INBDE FINAL 2K EXAM 2025
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Patient 1
After the extraction and for pain management, which analgesic would be the
"first" to recommend for this patient?
a. Ibuprofen
b. Naproxen
c. Diclofenac
d. Acetaminophen
d. Acetaminophen
Yes acetaminophen is the first medication to recommend, however acetaminophen
may enhance the anticoagulant effect of Vitamin K Antagonists. This appears most
likely with daily acetaminophen doses exceeding 1.3 or 2 g/day for multiple
consecutive days. Educate patients, who may require significant acetaminophen
doses for multiple consecutive days to control dental pain, on the effects on
warfarin (increased INR).
END OF
PAGE 1
, INBDE FINAL 2K EXAM 2025
QUESTION 2
Patient 1
Major pathological changes seen in patients with COPD who are diagnosed
with chronic bronchitis include:
a. Air space enlargement
b. Mucous gland hyperplasia
c. Bronchial airway dilation
d. Loss of the elastic recoil
b. Mucous gland hyperplasia
The hallmark of COPD is chronic inflammation that affects central and peripheral
airways, lung parenchyma and alveoli, and pulmonary vasculature.Ciliary
dysfunction and increased goblet cell size and number lead to excessive mucus
secretion. Productive cough is the initial symptom of COPD
QUESTION 3
Patient 1
Considering the medication this patient is taking, which is the best laboratory
test to assess the bleeding potential prior to extraction?
a. ANC
b. INR (International Normalized Ratio)
c. HbA1C
END OF
PAGE 2
, INBDE FINAL 2K EXAM 2025
d. PTT (Partial Thromboplastin Time)
b. INR (International Normalized Ratio)
Tinternational normalized ration or INR is a calculation based on results of a PT
that is used to monitor individuals who are being treated with the bloodthinning
medication (anticoagulant) warfarin (Coumadin). PT reflects the functionality of
several different clotting factors, including the vitamin K- dependent clotting
factors; in particular for the extrinsic pathway.
QUESTION 4
Patient 1
Which coagulation pathway/s does prothrombin time (PT) measures? (check
all that apply)
a. Common pathway
b. Intrinsic pathway
c. Extrinsic pathway
a. Common pathway
c. Extrinsic pathway
The PT test measures the factors that make up the extrinsic and common pathways:
VII, X, V, II and Fibrinogen
END OF
PAGE 3
, INBDE FINAL 2K EXAM 2025
QUESTION 5
Patient 1
The patient was prescribed anticoagulant medication because the patient has
a fourfold increase in what type of complication/s? (check all that apply)
a. Tachycardia
b. Stroke
c. Thromboembolism
d. Hypertension
b. Stroke
c. Thromboembolism
The atria do not contract effectively in patients with atrial fibrillation , thereby
promoting the formation of intra-arterial clots along with consequent embolism
and stroke.
QUESTION 6
Patient 1
Which of the patient's medications is used as a "rescue" or "quick relief" for
COPD and it should be available during dental treatment?
a. Umeclidinium
b. Warfarin
c. Albuterol
END OF
PAGE 4
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Patient 1
After the extraction and for pain management, which analgesic would be the
"first" to recommend for this patient?
a. Ibuprofen
b. Naproxen
c. Diclofenac
d. Acetaminophen
d. Acetaminophen
Yes acetaminophen is the first medication to recommend, however acetaminophen
may enhance the anticoagulant effect of Vitamin K Antagonists. This appears most
likely with daily acetaminophen doses exceeding 1.3 or 2 g/day for multiple
consecutive days. Educate patients, who may require significant acetaminophen
doses for multiple consecutive days to control dental pain, on the effects on
warfarin (increased INR).
END OF
PAGE 1
, INBDE FINAL 2K EXAM 2025
QUESTION 2
Patient 1
Major pathological changes seen in patients with COPD who are diagnosed
with chronic bronchitis include:
a. Air space enlargement
b. Mucous gland hyperplasia
c. Bronchial airway dilation
d. Loss of the elastic recoil
b. Mucous gland hyperplasia
The hallmark of COPD is chronic inflammation that affects central and peripheral
airways, lung parenchyma and alveoli, and pulmonary vasculature.Ciliary
dysfunction and increased goblet cell size and number lead to excessive mucus
secretion. Productive cough is the initial symptom of COPD
QUESTION 3
Patient 1
Considering the medication this patient is taking, which is the best laboratory
test to assess the bleeding potential prior to extraction?
a. ANC
b. INR (International Normalized Ratio)
c. HbA1C
END OF
PAGE 2
, INBDE FINAL 2K EXAM 2025
d. PTT (Partial Thromboplastin Time)
b. INR (International Normalized Ratio)
Tinternational normalized ration or INR is a calculation based on results of a PT
that is used to monitor individuals who are being treated with the bloodthinning
medication (anticoagulant) warfarin (Coumadin). PT reflects the functionality of
several different clotting factors, including the vitamin K- dependent clotting
factors; in particular for the extrinsic pathway.
QUESTION 4
Patient 1
Which coagulation pathway/s does prothrombin time (PT) measures? (check
all that apply)
a. Common pathway
b. Intrinsic pathway
c. Extrinsic pathway
a. Common pathway
c. Extrinsic pathway
The PT test measures the factors that make up the extrinsic and common pathways:
VII, X, V, II and Fibrinogen
END OF
PAGE 3
, INBDE FINAL 2K EXAM 2025
QUESTION 5
Patient 1
The patient was prescribed anticoagulant medication because the patient has
a fourfold increase in what type of complication/s? (check all that apply)
a. Tachycardia
b. Stroke
c. Thromboembolism
d. Hypertension
b. Stroke
c. Thromboembolism
The atria do not contract effectively in patients with atrial fibrillation , thereby
promoting the formation of intra-arterial clots along with consequent embolism
and stroke.
QUESTION 6
Patient 1
Which of the patient's medications is used as a "rescue" or "quick relief" for
COPD and it should be available during dental treatment?
a. Umeclidinium
b. Warfarin
c. Albuterol
END OF
PAGE 4
