Ischemic Heart Disease and Angina

Which of the following is NOT INDICATED for antibiotic prophylaxis to prevent Infective Endocarditis ?

• A patient with underlying unrepaired tetralogy of Fallot

• A lady with Atrial Fibrillation with ECHO showing mitral valve regurgitation

• A patient with prosthetics heart valve replacement with residual defect

• A patient with atrial septal defect that has resolved spontaneously.

• A patient that has recovered from infective endocarditis 2 years ago

Which of the following is NOT a CYANOTIC heart disease ?

• Tetralogy of fallot

• Transposition of Greater Arteries

• Tricuspid Atresia

• Atrial Septal Defect

• Truncus Arteriosus

Which of the following is the WRONG prescription of antibiotic prophylaxis to prevent IE ?

• Cap Amoxicillin 2G 60mins pre-op (adult)

• Syrup Amoxicillin 50mg/kg 60mins pre-op (child)

• Cap Amoxicillin 1G 60mins pre-op (adult)

• Cap Azithromycin 500mg 60mins pre-op (adult)

• IV Ampicillin 2G 60mins pre-op (adult)

Which of the following is TRUE regarding infective endocarditis ?

• It's an infection of the pericardium of heart

• Presence of valvular vegetations act as a site for bacterial adherence

• Oral commensal microorganisms cannot cause infective endocarditis

• Oral hygiene is important as bad breath is caused by infective endocarditis

• Congenital heart disease is not proven as a risk factor for infective endocarditis

Which of the following dental implication in CHD patients is FALSE ?

• Molar Incisor Hypoplasia is NOT a known anomaly in cyanotic CHD patient

• Patient with CHD may have a higher risk for dental caries

• Dental infections must be treated aggresively

• Pulp therapy is avoided in primary dentition

• Antibiotics prophylaxis is not required for exfoliating deciduous teeth

Which of the following is NOT one of the 4 E's of Angina

• Emotion

• Embolism

• Exertion

• Eating

• Extreme hot or cold weather

Which of the follwong is NOT a sign of ACS in a patient with known angina history?

• Chest pain worse than usual

• 3 doses of NTG fails to relieve pain

• Chest pain resolves on its own completely within 5 minutes

• NTG relieves the pain initally but the pain recurs

• Patient starts to lose consciousness

After an episode of acute chest pain, all the following conditions must be met for continuation of planned dental treatment EXCEPT

• Complete resolution of chest pain after a maximum of 3 doses of GTN

• Patient and dentist are comfortable to continue with treatment after percipitating factor is identified and managed

• Patient has a known history of angina

• First episode of chest pain in a NKMI patient

• Patient confirms chest pain is similar to previous angina attacks

The following are signs of an angina episode EXCEPT

• Chest pain and tightness

• Chest pain radiating to jaw

• Excessive sweating

• Chest pain relieved with rest / medication

• Triggered by stress

The following are signs of a MI EXCEPT

• Crushing chest pain radiating to left arm and jaw

• Excessive sweating

• Nausea / vomiting

• Shortness of breath

• Pain relieved completely with rest