Samara P. is a 30-year-old African-American nurse who works in the public health clinic with you. She was diagnosed with systemic lupus erythematosus 10 years ago and is being treated with methotrexate, prednisone, calcium supplements, and ibuprofen. She often jokes in the cafeteria that she would “rather have another baby” than come visit the dental clinic. Her new physician has read the studies linking oral and systemic health and insists that she make an appointment for a prophylaxis and a complete dental checkup. When you take her back to your treatment area and assess her vital signs, her blood pressure is 160/100 mm Hg and her pulse rate is 100 bpm, which, she states, are her usual readings. After taking her radiographs and performing a thorough assessment, you formulate a dental hygiene diagnosis of moderate bone loss and moderate periodontitis, although her oral hygiene is excellent. You have just started scaling the upper right quadrant when she complains of severe stomach pain and then lapses into unconsciousness. You reassess her blood pressure, and it has dropped to 80/60 mm Hg. You immediately dial 9-1-1.1) Which of Samara’s medications is the probable cause of her hypertension at the beginning of her appointment?, Ibuprofen, Methotrexate, Calcium supplement, Prednisone, Which tissue responses would you expect at the completion of periodontal debridement for Samara?, Delayed healing response, Accelerated healing response, Gingival enlargement, Normal healing response, Which is the probable cause of Samara’s drop in blood pressure, stomach pain, and loss of consciousness?, Psychogenic shock, Adrenal crisis, Hypotensive crisis, Hypertensive crisis, Which is the most likely explanation for Samara’s periodontal condition, given that she has good oral hygiene?, Hereditary components, Systemic effect of lupus, Steroid use, Local effects of lupus, What is the basis of the anti-inflammatory action of glucocorticoids?, Increase in concentration of neutrophils, Decrease in concentration of neutrophils, Increase in T and B lymphocytes, monocytes, eosinophils, and basophils, Decrease in T and B lymphocytes, monocytes, eosinophils, and basophils, Increase in production of prostaglandins and leukotrienes from arachidonic acid, Decrease in production of prostaglandins and leukotrienes from arachidonic acid, Which combination best describes the anti-inflammatory action of glucocorticoids?, a, d, and f, b, c, and e, The most extensive use of the corticosteroids in medicine and dentistry is for treatment of a wide variety of inflammatory and allergic conditions. These agents cure as well as ameliorate symptoms because of the inflammatory process., Both statements are false., Both statements are true., The first statement is true; the second statement is false., The first statement is false; the second statement is true..

Samara- chapter 16

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