?

  • Clindamycin
  • azithromycin
  • a or b (correct)
  • Doxycycline

    • What antibiotic would be suitable for a patient after discharge from the hospital, following I.V antibiotics for facial swelling and abscess?

    <p>Amoxicillin</p> Signup and view all the answers

    What should be done if a patient on ciprofloxacin and clindamycin experiences agitation and dizziness, and has renal problems?

    <p>Reduce the dose of ciprofloxacin to 2 times</p> Signup and view all the answers

    What is the opioid antagonist that can be used to reverse the effects of opioids?

    <p>Naloxone</p> Signup and view all the answers

    What should you verify first when a patient taking acetaminophen returns with pain?

    <p>Verify if the patient took the maximum dose of acetaminophen at recommended intervals</p> Signup and view all the answers

    What combination of drugs have the same pathway?

    <p>Trimethoprim and sulfamethoxazole</p> Signup and view all the answers

    What is the correct mechanism of action of penicillin?

    <p>Penicillin binds to PSP protein on the cell wall</p> Signup and view all the answers

    What is the cause of gingival hyperplasia?

    <p>Cyclosporine</p> Signup and view all the answers

    What medication is prescribed to reduce opioid side effects in an elderly patient?

    <p>Laxative treatment with bisacodyl</p> Signup and view all the answers

    What is the composite inhibitor for cell replication?

    <p>Methotrexate</p> Signup and view all the answers

    What medication is prescribed to stop bone resorption without clot formation in a patient with hip fracture?

    <p>Bisphosphonate</p> Signup and view all the answers

    What is the side effect of chemotherapy agents in the oral cavity?

    <p>Oral ulceration (mucositis)</p> Signup and view all the answers

    Which anticancer drug has hormonal antagonism?

    <p>Tamoxifen</p> Signup and view all the answers

    What is the recommendation for a patient with Bisphosphonate toxicity?

    <p>Routine use of chlorhexidine mouthwash</p> Signup and view all the answers

    What is the reason for not giving prophylactic antibiotics in cases of joint replacement?

    <p>Because of no benefits from using antibiotic</p> Signup and view all the answers

    What type of anticancer drug is etoposide?

    <p>Cell cycle dependent</p> Signup and view all the answers

    What is the cause of osmotic retention?

    <p>Polyglycol</p> Signup and view all the answers

    What is the effect of chlorhexidine on teeth?

    <p>External stains</p> Signup and view all the answers

    What is the purpose of giving a drug to reduce intermediate metabolite in acetaminophen toxicity?

    <p>To reduce the toxicity of acetaminophen</p> Signup and view all the answers

    What is the recommendation for dental prophylaxis in 2007?

    <p>Use antibiotics for low endocarditis risk with no cardiac problems</p> Signup and view all the answers

    What is the primary concern when prescribing penicillin and aminoglycoside to a patient with renal impairment and infective endocarditis?

    <p>Renal function and serum drug concentration</p> Signup and view all the answers

    Which agent acts on osteoblast receptors and increases bone formation?

    <p>Teriparatide</p> Signup and view all the answers

    What is the characteristic of nystatin?

    <p>Topical use and Low oral bioavailability</p> Signup and view all the answers

    What is the concern when treating a patient with tuberculosis?

    <p>CYP 450 inducer affecting other medications</p> Signup and view all the answers

    What is the mechanism of action of omeprazole?

    <p>Irreversible inhibition of K+ ATPase</p> Signup and view all the answers

    What is the primary concern with bisphosphonate toxicity?

    <p>Tooth removal and periodontitis</p> Signup and view all the answers

    What is the treatment for a patient with influenza?

    <p>Oseltamivir</p> Signup and view all the answers

    What causes brown stains and mottled enamel?

    <p>Fluoride</p> Signup and view all the answers

    What is the medication prescribed for a patient with Herpes Simplex Genitalis?

    <p>Acyclovir</p> Signup and view all the answers

    What is the effect of macrobid on drugs?

    <p>Potentiates CYP450 interaction</p> Signup and view all the answers

    What is the concern for a patient with CHRONIC AUTOIMMUNE DISEASE taking oral prednisolone?

    <p>Decreased mandibular bone density</p> Signup and view all the answers

    What is the effect of 1,25 hydroxy vitamin D on bone?

    <p>Increases bone formation</p> Signup and view all the answers

    What type of anticancer drug is etoposide?

    <p>Cell cycle dependent</p> Signup and view all the answers

    What is the purpose of reducing the dose of acetaminophen with opioids?

    <p>To reduce the risk of liver toxicity</p> Signup and view all the answers

    Which type of insecticide can cause high salivation and occupational exposure?

    <p>Organophosphate insecticide</p> Signup and view all the answers

    What is the toxicity of mercury?

    <p>Neuropsychotic toxicity</p> Signup and view all the answers

    What is the purpose of using epinephrine subcutaneously in acute anaphylactic type I hypersensitivity?

    <p>To treat anaphylactic shock</p> Signup and view all the answers

    What type of receptor does hydrocortisone inhibit?

    <p>NFKB</p> Signup and view all the answers

    Which medication is suitable for a patient with teeth problems who is concerned about staying awake?

    <p>Loratidine</p> Signup and view all the answers

    What is the correct drug combination?

    <p>SOFO with HEPATITIS C</p> Signup and view all the answers

    What causes rampant caries?

    <p>methamphetamine</p> Signup and view all the answers

    What is the purpose of increasing the dose of hydrocortisone during surgery in a patient who has undergone adrenal removal?

    <p>To reduce the risk of adrenal crisis</p> Signup and view all the answers

    What is the primary action of Loperamide in the treatment of diarrhea?

    <p>It acts on Mu receptors to decrease intestinal movement and mucosa</p> Signup and view all the answers

    What is the concern when a patient is taking Probenecid and penicillin?

    <p>Risk of drug interaction</p> Signup and view all the answers

    What is the use of IV Bisphosphonate in cancer treatment?

    <p>To treat malignant and metastatic bone lesions</p> Signup and view all the answers

    What is a short acting beta agonist?

    <p>Albuterol</p> Signup and view all the answers

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