The Dental Professional’s Role in the Prevention of Antibiotic Resistance and Adverse Antibiotic Reactions
Test Preview

Course Author(s): Maria L. Geisinger, DDS, MS

TEST PREVIEW

  1. Dentists are currently the _______________ most frequent prescribers of antibiotics in the U.S.
  1. It was estimated that between 2017-2019, up to _______ of antibacterial drug prescriptions were suboptimal or not indicated.
  1. According to the U.S. Centers for Disease Control and Prevention, multi-drug resistant bacteria infect approximately _______________ people each year.
  1. It is estimated that the main causes of antibiotic resistance include all of the following EXCEPT:
  1. All of the following are among the most common antibiotics prescribed by dentists, EXCEPT:
  1. There is a high level of variability between dental specialties with regard to prescription rates with _______________ having the lowest antibiotic prescription rates.
  1. The predicted death rates related to antibiotic resistance is estimated to rise to _______________ by the year 2050.
  1. Workplace measures were effective in reducing S. aureus infections and MRSA infections in a VA hospital setting. These measures included strict adherence to infection control and prescribing best practices.
  1. According to the 2019 ADA Clinical Practice Guidelines, what prescription (if any) is recommended for immunocompetent adults with symptomatic irreversible pulpitis (SIP) with or without symptomatic apical periodontitis (SAP)?
  1. According to the 2019 ADA Clinical Practice Guidelines, what prescription (if any) is recommended for immunocompetent adults with pulp necrosis and symptomatic apical periodontitis, (PN-SAP)?
  1. According to the 2019 ADA Clinical Practice Guidelines, what prescription (if any) is recommended for immunocompetent adults with pulp necrosis and acute apical abscess (PN-AAA) with systemic involvement?
  1. In cases of pulpal and periapical-related dental pain and intraoral swelling where antibiotics are indicated for urgent management, what are the recommended next steps?
  1. In cases of pulpal and periapical-related dental pain and intraoral swelling where antibiotics are indicated for urgent management, what are the recommended next steps?
  1. Patients demonstrate bacteremia after activities of daily living, including mastication and oral hygiene measures, that are in proportion to their levels of gingival inflammation and plaque deposits. In immunocompetent adults without other predisposing conditions, dental treatment may add significant additional risk for such patients.
  1. In a third molar extraction model, prophylactic antibiotic therapy prior to extractions not associated with infections in healthy patients, the routine use of antibiotics in these cases _______________.
  1. It is estimated that, on average, for every _______ implant patients undergoing dental implant placement who receive antibiotic prophylaxis prior to surgery, one implant failure is prevented.
  1. What is the current evidence-based recommended antibacterial prophylaxis prior to dental implant therapy to provide a clinically significant reduction in implant failure rates in a healthy, non-antibiotic allergic adult?
  1. Practitioner education, including 1-minute updates, once weekly for 12 weeks, have been shown to influence prescribing patterns for acute dentoalveolar conditions and decrease prescription rate decreased by ______ compared to pre-intervention levels.
  1. Providing patients information about the risks of antibiotic over-prescription, including educational posters in patient waiting areas stating that “antibiotics are not always the answer” and provider-delivered patient counseling are effective in reducing patient requests for antibiotic prescriptions.
  1. Medical practitioners who adopted antibiotic stewardship interventions are more likely to be all of the following characteristics EXCEPT:
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