Question 1

The wives of dental personnel who are exposed to trace amounts of nitrous oxide in the workplace have a higher incidence of spontaneous abortion.

Accepted Answer

A) True 
 B)False  True

Question 2

Which of the following agents can cause premature closure of the patent ductus arteriosus?

Accepted Answer

A)  Acetaminophen 
B)  Clindamycin 
C)  Triazolam 
D)  Ibuprofen 
A)  Acetaminophen 
B)  Clindamycin 
C)  Triazolam 
D)  Ibuprofen D

Question 3

The pregnant dental patient is most comfortable during which trimester?

Accepted Answer

A)  First trimester 
B)  Second trimester 
C)  Third trimester 
D)  None of the above 
A)  First trimester 
B)  Second trimester 
C)  Third trimester 
D)  None of the above B

Question 4

Which of the following statements is true regarding the dental management of the pregnant dental patient?

Accepted Answer

A)  Avoid elective dental treatment except in the third trimester. 
B)  Oral prophylaxis is best performed during the second trimester. 
C)  The patient should be positioned in the Trendelenburg position during the last trimester. 
D)  Both a and b are true. 
E)  Both b and c are true. 
A)  Avoid elective dental treatment except in the third trimester. 
B)  Oral prophylaxis is best performed during the second trimester. 
C)  The patient should be positioned in the Trendelenburg position during the last trimester. 
D)  Both a and b are true. 
E)  Both b and c are true.

Question 5

Which of the following statements is true concerning fetal alcohol syndrome (FAS)?

Accepted Answer

A)  FAS involves growth retardation, central nervous system (CNS)abnormalities, and flat maxillary area or a thin lip. 
B)  Infants born to mothers who drank throughout pregnancy show more tremors, hypertonia, restlessness, crying, and abnormal reflexes compared with control groups after birth. 
C)  The safe alcohol threshold for the pregnant woman is 2 ounces of alcohol or 24 ounces of beer a day. 
D)  Both a and b are true. 
E)  Both b and c are true. 
A)  FAS involves growth retardation, central nervous system (CNS)abnormalities, and flat maxillary area or a thin lip. 
B)  Infants born to mothers who drank throughout pregnancy show more tremors, hypertonia, restlessness, crying, and abnormal reflexes compared with control groups after birth. 
C)  The safe alcohol threshold for the pregnant woman is 2 ounces of alcohol or 24 ounces of beer a day. 
D)  Both a and b are true. 
E)  Both b and c are true.

Question 6

Which of the following opioids has been associated with teratogenicity?

Accepted Answer

A)  Morphine 
B)  Codeine 
C)  Lomotil 
D)  Methadone 
A)  Morphine 
B)  Codeine 
C)  Lomotil 
D)  Methadone

Question 7

Benzodiazepines are indicated for the treatment of _____ during pregnancy.

Accepted Answer

A)  anxiety during oral surgery procedures 
B)  discomfort during scaling and root planing procedures 
C)  status epilepticus 
D)  both a and b 
E)  both b and c 
A)  anxiety during oral surgery procedures 
B)  discomfort during scaling and root planing procedures 
C)  status epilepticus 
D)  both a and b 
E)  both b and c

Question 8

Which of the following local anesthetics would be the best choice for dental application in the pregnant patient?

Accepted Answer

A)  Prilocaine 
B)  Lidocaine 
C)  Bupivacaine 
D)  Mepivacaine 
A)  Prilocaine 
B)  Lidocaine 
C)  Bupivacaine 
D)  Mepivacaine

Question 9

All of the following measures should be taken when prescribing drugs to a pregnant woman, except which one?

Accepted Answer

A)  No unnecessary drugs should be administered. 
B)  An adequate health history should be taken at each appointment. 
C)  Schedule morning appointments during the first trimester. 
D)  Closely coordinate with the patient's obstetrician. 
A)  No unnecessary drugs should be administered. 
B)  An adequate health history should be taken at each appointment. 
C)  Schedule morning appointments during the first trimester. 
D)  Closely coordinate with the patient's obstetrician.

Question 10

Which of the following is the NSAID of choice for the nursing mother?

Accepted Answer

A)  Ibuprofen 
B)  Naproxen 
C)  Diflunisal 
D)  Ketoprofen 
A)  Ibuprofen 
B)  Naproxen 
C)  Diflunisal 
D)  Ketoprofen

Question 11

A drug for which animal studies have failed to demonstrate a risk to the fetus and in which no adequate studies in pregnant women have been found would fall into which U.S. Food and Drug Administration (FDA)pregnancy risk category?

Accepted Answer

A)  Category A 
B)  Category B 
C)  Category C 
D)  Category D 
E)  Category X 
A)  Category A 
B)  Category B 
C)  Category C 
D)  Category D 
E)  Category X

Question 12

Which of the following is a potential consequence of administering a drug to a pregnant woman?

