"If they can get over some of the psychological side effects"

What are some examples of Schedule 4 drugs

xanax, diazepam (valium), ambien

(slide also mention Soma, tramadol, Ativan, and talwin)

Schedule 5 drugs have little or no risk for abuse or addiction and are primarily what type of drugs?

Robitussin AC or types of antitussive (cough suppressants)

(slides also mention lomotil, motofen, lyrica, parepectolin)

what schedule class are dentist most likely prescribe?

2-4

RX question, pt allergic to hydrocodone

TB: prescribe tylenol #3

(isnt there cross reactivity? Tylenol + ibuprofen better? Maybe question was asking "which of these does not work?")

Pt came for non surgical periodontitis, what do you prescribe?

Dx: molar-incisor periodontitis

tx: last 2 quads of SRP

amoxicillin and metronidazole (500mg) each for 3 days

What is the prophylactic regiment for dental procedures for amoxicillin?

Prescribe amoxicillin (500 mg) 4 tablets 1 hr before (30-60 min before)

Pt is allergic to antibiotics but only has diarrhea, what antibiotic should you prescribe them?

cephalexin

Slides -

No allergies: Amoxicillin 500mg po TID X3-7days

Allergies to penicillins (not hives/anaphylaxis): Cephlaxin 500mg po Qid X3-7days

Allergies to penicillin w/ hives or anaphylaxis: Azithromycin loading dose 500mg, then 250mp po x4 days (z-pack)

Rx Q

Prescribe tylenol extra strength for pt that has moderate strength

If a pt has an allergic reaction to amoxicillin (penicillins) with severe rash, what should you prescribe them?

Azithromycin (500mg), then 250mg po 4x a day (z-pack)

what do you need when you document allergies to drugs>

medication and class (allergen?), reaction, severity, onset

the Prescription monitoring Program account allows for the clinician to see what type of information?

access to history of controlled substance prescription

"keep track of prescriptions that you have provided as well as any prescriptions your patient has received"

1. What is the difference between non legend and legend drugs?

2. What about controlled and non-controlled drugs?

3. What about licit and illicit drugs?

1. Non-legend: over the counter drugs

legend drugs: prescription drugs

2. Controlled: potential for abuse and highly regulated by DEA

Noncontrolled: No potential for abuse and not regulated by DEA

3. Licit: legal drugs with potential abuse but approved for medical use

illicit: no proved medical use and have high potential for abuse

If a pt has pain but is taking medicine for asthma (advair b2 agonist) or albuterol, what should you give him?

acetaminophen (don't give Nsaids)

pt has swelling and no allergies, what analgesic can you prescribe?

acetaminophen (Nsaid because anti inflammatory?)

What analgesic medication can you give to a pt that has hypertension

acetominophen

What analgesic should you prescribe if the pt takes anticoagulants

acetaminophen

pt has draining fistula and came in for endo but nothing was done

non bc no swelling

If a pt has a draining fistula and swelling what antibiotics should you prescribe?

amoxicillin

pt has endo with Periapical lesions but no symptoms what should you prescribe?

nothing needed

is considered the gold standard for most dental pain and in patients who have no contraindications?

Ibuprofen

what analgesic would you RX for a pt with an allergic reaction to acetaminophen

prescribe vicuprofen

If a pt is worried about endodontic flare up what should you prescribe?

Nothing, no differences were found in post treatment pain or occurrences of flare-ups were found

what do you need for controlled substances Select all that apply (3 things)

-Active PMP acount

-Active substance registration (confirms license health professional)

-Active DEA registration

What's the correct order to obtain a controlled substance number?

1. Dental license

2. Controlled Substance registration (apply and receive pending)

3. DEA (license,

4. PMP (prescription monitoring program)

5. Receive actual CS number

what is not needed for CDC guidlines

pt preference and whether antibiotics in same one

what pts at risk for infective endocarditis select all that apply

-pt with diabetes (5.6%)

-smoker

-untreated chronic periodontitis

-immunocompromised

(double check)(

(slides say - prosthetic heart valves, prosth material used for cardiac valve repair, previous IE, unrepair/repaired congenital heart defect, or cardiac transplant

treatment that would require premedication: EXT, implant surgery, periodontal surgery, abscess drainage)

Which one isn't one of the five rights?

concentration

(rights: patient, medication, dose, route, time)

what is the recommended way to prescribe opioids?

electronic

how does analgesic dose compare to antiinflammatory

anti inflammatory is higher

(analgesic: 400mg, anti inflammatory: 2400mg/day)

What are some adverse effects of Nsaids

bronchospasms and Gi ulcer + bleeding

if a pt will cope with alcohol for pain what analgesic should do you prescribe

ibuprofen (anything without acetaminophen)

amoxicillin no working what now?

metronidazole for 7 days TID

What is the medical use, potential for abuse and potential for addiction for schedule 2 drugs?

-regulated medicinal value (but strictly regulated)

-high risk for abuse

-moderate risk for addiction

which pt can you prescribe for?

extraction of #3

(scope of practice question?)

biggest advantage to prescribing electronically

no errors in reading handwriting

(slide also mention instant prescription and validated prescriber)

biggest disadvantage to electronic prescription

system can go down

(slides also mention very rigid requirements)

which button to add medication?

medications

A patient starts smoking less than 30 min of waking up, what dose nicotine lozenge or gum should they get?

4mg

What NRT do you need RX?

Bupropion, Varenicline, Nicotrol Nasal spray, nicototrol inhaler

Adverse effects of nicotine gum

mouth/ jaw soreness

What is used in combo for control situational urges (nicotine)

nicotine gum

When using the transdermal patch for a smoker more than 10 cigs, how long do they use it for?

10 weeks

What is a contraindication for NRT?

diabetes

what percent of people are not ready, thinking about and ready to quit?

40% not thinking about it, 40% thinking about it, 20% ready

What is the dosage for amoxicillin and azithromycin for child endodontic prophylaxis?

Amoxicillin: 50 mg/kg

Azithromycin: 15 mg/kg