CIT Pharmacology & Medications in Implantology 3

Question 1

A patient develops urticaria (hives) and facial swelling shortly after receiving amoxicillin prophylaxis before implant surgery. This presentation is most consistent with:

Accepted Answer

An IgE-mediated (Type I) allergic reaction requiring immediate intervention

Answer

Urticaria and angioedema appearing shortly after drug administration represent a classic IgE-mediated anaphylactic reaction requiring prompt treatment, typically epinephrine.

Question 2

Prolonged antibiotic use after implant surgery may necessitate prescribing a supplemental antifungal agent. Which antifungal is most commonly used for oral candidiasis in this scenario?

Accepted Answer

Nystatin oral suspension

Answer

Nystatin oral suspension is the first-line topical antifungal for oral candidiasis (thrush) that can develop after broad-spectrum antibiotic disruption of oral flora.

Question 3

What is the primary advantage of using acetaminophen (paracetamol) over NSAIDs for post-implant pain management in patients with peptic ulcer disease?

Accepted Answer

Acetaminophen does not inhibit COX enzymes and therefore does not irritate the gastric mucosa

Answer

Unlike NSAIDs, acetaminophen does not inhibit cyclooxygenase in the gastric lining, so it does not reduce the protective prostaglandin layer of the gastric mucosa.

Question 4

A patient on long-term corticosteroid therapy is being evaluated for implant surgery. The primary concern regarding their steroid use is:

Accepted Answer

Adrenal suppression and potential for adrenal crisis under surgical stress

Answer

Long-term corticosteroids suppress the hypothalamic-pituitary-adrenal axis; under the stress of surgery, the adrenal glands may not produce adequate cortisol, risking an adrenal crisis.

Question 5

Which medication class is known to potentially impair osseointegration by interfering with bone remodeling at the cellular level?

Accepted Answer

Long-term systemic corticosteroids

Answer

Systemic corticosteroids suppress osteoblast differentiation and activity while promoting osteoclast activity, which can impair the bone formation required for osseointegration.

(CIT) Certified Implantology Technician Practice Test

(CIT) Certified Implantology Technician Practice Test

CIT Pharmacology & Medications in Implantology 3