DH290 UNIT 6 CASE STUDY WORKSHEET
HAVELES: EVOLVE RESOURCES FOR APPLIED
PHARMACOLOGY FOR THE DENTAL HYGIENIST, 7TH
EDITION
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Haveles: Evolve Resources for Applied Pharmacology for the Dental Hygienist, 7th Edition
Katie G. is a 29-year-old culinary arts student who comes to the dental hygiene clinic for a
routine prophylaxis. She notes on her medical history that she suffers from “heartburn” almost
every evening. Her chief complaint is stain on her anterior teeth, which she blames on her two-
packs-per-day cigarette habit and from drinking black coffee all day. Her blood pressure is
138/96, pulse is 90, and respirations are 15 per minute. During the intraoral examination, the
hygiene student notes severe erosion on the mandibular molars, and her throat and soft palate
are redder than normal. Katie medication history includes over-the-counter (OTC) antacids
taken to relieve her symptoms, oral contraceptives, and ibuprofen almost every day for
headaches.
1. All factors could contribute to Katie’s nightly “heartburn” except which of the following?
a. Hypertension
b. Coffee consumption
m
er as
c. Smoking habit
d. Ibuprofen
co
eH w
2. Which medications would be indicated to treat Katie’s GERD?
o.
rs e
ou urc
a. Histamine2–receptor antagonists
b. Proton pump inhibitors
c. Antacids
o
d. Metoclopramide
aC s
e. Laxatives
vi y re
f. All of the above
g. a, b, and c only
h. a, c, and d only
ed d
3. What long-term adverse health issues could occur if Katie’s GERD is not treated?
ar stu
a. Barrett esophagus
b. Stomach cancer
is
c. Duodenal ulcer
d. Esophageal cancer
Th
e. All of the above
f. a, b, and c only
g. a and d only
sh
4. All are appropriate management strategies for dental patients with peptic ulcer disease or
gastroesophageal reflux disease except which of the following?
a. Avoid use of aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).
b. Position the dental chair for patient comfort.
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