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CTP Exam Flashcards

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1
Q

What is the prophylaxis regimen for Amoxicillin?

A

Amoxicillin 500 mg
Disp: 4
Sig: Take 4 tablets by mouth 1 hour prior to dental appointment

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2
Q

What is the regimen for Amoxicillin for an acute infection?

A

Amoxicillin 500 mg
Disp: 21
Sig: Take 1 tablet by mouth t.i.d. until gone

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3
Q

What is the prophylaxis regimen for Amoxicillin for a child?

A

50 mg/kg 1 hour prior to dental appointment

Amoxicillin oral suspension can be in 150 mg/5 ml or 250 mg/ 5 ml

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4
Q

What is the regimen for Amoxicillin in a child for an acute infection?

A

20-40 mg/kg/day divided into doses every 8 hours (3x per day)

Amoxicillin oral suspension can be in 150 mg/5 ml or 250 mg/5ml

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5
Q

When should Clindamycin be used?

A

If patient is allergic to Penicillins – Watch out for C. Diff

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6
Q

What is the prophylaxis regimen for Clindamycin?

A

Clindamycin 150 mg
Disp: 4
Sig: Take 4 tablets by mouth 1 hour prior to dental appointment

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7
Q

What is the regimen for Clindamycin for an acute infection?

A

Clindamycin 150 mg
Disp: 28
Sig: Take 1 tablet by mouth q.i.d. until gone

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8
Q

What is the prophylaxis regimen for Clindamycin for a child?

A

20 mg/kg 1 hour prior to dental appointment

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9
Q

What is the regimen for Clindamycin in a child for an acute infection?

A

8-20 mg/kg/day divided into doses every 6-8 hours

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10
Q

When should Erythromycin be used?

A

If the patient is allergic to both Penicillins and Clindamycin

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11
Q

What is the regimen for Erythromycin for an acute infection?

A

Erythromycin 500 mg
Disp: 14
Sig: Take 1 tablet by mouth b.i.d until gone

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12
Q

When should Azithromycin be used?

A

If a patient has a penicillin allergry, but does not respond to Clindamycin – Note: Can cause arrythmias in patients with pre-existing conduction defects

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13
Q

What is the prophylaxis regimen for Azithromycin?

A

Azithromycin 250 mg
Disp: 2
Sig: Take 2 tablets by mouth 1 hour prior to dental appointment

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14
Q

What is the prophylaxis regimen for Azithromycin for a child?

A

15 mg/kg 1 hour prior

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15
Q

What is the regimen for Azithromycin in an acute infection?

A

Azithromycin 250 mg
Disp: 6
Sig: Take 2 tablets by mouth on day 1 and 1 tablet y mouth on days 2-5

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16
Q

When is a prophylactic abx necessary for dentlal treatment?

A

Previous Infective Endocarditis
Congenital Heart Disease
Prosthetic Heart Valve

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17
Q

What analgesics are useful for mild to moderate pain?

A

Acetaminophen, Ibuprofen, Tylenol #3

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18
Q

What is the regimen for Acetaminophen (prescription strength)?

A

Acetaminophen 325 mg
Disp: 18
Sig: Take 1-2 tablets by mouth every 4-6 hours prn. Do not exceed 12 tablets/24 hours.

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19
Q

What is the max dose of Acetaminophen in adults and children?

A

Adults: 4 g/24 hours or 12 325 mg tabs/day

Children: 90 mg/kg/24 hours but not to exceed 2.6 g/24 hours

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20
Q

What is the regimen for Acetaminophen for children?

A

10-15 mg/kg/dose every 4 hours prn

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21
Q

What is the regimen and max dose for OTC Ibuprofen?

A

Ibuprofen 200 mg
Take 1-2 tabs by mouth every 4-6 hours prn.

Do not exceed 1.2 g/24 hours.

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22
Q

What is the regimen and max dose of prescription strength Ibuprofen?

A

Ibuprofen 600 mg
Disp: 12
Sig: Take 1 tab by mouth every 6-8 hours prn.

Do not exceed 3.2 g/24 hours

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23
Q

What is the regimen and max dose for OTC Ibuprofen in children?

A

4-10 mg/kg divided into doses every 6-8 hours prn

Max is 40 mg/kg/24 hours

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24
Q

What is Tylenol #3?

