Perscribing/Drugs

Question 1

Cap?

Answer 1

Capsule

Question 2

Tabs?

Answer 2

Tablets

Question 3

Mg?

Answer 3

Milligrams

Question 4

Mcg?

Answer 4

Micro grams

Question 5

Ml?

Answer 5

Millilitres

Question 6

Motte?

Answer 6

Send

Question 7

Nocte?

Answer 7

At night

Question 8

Mane?

Answer 8

Morning

Question 9

Bid/bd?

Answer 9

Twice a day

Question 10

Tid/tds?

Answer 10

Three times a day

Question 11

Qid/qds?

Answer 11

Four times a day

Question 12

Prn?

Answer 12

As needed/required

Question 13

Stat?

Answer 13

Immediately

Question 14

What is the first step to treat a bacterial infection?

Answer 14

Local measures, drainage/exodontia

Question 15

What do you do in the case of significant trismus, floor of mouth swelling or difficulty breathing?

Answer 15

Transfer to hospital immediately

Question 16

What are the first line antibiotics for dentists?

Answer 16

Phenocymethylpenicillin (250mg tabs)
2 tablets (500mg) four times a day
For 5 days

Amoxicillin (500mg caps)
1 tablet (500mg) three times a day
5 days

Both above can be doubled in severe infection

In sever infections or penicillin allergy:

Metronidazole (400mg tabs)
1 tablet 3 times a day
5 days

Question 17

What are the second line antibiotics for dentists?

Answer 17

Clindamycin (150mg capsules)
1 capsule 4 times a day with water
5 days
Dose same for kids over 12

Co-amoxiclav (250/150mg amoxicillin/calvunic acid tabs)
1 tablet 3 times a day
5 days
Dose same for kids over 12
Amoxicillin dose can be doubled 625mg total

Clarithromycim (250mg tabs)
1 tablet twice a day
7 days
Kids dependant on body weight

Question 18

How is acute necrotising ulcerative gingivitis treated in the first instance?

Answer 18

Scaling and OHI

Question 19

How is pericoronitis treated in the first instance?

Answer 19

Irrigation with saline and debridement

Question 20

What is the treatment for Acute necrotising ulcerative gingivitis and pericoronitis when it’s still progressing and there is systemic infections?

Answer 20

Metronidazole (400mg tabs)
1 tablet three times a day
3days for ANUG/5 days pericoronitis

Amoxicillin (500mg caps)
1 capsule three times a day
3 days ANUG/5days pericoronitis

Question 21

How is sinusitis treated in the first instance?

Answer 21

Steam/Menthol inhilation

This isn’t suitable for children

Question 22

How is sinusitis treated if local measures don’t work?

Answer 22

Ephedrine nasal drops 0.5%
10ml bottle
1 drop into each nostril up to three times a day as needed for 7 days

Same for kids over 12

Antibiotics used in persistent symptoms or purulent discharge (lasting more than 7 days)

Phenoxymethylpenicillin (250mg caps) 
2 capsules (500mg) four times a day for 5 days

Or

Doxycycline (100mg caps)
2 capsules first day then 1 per day for 7 days

Question 23

How is dry socket treated locally?

Answer 23

Rinse socket with warm saline
Place small amount of alveogyl into socket.

Ask pt to continue with hot salt water mouth wash

Question 24

When are antibiotics used in dry socket treatment?

Answer 24

Only when evidence of soft tissue infection and systemic spread.

Question 25

What is the treatment for candidosis?

Answer 25

Fluconazole (50mg caps) 1 capsule daily for 7 days Miconazole oromucosal gel 24mmg/ml 18g tube Apply a pea sized amount after food Above can’t be used with the third taking warfarin and statins Nystatin oral suspension 100,000 unit/ml Send 30mls 1ml after food four times a day Rinse suspension around mouth then hold for 5 minutes before swallowing. Continue for 48 hours after lesion had healed

Question 26

What are the causes of angular cheilitis?

Answer 26

Fungal most likely in denture wearing patients | Bacterial in non wearing denture patients

Question 27

What are the treatments for angular cheilitis?

Answer 27

Miconazole cream 2% 20g tube Apply to angles of the mouth twice a day Use for 10 days after lesions have healed If bacterial Sodium fusidate ointment 2% 15g tube Apply to angles of mouth four times daily (No more than 10 days) If unresponsive to above treatment Miconazole 2% and hydrocortisone 1% cream 30g tube Apply twice daily for 7 days Don’t prescribe miconazole for statin or warfarin patients

Question 28

What are treatments for viral infections such as herpes?

Answer 28

Chlorohexadone mouthwash 0.2% Rinse for 1 min with 10ml twice a day Hydrogen peroxide 6% Rinse for 2 mins with 15ml diluted in half a cup of water

Question 29

How is herpes labialis cured?

Answer 29

Aciclovir cream 5%5 | Apply every 4 hours 5 times a day

Question 30

What is prescribed for odontogenic pain?

Answer 30

Paracetamol 500mg 2 tablets 4 times a day Ibuprofen 400mg One tablet 4 times a day The above is the maximum daily does 4g and 2.4g Ibuprofen should be after food

Question 31

What is given for moderate inflammatory or post operative pain?

Answer 31

Diclofenac spdium tablets 50mg 1 tablet 3 times a day 5 days Asprin dispersible tablets 300mg 2 tablets 4 times a day

Question 32

What need to be used in conjunction with NSAIDs in patients with stomach problems?

Answer 32

Protein pump inhibitors (PPI) Lanzoprazole caps 15mg One capsules once a day Gastro-resistant omeprazole tablets 20mg 1 capsule once a day Same length of time as NSAIDs

Question 33

How is trigeminal Neuralgia treated?

Answer 33

If suspected give carbamazepine tablets 100mg 1 tablet twice a day If positive response then diagnosis confirmed and make urgent referral

Question 34

What is given for oral sedation?

Answer 34

Diazepam tablets 5-10mg depending on anxiety and weight. 1 tablet night before 1 tablet one hour pre-op

Question 35

Interactions of metronidazole?

Answer 35

Alcoholics | Warfarin may be enhanced

Question 36

Erythromycin interactions?

Answer 36

Cause nausea vomiting diarrhoea avoid in pts with warfarin or statins

Question 37

Clindamycin interactions?

Answer 37

Avoid in pts with diarrhoea state and discontinue if diarrhoea or colitis occurs

Question 38

Doxycycline interactions?

Answer 38

May cause nausea vomiting diarrhoea dysphasia photo sensitivity Warfarin may be enhanced Avoid in patients with hepatic impairment

Question 39

Flucanazole & miconazole interactions?

Answer 39

Avoid warfarin and statin patients

Question 40

Ibuprofen. Aspirin and diclofenac interactions?

Answer 40

Avoid in pts with allergy to NSAIDs and asprin as may cause asthma attack Avoid in patients on low dose aspirin Caution in elderly pregnant nursing mothers warfarin coagulation defects renal cardiac or hepatic involvement

Question 41

Lanzoprazole and omeprazole interactions?

Answer 41

Caution in liver disease pregnancy and nursing mothers