INBDE (Integrated National Board Dental Examination) Practice Exam

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2 contraindications to Endodontic therapy are?

  1. Uncontrolled diabetes and MI within last 6 months

  2. Hypertension and Recent surgery

  3. Pregnancy and Asthma

  4. Allergy to anesthesia and Hepatitis

The correct answer is: Uncontrolled diabetes and MI within last 6 months

Contraindications are medical reasons that prevent a particular treatment or procedure from being done. In the context of endodontic therapy, which is a dental procedure to treat issues within the tooth's pulp (nerve) and root, the two potential contraindications to consider are uncontrolled diabetes and a recent heart attack (MI). This is because both conditions may increase the risk for complications during the procedure. In contrast, options B, C, and D are not typically considered contraindications for endodontic therapy. While high blood pressure (hypertension) and recent surgery may require extra precautions before starting the treatment, they do not necessarily prevent it from being done. Similarly, pregnancy and asthma are not considered contraindications, although proper precautions should be taken to ensure the safety of the mother and baby (for pregnant patients) or to prevent potential asthma attacks during the procedure. Allergy to anesthesia may also require special precautions, but it is not a complete contraindication unless it is a severe, life-threatening allergy. Similarly, a history of hepatitis would not necessarily prevent a patient from receiving endodontic therapy, although proper precautions may need to be taken to minimize the risk of infection for both the patient