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Ischemic Heart Disease and Angina

Total questions: 10

Worksheet time: 8mins

Name
Class
Date
1.

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

a)

A patient with underlying unrepaired tetralogy of Fallot

b)

A lady with Atrial Fibrillation with ECHO showing mitral valve regurgitation

c)

A patient with prosthetics heart valve replacement with residual defect

d)

A patient with atrial septal defect that has resolved spontaneously.

e)

A patient that has recovered from infective endocarditis 2 years ago

2.

Which of the following is NOT a CYANOTIC heart disease ?

a)

Tetralogy of fallot

b)

Transposition of Greater Arteries

c)

Tricuspid Atresia

d)

Atrial Septal Defect

e)

Truncus Arteriosus

3.

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

a)

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

b)

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

c)

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

d)

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

e)

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

4.

Which of the following is TRUE regarding infective endocarditis ?

a)

It's an infection of the pericardium of heart

b)

Presence of valvular vegetations act as a site for bacterial adherence

c)

Oral commensal microorganisms cannot cause infective endocarditis

d)

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

e)

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

5.

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

a)

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

b)

Patient with CHD may have a higher risk for dental caries

c)

Dental infections must be treated aggresively

d)

Pulp therapy is avoided in primary dentition

e)

Antibiotics prophylaxis is not required for exfoliating deciduous teeth

6.

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

a)

Emotion

b)

Embolism

c)

Exertion

d)

Eating

e)

Extreme hot or cold weather

7.

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

a)

Chest pain worse than usual

b)

3 doses of NTG fails to relieve pain

c)

Chest pain resolves on its own completely within 5 minutes

d)

NTG relieves the pain initally but the pain recurs

e)

Patient starts to lose consciousness

8.

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

a)

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

b)

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

c)

Patient has a known history of angina

d)

First episode of chest pain in a NKMI patient

e)

Patient confirms chest pain is similar to previous angina attacks

9.

The following are signs of an angina episode EXCEPT

a)

Chest pain and tightness

b)

Chest pain radiating to jaw

c)

Excessive sweating

d)

Chest pain relieved with rest / medication

e)

Triggered by stress

10.

The following are signs of a MI EXCEPT

a)

Crushing chest pain radiating to left arm and jaw

b)

Excessive sweating

c)

Nausea / vomiting

d)

Shortness of breath

e)

Pain relieved completely with rest