Medical Emergencies · single question
What antibiotic prophylaxis does a patient with multiple myeloma require before dental treatment?
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Correct answer: D. None — multiple myeloma is not an indication for prophylaxis
- A. Clindamycin is an alternative regimen for a valid indication — none exists here.
- B. Azithromycin is likewise an alternative for penicillin-allergic patients with a valid indication.
- C. Amoxicillin prophylaxis is reserved for specific cardiac conditions and select prosthetic joint scenarios.
- D. Correct. Multiple myeloma itself is not an AHA prophylaxis category. The real dental concerns are MRONJ risk from bisphosphonate therapy, bleeding from thrombocytopenia, and infection risk from chemotherapy-induced neutropenia — which may prompt physician consultation rather than routine prophylaxis.
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