A 50 years-old man presented after a full mouth extraction complaining that he ”bled all night”. Which of the following pre. existing conditions could be responsible for the post operative bleeding: a. Blood pressure reading of 140/80 b. Gastric ulcer. c. Elevated prothrombin time. d. None of the above.

A 50 years-old man presented after a full mouth extraction complaining that he ”bled all night”.  Which of the following pre. existing conditions could be responsible for the post operative  bleeding:
 a. Blood pressure reading of 140/80
 b. Gastric ulcer.
 c. Elevated prothrombin time.
 d. None of the above.
by

1 Answer

Answer :

c. Elevated prothrombin time.
by

Related questions

A 50 years old man presents after a full mouth extraction complaining that he “bled all night”. Which of the following pre existing conditions could be responsible for the post operative bleeding: A. Blood pressure reading of 180/110 B. Gastric ulcer C. Elevated prothrombin time D. A & C are correct E. None of the above

Description : A 50 years old man presents after a full mouth extraction complaining that he bled all night . Which of the following pre existing conditions could be responsible for the post operative bleeding: A. Blood ... ulcer C. Elevated prothrombin time D. A & C are correct E. None of the above

Last Answer : D. A & C are correct

Patient on anti-coagulant therapy requires an extraction to be performed. Which of the following is NOT true: A. Minor post operative bleedings can be reduced somehow by using tranexamic acid B. Prothrombin value (INR) of 3 is enough to perform extraction C. It takes at least 8 hours for heparin to take effects D. Heparin should be administered sub-cutaneous

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Last Answer : C. It takes at least 8 hours for heparin to take effects

A patient on dicoumarol treatment needs extraction. Which of the following is MOST valuable in evaluating surgical risks: A. Clotting time B. Bleeding time C. Prothrombin time D. Sedimentation rate E. Complete blood cell count

Description : A patient on dicoumarol treatment needs extraction. Which of the following is MOST valuable in evaluating surgical risks: A. Clotting time B. Bleeding time C. Prothrombin time D. Sedimentation rate E. Complete blood cell count

Last Answer : C. Prothrombin time

A patient who has been taking quantities of aspirin might show increased post operative bleeding because aspirin inhibits:** A. Synthesis of thromboxane A2 and prevents platelet aggregation B. Synthesis of prostacyclin and prevents platelet aggregation C. Synthesis of prostaglandin and prevents production of blood platelets D. Thrombin and prevents formation of the fibrin network E. Increase the absorption of vitamin K and prevents synthesis of blood clotting factors

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Last Answer : A. Synthesis of thromboxane A2 and prevents platelet aggregation

An old male presents complaining of having numerous white lesions in the oral cavity within past few days. Prior to this the family physician prescribed chlorite tetracycline for an upper respiratory infection, the patient is taking this antibiotic for the past two weeks; lesions are relatively non-painful, slightly elevated, adhered plaques on the lip mucosa, buccal mucosa and the tongue. MOST LIKELY to be:

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Last Answer : Moniliasis (Which is candidiasis) 

A 67-year-old male with advanced cholangiocarcinoma develops gram-negative sepsis. Excessive bleeding is noted around vascular catheters and from needle puncture sites. The diagnosis of disseminated intervascular coagulation (DIC) is considered. Which of the following laboratory test(s) is/are indicative of DIC? a. Decreased platelet count b. Decreased fibrinogen level c. Normal prothrombin time d. Elevated fibrin split products

Description : A 67-year-old male with advanced cholangiocarcinoma develops gram-negative sepsis. Excessive bleeding is noted around vascular catheters and from needle puncture sites. The diagnosis of disseminated ... b. Decreased fibrinogen level c. Normal prothrombin time d. Elevated fibrin split products

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Patient with haemophilia presents which of the following findings:** A. Increased prothrombin time B. Increased bleeding time C. Increased clotting time

Description : Patient with haemophilia presents which of the following findings:** A. Increased prothrombin time B. Increased bleeding time C. Increased clotting time

Last Answer : A. Increased prothrombin time

12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for several weeks. How would you manage this patient? M07 ********* A. Prescribe Metronidazole 100mg B. Locally debride, give oral hygiene instruction and prescribe H2O2 mouth wash. C. Give a prophylaxis with ultra sonic scaling D. Refer for haematological screening

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Last Answer : D. Refer for haematological screening

Which of the following is not true about warfarin, a. INR of 3 is enough to start any extraction. b. Affects extrinsic system and increases prothrombin time. c. Heparin can be given subcutaneously and acts rapidly. d. It takes at least 12 hours for Vitamin K to reverse the effects of coumarin.

