Drug Prescribing

Question 1

appropriate drug regime to aid dental anxiety management

Answer 1

5mg diazepam tablet (1 tablet) 2 hours before procedure
(not recommended for children as unpredictable effect)

Question 2

should antibiotic prophylaxis be given prior to dental treatment in patients at risk of infective endocarditis

Answer 2

no,not routinely recommended

Question 3

appropriate antibiotic for dental abscess

Answer 3

phenoxymethylpenicillin
fivehundred mg
4x daily for 5 days

Question 4

appropriate antibiotic for dental abscess in patients allergic to penicillin

Answer 4

metronizadole
400mg 3x daily for 5 days

Question 5

drug of choice for necrotising ulcerative gingivitis

Answer 5

metronizadole
400mg, 3x daily for 3 days

Question 6

antibiotic of choice for severe pericoronitis

Answer 6

metronizadole
400mg, 3x daily for 3 days

Question 7

antibiotic of choice for bacterial sinusitis

Answer 7

phenoxymethylpenicillin
500mg 4x day 5 days

Question 8

drug of choice for patients with pseudomembranous and erythmatous candidosis
(including denture stomatitis)

Answer 8

fluconazole
1 50mg capsule daily for 7 days

Question 9

appropriate drug for angular chelitis

Answer 9

miconazole cream 2%
apply to angles of mouth twice daily

Question 10

appropriate drug regime for severe herpes simplex infection

Answer 10

aciclovir
200mg , 5 times daily for 5 days

Question 11

Appropriate drug regime for patient with herpes zoster (shingles)

Answer 11

aciclovir 800mg 5x daily for 7 days

Question 12

What drug regime can be given in primary care to a patient experiencing trigeminal neuralgia prior to referral to a specialist

Answer 12

carbamazepine
100mg twice daily for 10 days

Question 13

drug of choice for dental abscesses with severe infection or no response to first line drugs

Answer 13

clindamycin
150mg capsules
1 tablet 4x daily for 5 days

Question 14

appropriate treatment for pseudomembranous or erythmatous candidosis

Answer 14

miconazole oromucosal gel 20mg/g

(or fluconazole capsules)

Question 14

if fluconazole and miconazole contraindicated, what can be given for pseudomembranous and erythmatous candidosis

Answer 14

nystatin oral suspension 100’000 units/ml
1ml after food 4x daily for 7 days

Question 15

instructions for using nystatin

Answer 15

rinse suspension around mouth then retain suspension near lesion for 5 minutes before swallowing

Question 16

local measures for treating denture stomatitis

Answer 16

brush palate daily
clean dentures thoroughly (soak in CHX mouthwash or steradent etc for 15 mins)
leave dentures out as often as possible

Question 17

what drugs contraindicate the prescription of miconazole

Answer 17

warfarin
statins

Question 18

antimicrobial mouthwashes for mucosal ulceration and inflammation

Answer 18

CHX 0.2% - 1 minute with 10ml twice daily
hydrogen peroxide 6% - 2 minute rinse with diluted 15ml 3x daily

Question 19

analgesics for mucosal ulceration and inflammation

Answer 19

benzydamine 0.15% mouthwash , 15ml rinse as required
benzydame oromucosal spray 0.15%, 4 sprays to area as required
lidocaine 5% ointment - apply to affected areas

Question 20

topical cortiscosteroids for mucosal ulceration and inflammation

Answer 20

beclometasone MDI - 1-2 puffs onto ulcers 2x daily
betamethasone tablets, dissolve 1x 500microgram tablet dissolved in 10ml water , mouthwash 4x daily

Question 21

2800 and 5000ppm toothpaste prescription percentages

Answer 21

sodium fluoride toothpaste 0.619%
sodium fluoride toothpaste 1.1%