Question 1

Metronidazole

Accepted Answer

A) should only be used during the second trimester of pregnancy. 
B) is expressly contraindicated for the nursing mother. 
C) has been shown to produce birth defects in animals. 
D) Both A and B are correct. 
E) Both B and C are correct. 
A) should only be used during the second trimester of pregnancy. 
B) is expressly contraindicated for the nursing mother. 
C) has been shown to produce birth defects in animals. 
D) Both A and B are correct. 
E) Both B and C are correct. C

Question 2

Which of the following statements is true of the use of nystatin in either a pregnant woman or a nursing infant?

Accepted Answer

A) Nystatin may be used by either a pregnant woman or a nursing infant. 
B) Nystatin may be used by a pregnant woman,but not by a nursing infant. 
C) Nystatin may be used by a nursing infant,but not by a pregnant woman. 
D) Nystatin is not to be used by either a pregnant woman or a nursing infant. 
A) Nystatin may be used by either a pregnant woman or a nursing infant. 
B) Nystatin may be used by a pregnant woman,but not by a nursing infant. 
C) Nystatin may be used by a nursing infant,but not by a pregnant woman. 
D) Nystatin is not to be used by either a pregnant woman or a nursing infant. A

Question 3

Which operating personnel who are exposed to trace amounts of nitrous oxide have significantly higher incidence of spontaneous abortion and birth defects in their children?

Accepted Answer

A) Both women and men. 
B) Women but not men. 
C) Men but not women. 
D) Pregnant women only. 
A) Both women and men. 
B) Women but not men. 
C) Men but not women. 
D) Pregnant women only. A

Question 4

Which dental anesthetic is contra-indicated for a pregnant woman?

Accepted Answer

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

Question 5

Small doses of epinephrine in dental local anesthetic are similar to those produced endogenously.Large doses could have adverse effects on the fetus.

Accepted Answer

A) Both statements are true. 
B) Both statements are false. 
C) The first statement is true;the second is false. 
D) The first statement is false;the second is true. 
A) Both statements are true. 
B) Both statements are false. 
C) The first statement is true;the second is false. 
D) The first statement is false;the second is true.

Question 6

Which of the following antiinfective agents is regarded as safe to use during pregnancy?

Accepted Answer

A) Doxycycline 
B) Azithromycin 
C) Minocycline 
D) Amoxicillin 
A) Doxycycline 
B) Azithromycin 
C) Minocycline 
D) Amoxicillin

Question 7

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

Question 8

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 9

Which is the best choice of analgesic for a pregnant patient?

Accepted Answer

A) Acetylsalicylic acid (aspirin,AS
A)  
B) Ibuprofen (Motrin) 
C) Naproxen (Naprosyn) 
D) Acetaminophen (Tylenol) 
A) Acetylsalicylic acid (aspirin,AS
A)  
B) Ibuprofen (Motrin) 
C) Naproxen (Naprosyn) 
D) Acetaminophen (Tylenol)

Question 10

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 11

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

Question 12

Erythromycin is concentrated in breast milk.A nursing mother should be given erythromycin only if the breast milk is expressed and discarded during treatment and 48 hours after the last dose.

Accepted Answer

A) Both statements are true. 
B) Both statements are false. 
C) The first statement is true;the second is false. 
D) The first statement is false;the second is true. 
A) Both statements are true. 
B) Both statements are false. 
C) The first statement is true;the second is false. 
D) The first statement is false;the second is true.

Question 13

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

Question 14

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 15

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

Accepted Answer

A) True 
 B)False

Question 16

Which antiinfective agent is least teratogenic?

Accepted Answer

A) Clarithromycin 
B) Acetaminophen 
C) Cephalexin 
D) Tetracycline 
A) Clarithromycin 
B) Acetaminophen 
C) Cephalexin 
D) Tetracycline

Question 17

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 18

All of the following measures should be taken when prescribing drugs to a pregnant woman EXCEPT one.Which is the EXCEPTION?

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 19

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 20

Proving that a drug is teratogenic is difficult because

Accepted Answer

A) drugs are uniformly teratogenic. 
B) the timing of the drug exposure is consistent for each drug. 
C) one drug can produce a variety of abnormalities,and different drugs can produce the same abnormality. 
D) different animal species and humans are uniformly consistent in their responses to drugs. 
A) drugs are uniformly teratogenic. 
B) the timing of the drug exposure is consistent for each drug. 
C) one drug can produce a variety of abnormalities,and different drugs can produce the same abnormality. 
D) different animal species and humans are uniformly consistent in their responses to drugs.

Exam 22: Pregnancy and Breast Feeding

Metronidazole

Which of the following statements is true of the use of nystatin in either a pregnant woman or a nursing infant?

Which operating personnel who are exposed to trace amounts of nitrous oxide have significantly higher incidence of spontaneous abortion and birth defects in their children?

Which dental anesthetic is contra-indicated for a pregnant woman?

Small doses of epinephrine in dental local anesthetic are similar to those produced endogenously.Large doses could have adverse effects on the fetus.

Which of the following antiinfective agents is regarded as safe to use during pregnancy?

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

Benzodiazepines are indicated for the treatment of _____ during pregnancy.

Which is the best choice of analgesic for a pregnant patient?

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

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

Erythromycin is concentrated in breast milk.A nursing mother should be given erythromycin only if the breast milk is expressed and discarded during treatment and 48 hours after the last dose.

The pregnant dental patient is most comfortable during which trimester?

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.

Which antiinfective agent is least teratogenic?

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

All of the following measures should be taken when prescribing drugs to a pregnant woman EXCEPT one.Which is the EXCEPTION?

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

Proving that a drug is teratogenic is difficult because

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