Description : Which of the following is not true about warfarin, a. INR of 3 is enough to start any extraction. b. Affects extrinsic system and increases prothrombin time. c. Heparin can be given subcutaneously ... rapidly. d. It takes at least 12 hours for Vitamin K to reverse the effects of coumarin.

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Which of the following is not true about warfarin, ** A. INR of 3 is enough to start any extraction B. Affects extrinsic system and decreases prothrombin time C. Heparin can be given subcutaneously and acts rapidly D. It takes up to 12 hours for Vitamin K to reverse the effects of warfarin

Description : Which of the following is not true about warfarin, ** A. INR of 3 is enough to start any extraction B. Affects extrinsic system and decreases prothrombin time C. Heparin can be given subcutaneously and acts rapidly D. It takes up to 12 hours for Vitamin K to reverse the effects of warfarin

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A female patient 18 years old, who is contact lens wearer since two years, is complaining of redness, lacrimation and foreign body sensation of both eyes. On examination, visual acuity was 6/6 with negative fluorescein test. The expected diagnosis can be: a. Acute anterior uveitis. b. Giant papillary conjunctivitis. c. Bacterial corneal ulcer. d. Acute congestive glaucoma

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An adult patient with a history of bacterial endocarditis requires prophylactic administration of antibiotics prior to removal of teeth. Indicate the pre-operative regimen:** A. Amoxicillin 2 gram one hour before operation orally B. Penicillin 250 mg orally six hours before operation C. Tetracycline 250-500 mg orally 2 hours before treatment

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Last Answer : A. Amoxicillin 2 gram one hour before operation orally

Inhibitors of prostaglandin synthesis share the following features except: A. Prolongation of bleeding time B. Prolongation of prothrombin time C. Prolongation of labour D. Gastric mucosal damage

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Last Answer : B. Prolongation of prothrombin time

A 39 years old women Para 6 has presented with complaint of post coital bleeding for the past three months. Your first investigation should be: a) Dilatation & Curettage. b) Cone biopsy of cervix. c) Pap smear. d) Colposcopy. e) Laparoscopy.

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Von Willebrand’s disease is a common, congenital bleeding disorder. Which of the following statement(s) is/are true concerning Von Willebrand’s disease? a. As in hemophilia, it is much more common in men b. A history of spontaneous bleeding is common c. Screening laboratory tests will include a prolonged aPTT with a normal prothrombin time d. Pre-treatment for elective surgery require administration of cryoprecipitate to achieve levels of 23–50% of normal

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What is true of acid control therapy with H2 blockers: A. It generally heals duodenal ulcers faster than gastric ulcers B. It checks bleeding in case of bleeding peptic ulcer C. It prevents gastroesophageal reflux D. Both ‘A’ and ‘B’ are correct

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.In minor oral surgery which is TRUE in regard to antibiotics: a. Amoxil is satisfactory against most oral infection. b. Metronidazole and Amoxil have the same penetrating power. c. It is evident that it will reduce post operative swelling.

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As far as surgical removal of wisdom teeth is concerned which of the following is true? a- Prophylactic prescription of antibiotic reduces dramatically the chances of infection. b- Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve. c- Prophylactic prescription of dexamethasone will dramatically reduce post operative swelling. d- Inferior dental nerve injury is unlikely since the nerve passes medial to the wisdom tooth root. e- The use of vasoconstrictors in local anaesthetics will increase the chances of infection.

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Last Answer : b- Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve.

What is TRUE about Benzodiazepine and diazepam in 5-10mg oral dose used for oral sedation in dentistry: A. Good analgesic effect if given 1 hour prior to dental sessions B. Would be reversed by flumazepil because it is a Benzodiazepam C. Post operative headache D. There is a profound amnesic action and no side affects

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In minor oral surgery, what is TRUE in regard to antibiotics: A. Amoxil is satisfactory against most oral infections B. Metronidazole and Amoxil have the same penetrating power C. It is evident that it will reduce post operative swelling

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If amalgam gets contaminated with moisture, the most uncommon result is:** A. Blister formation B. Post operative pain C. Secondary caries D. Lower compressive strength

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Last Answer : C. Secondary caries

Tetracycline hydrochloride conditioning of root surfaces in periodontal surgery is to: A. Sterilise the root surface B. May enhance binding of fibronectin and fibroblast C. Aids in re-mineralising the root surface D. Assist the biding of lamina dura E. Prevents post operative infections

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Last Answer : B. May enhance binding of fibronectin and fibroblast

As far as surgical removal of wisdom teeth is concerned, which of the following is true?**CHECK A. Prophylactic prescription of antibiotic reduces dramatically the chances of infection B. Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve ADC M07 C. Prophylactic prescription of dexamethasone will dramatically reduces post operative swelling D. Inferior dental nerve injury is unlikely since the nerve passes medial to the wisdom tooth root E. The use of vasoconstrictors in local anaesthetics will increase the chances of infection.

