Question:medium
What is NOT true regarding an adult hemophiliac who visits a dentist?
What is NOT true regarding an adult hemophiliac who visits a dentist?
Show Hint
Think about what changes for a hemophiliac at the dentist: factor cover, screening, GA precautions, and injection technique, not the local anesthetic dose itself.
Updated On: Jul 8, 2026
- Cryoprecipitate may be needed
- The dose of lidocaine required is increased
- HIV screening is required
- Monitored GA care needs to be given
Show Solution
The Correct Option is B
Solution and Explanation
Step 1: Understanding the Question:
We need to pick the FALSE statement about dental care in an adult with hemophilia (low factor VIII or IX).
Step 2: Key Formula or Approach:
Go through each option and check it against standard hemophilia dental-care protocol: factor cover, anesthesia technique, infection screening, and GA precautions.
Step 3: Detailed Explanation:
Cryoprecipitate or factor VIII concentrate is standard cover before extractions, so that option is a true statement.
HIV screening is done because many hemophiliacs had past exposure to pooled blood products, so that option is also true.
If general anesthesia is used, monitored, factor-covered GA care is standard, so that option is true as well.
The lidocaine dose is not raised in hemophilia. What changes is technique: infiltration is chosen over a nerve block, because a block can injure a vessel deep in tissue and start a hematoma that is difficult to control.
Step 4: Final Answer:
The false statement is that the dose of lidocaine required is increased.
We need to pick the FALSE statement about dental care in an adult with hemophilia (low factor VIII or IX).
Step 2: Key Formula or Approach:
Go through each option and check it against standard hemophilia dental-care protocol: factor cover, anesthesia technique, infection screening, and GA precautions.
Step 3: Detailed Explanation:
Cryoprecipitate or factor VIII concentrate is standard cover before extractions, so that option is a true statement.
HIV screening is done because many hemophiliacs had past exposure to pooled blood products, so that option is also true.
If general anesthesia is used, monitored, factor-covered GA care is standard, so that option is true as well.
The lidocaine dose is not raised in hemophilia. What changes is technique: infiltration is chosen over a nerve block, because a block can injure a vessel deep in tissue and start a hematoma that is difficult to control.
Step 4: Final Answer:
The false statement is that the dose of lidocaine required is increased.
Was this answer helpful?
0