Accepted Answer

A)  Teratogenicity to the fetus 
B)  Spontaneous abortion 
C)  Delayed and long-term physiologic and psychologic consequences 
D)  Adverse reactions in the near-term fetus 
E)  All of the above 
A)  Teratogenicity to the fetus 
B)  Spontaneous abortion 
C)  Delayed and long-term physiologic and psychologic consequences 
D)  Adverse reactions in the near-term fetus 
E)  All of the above

Question 13

Which of the following tetracyclines is (are)contraindicated in pregnancy: (1)tetracycline, (2)minocycline, (3)doxycycline?

Accepted Answer

A)  1, 2, 3 
B)  1, 2 
C)  2, 3 
D)  1, 3 
E)  1 only 
A)  1, 2, 3 
B)  1, 2 
C)  2, 3 
D)  1, 3 
E)  1 only

Question 14

Aspirin is generally considered to be the best analgesic to administer during pregnancy.

Accepted Answer

A) True 
 B)False

Question 15

All of the following agents have been demonstrated to produce skeletal abnormalities in the fetus except which one?

Accepted Answer

A)  Doxycycline 
B)  Erythromycin other than the estolate form 
C)  Warfarin 
D)  Aspirin 
A)  Doxycycline 
B)  Erythromycin other than the estolate form 
C)  Warfarin 
D)  Aspirin

Question 16

Which antiinfective agent is least teratogenic?

Accepted Answer

A)  Clarithromycin 
B)  Doxycycline 
C)  Cephalexin 
D)  Metronidazole 
A)  Clarithromycin 
B)  Doxycycline 
C)  Cephalexin 
D)  Metronidazole

Question 17

Which of the following adverse effects is associated with smoking?

Accepted Answer

A)  Neonatal dependence 
B)  Intrauterine growth retardation, sudden infant death syndrome 
C)  Abnormal development patterns, neonatal withdrawal syndrome 
D)  Increased spontaneous abortion, premature labor, abnormal development, decreased school performance 
A)  Neonatal dependence 
B)  Intrauterine growth retardation, sudden infant death syndrome 
C)  Abnormal development patterns, neonatal withdrawal syndrome 
D)  Increased spontaneous abortion, premature labor, abnormal development, decreased school performance

Question 18

Which of the following antiinfective agents should be used for dental infections during pregnancy for susceptible anaerobic infections not sensitive to penicillin?

Accepted Answer

A)  Amoxicillin 
B)  Cephalosporins 
C)  Clindamycin 
D)  Metronidazole 
A)  Amoxicillin 
B)  Cephalosporins 
C)  Clindamycin 
D)  Metronidazole

Question 19

Which of the following statements is true concerning the effect of opioids such as codeine on an infant after administration to the mother?

Accepted Answer

A)  Opioids appear in breast milk when analgesic doses are administered. 
B)  If the mother is addicted, the infant will experience withdrawal symptoms after birth. 
C)  The infant should be observed for signs of euphoria. 
D)  Both a and b are true. 
E)  Both b and c are true. 
A)  Opioids appear in breast milk when analgesic doses are administered. 
B)  If the mother is addicted, the infant will experience withdrawal symptoms after birth. 
C)  The infant should be observed for signs of euphoria. 
D)  Both a and b are true. 
E)  Both b and c are true.

Question 20

All NSAIDs carry a warning to avoid use during pregnancy.

Accepted Answer

A) True 
 B)False

Exam 25: Pregnancy and Breast Feeding

The wives of dental personnel who are exposed to trace amounts of nitrous oxide in the workplace have a higher incidence of spontaneous abortion.

Which of the following agents can cause premature closure of the patent ductus arteriosus?

The pregnant dental patient is most comfortable during which trimester?

Which of the following statements is true regarding the dental management of the pregnant dental patient?

Which of the following statements is true concerning fetal alcohol syndrome (FAS)?

Which of the following opioids has been associated with teratogenicity?

Benzodiazepines are indicated for the treatment of _____ during pregnancy.

Which of the following local anesthetics would be the best choice for dental application in the pregnant patient?

All of the following measures should be taken when prescribing drugs to a pregnant woman, except which one?

Which of the following is the NSAID of choice for the nursing mother?

A drug for which animal studies have failed to demonstrate a risk to the fetus and in which no adequate studies in pregnant women have been found would fall into which U.S. Food and Drug Administration (FDA)pregnancy risk category?

Which of the following is a potential consequence of administering a drug to a pregnant woman?

Which of the following tetracyclines is (are)contraindicated in pregnancy: (1)tetracycline, (2)minocycline, (3)doxycycline?

Aspirin is generally considered to be the best analgesic to administer during pregnancy.

All of the following agents have been demonstrated to produce skeletal abnormalities in the fetus except which one?

Which antiinfective agent is least teratogenic?

Which of the following adverse effects is associated with smoking?

Which of the following antiinfective agents should be used for dental infections during pregnancy for susceptible anaerobic infections not sensitive to penicillin?

Which of the following statements is true concerning the effect of opioids such as codeine on an infant after administration to the mother?

All NSAIDs carry a warning to avoid use during pregnancy.

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