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Last Answer : C. Prophylactic prescription of dexamethasone will dramatically reduces post operative swelling

What is NOT TRUE in relation to the prescription of 5mg or 10mg of diazepam for sedation?check A. Patient commonly complain of post operative headache T B. An acceptable level of anxiolytic action is obtained when the drug is given one hour preoperatively T C. There is a profound amnesic action and no side affects not sure D. Active metabolites can give a level of sedation up to 8 hours post operatively T E. As Benzodiazepine the action can be reversed with FlumazepilNE T

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A Patient with lower denture complaining of paresthesia of the lower lip, the most common cause is, A. Pressure on mental foramen B. Pressure on the genioglossi Mylohyoid muscles

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In which of the following conditions vesicles/bullae are never seen prior to ulceration: A. HSV 1 B. Aphthous ulcer C. Pemphigus

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A 65 years-old patient needs extraction of 44; he has taken insulin in the morning. What preoperative advice you should give: A. Take more sugar B. Maintain normal diet C. Antibiotic 2 hours before D. Medication increases preoperatively

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After the placement of a class I amalgam the patient comes back to you complaining of pain on masticating and biting; what is the first thing you would look at, A. Occlusal height B. Contacts areas

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A patient presents complaining of a stomach upset 48 hours after starting a course of antibiotic for oral infection, this is an example of, A. Type I allergic reaction B. Nervous disorder C. Side effect of the drug D. Type IV hypersensitivity reaction E. Pyloric stenosis

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Description : Normal blood pressure of man is – (1) 80/120 mm Hg (2) 90/140 mm Hg (3) 120/160 mm Hg (4) 85/150 mm Hg

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years old male diagnosis as case of gastric ulcer , culture -ve h.pylori pathology –ve of cancer ttt: proton pumb inhibitor antihistamine after 6-8 wk do endoscope after therapy referral to surgery

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A female patient comes to you complaining of persistent pain in a heavily restored central incisor; you suspect pulpitis and you have been told that she is in transit leaving by plane next day. Your treatment will be, A. Remove filling and place a sedative dressings B. Pulp extirpation and obturate with Ledermix dressings C. Prescribe analgesics and systemic antibiotic

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A patient is complaining of an open sore on the buccal mucosa. The lesion is painless, ulcerated, has indurated margins, 1.5 cm in diameter, covered by greyish-white exudate, enlarged lymph nodes and tender, negative tuberculin test and positive serology. The diagnosis is

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The first thing to check when patient comes complaining of pain under denture is: A. Occlusion B. Soft tissues changes

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On examination of an 8 years-old child you find 75 with carious exposure. On X-ray you find 35 missing. Your treatment is: A. Extraction of 75 allowing 36 to move mesially B. Pulpotomy on 75 and wait indefinitely C. Extraction of 75 and place a fixed space retainer to be replaced with fixed bridge. D. Extraction of 65 and 75

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58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be: a) Colposcopy. b) Pap smear. c) Cone biopsy. d) D & C (dilatation & Curettage). e) Hysteroscopy

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Pre-operatively, the nurse identified the nursing dagnosis, “Knowledge Deficit: Post-operative communication strategies”. Which of the following is a relevant nursing intervention? A. Clarify information on purpose, anticipate benefits and consequences of total laryngectomy B. Explain that total laryngectomy results in loss of ability to verbally communicate C. Arrange a visit to a post-laryngectomy client who effectively uses an alternative form of verbal communication D. Illustrate means of communicating post- operatively

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Last Answer : D. Illustrate means of communicating post- operatively

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The principle muscle responsible for the opening of the mouth is,*** A. Mylohyoid B. Anterior temporal C. Posterior temporal D. Anterior belly of digastric

Description : The principle muscle responsible for the opening of the mouth is,*** A. Mylohyoid B. Anterior temporal C. Posterior temporal D. Anterior belly of digastric

Last Answer : D. Anterior belly of digastric

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A 12 years-old girl complains of sore mouth, she has painful cervical lymphadenitis and a temperature of 39°c, oral examination shows numerous yellow grey lesions. What is the MOST LIKELY diagnosis: A. Measles (koplick spots are present next to the molars usually) B. Erythema multiform se da general mentor hombres mas de 20 años en labios C. Herpetic gingivostomatitis D. Stevens-Johnson syndrome

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Last Answer : C. Herpetic gingivostomatitis