A

Acetaminophen + Codeine

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25
What is the regimen and max dose for Tylenol #3?
Acetaminophen with codeine (300 mg/30 mg) Disp: 12 Sig: Take 1-2 tabs by mouth q.i.d. prn Codeine max dose = 360 mg/24 hours Acetaminophen max dose = 4 g/24 hours
26
What is Norco? What can it be used for?
Acetaminophen + Hydrocodone, for moderate to severe pain
27
What is the regimen and max dose for Norco (aka Lortab, aka Vicodin)?
Acetaminophen with hydrocodone (325 mg/5 mg) Disp: 18 Sig: Take 1 tab q.i.d. prn Hydrocodone max dose = > 50 kg is 60 mg/24 hours Acetaminophen max dose = 4 g/24 hours
28
What is Atarax?
Hydroxyzine
29
What is the dose and regimen for Atarax?
50-100 mg dose Hydroxyzine 50 mg Disp: 1 Sig: Bring to dental office at time of appointment
30
What is Halcion? What is it good for?
Triazolam, good for short to moderate length appointments
31
What is the dose and regimen for Halcion?
0.125 -0.5 mg dose Triazolam, 0.125 mg Disp: 1 Sig: Bring to dental office at time of appointment
32
What is Ativan? What is it good for?
Lorazepam, it is good for longer appointments (3+) hours
33
What is the dose and regimen for Ativan?
0.25-4 mg dose Lorazepam 0.5 mg Disp: 1 Sig: Bring to dental office at time of appointment
34
What is Valium?
Diazepam
35
What is the dose and regimen for Valium?
2-10 mg dose Diazepam 5 mg Disp: 1 Sig: Take at bedtime the night before dental appointment *Patient must be monitored and be drive to office for appt
36
What is Versed?
Midazolam
37
What is the dose and regimen for Versed?
7.5-15 mg dose Midazolam 10 mg Disp: 1 Sig: Bring to dental office at time of appointment
38
What is Xanax?
Alprazolam
39
What is the dose and regimen for Xanax?
0.25 -4 mg Alprazolam, 0.25 mg Disp: 1 Sig: Bring to dental office at time of appointment
40
What is Ambien?
Zolpidem
41
What is the dose and regimen for Ambien?
5-10 mg dose Zolpidem 5 mg Disp: 1 Sig: Bring to dental office at time of appointment
42
What is Sonata? What is it good for?
Zaleplon, it is good for short appointments
43
What is the dose and regimen of Sonata?
5-20 mg dose Zaleplon 10 mg Disp: 1 Sig: Bring to dental office at time of appointment
44
What percentage should nitrous oxide be titrated to for adults and for children?
Adults: 50% Children: 20-30%
45
What can be used for candida infections?
Nystatin
46
What is the regimen for Nystatin tablets?
Nystatin 500,000 units Disp: 30 Sig: Dissolve 1 tablet in mouth t.id. until gone
47
What is the regimen for Nystatin oral suspension?
Nystatin 100,000 units/ml Disp: 300 ml Sig: Rinse with 1 tbs for 2 minutes and expectorate, q.i.d.
48
What is the regimen for Nystatin and Triamcinolone cream?
For angular cheilitis... Nystatin 100,000 units/gm and Triamcinolone acetonide .01% ointment Disp: 15 g Sig: Apply sparingly to corners of mouth q.i.d.
49
What is the regimen for Clotrimazole Troches?
Clotrimazole Troche 10 mg Disp: 50 Sig: Dissolve 1 tab slowly in mouth 5 times per day until gone
50
What is the regimen for Acyclovir capsules?
Acyclovir 200 mg Disp: 50 Sig: Take 1 cap 5 times per day for 5 days at earliest signs of disease
51
What is the regimen for Acyclovir ointment?
Acyclovir 5% ointment Disp: 15 g Sig: Apply 5 times per day with fingercot for 5 days at earliest signs of disease
52
What is the regimen for Valacyclovir?
Valacyclovir 500 mg Disp: 28 Sig: Take 2 tabs b.i.d. at earliest signs of disease for 5 days
53
What is the maximum recommended dose of Lidocaine?
Lidocaine aka Xylocaine 4.4 mg/kg or 2.0 mg/lb
54
What is the maximum recommended dose of Mepivacaine?
Mepivacaine aka Carbocaine 4.4 mg/kg or 2.0 mg/lb
55
What is the maximum recommended dose of Prilocaine?
Prilocaine aka Citanest 6. 0 mg/kg or 2.7 mg/lb * contraindicated in pts with methemoglobinemia, sickle cell anemia, anemia, or hypoxia
56
What is the maximum recommended dose of Articaine?
Articaine aka Septocaine 7.0 mg/kg or 3.2 mg.lb
57
What is the maximum recommended dose of Bupivacaine?
Bupivacaine aka Marcaine 1.3 mg/kg or 0.6 mg/lb
58
What is the tx of ANUG?
1. Debridement under LA 2. Chlorhexidine 3. Pain meds as needed (Ibuprofen is fine) 4. Improve pt oral hygiene 5. Clindamycin if systemic
59
What is the management of BRONJ?
1. Antibiotics (Penicillin V 500 mg q.i.d or Doxycycline 100 mg per day) 2. Chlorhexidine rinse 3. Round sharp bony margins - no debridement 4. TIME
60
What things are included in a prescription?
1. Dr's name, address, phone number 2. Pt's name, address, DOB 3. date 4. Drug name and size 5. Dosage 6. Disp 7. Sig 8. Dr's signature 9. Dr's license #

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