2025 Dental Management Test Bank – Little and Falace's Guide for Dental Professionals

Test Bank For Little and Falace's Dental Management of
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the Medically Compromised Patient,
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10thEdition by Craig Miller, Ch
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apters 1 - 30l l l

,Little:lDentallManagementloflthelMedicallylCompromisedlPatient,l10thlEditionlTestl
Bank

TableloflContents
PARTlONE:lPATIENTlEVALUATIONlANDlRISKlASSESSMENT
Chapterl1:lPatientlEvaluationlandlRisklAssessment
PARTlTWO:lCARDIOVASCULARlDISEASE
Chapterl2:lInfectivelEndocarditislChapt
erl3:lHypertension
Chapterl4:lIschemiclHeartlDiseaselCh
apterl5:lCardiaclArrhythmias
Chapterl6:lHeartlFailurel(orlCongestivelHeartlFailure)
PARTlTHREE:lPULMONARYlDISEASE
Chapterl7:lPulmonarylDisease
Chapterl8:lSmokinglandlTobaccolUselCessationlC
hapterl9:lSleep-
RelatedlBreathinglDisorderslPARTlFOUR:lGAST
ROINTESTIALlDISEASE
Chapterl10:lLiverlDisease
Chapterl11:lGastrointestinallDisease
PARTlFIVE:lGENITOURINARYlDISEASE
Chapterl12:lChroniclKidneylDiseaselandlDialysislC
hapterl13:lSexuallylTransmittedlDiseases
PARTlSIX:lENDOCRINElANDlMETABOLIClDISEASE
Chapterl14:lDiabeteslMellituslChapterl
15:lAdrenallInsufficiencylChapterl16:lT
hyroidlDiseases
Chapterl17:lPregnancylandlBreastlFeeding
PARTlSEVEN:lIMMUNOLOGIClDISEASE
Chapterl18:lAIDS,lHIVlInfection,landlRelatedlConditionslChapterl1
9:lAllergy
Chapterl20:lRheumatologiclandlConnectivelTissuelDisorderslChapterl
21:lOrganlandlBonelMarrowlTransplantation
PARTlEIGHT:lHEMATOLOGIClANDlONCOLOGIClDISEASE
Chapterl22:lDisordersloflRedlBloodlCellslChapterl2
3:lDisordersloflWhitelBloodlCells
Chapterl24:lAcquiredlBleedinglandlHypercoagulablelDisorderslChapte
rl25:lCongenitallBleedinglandlHypercoagulablelDisorderslChapterl26:l
CancerlandlOrallCareloflthelPatient
PARTlNINE:lNEUROLOGIC,lBEHAVIORAL,lANDlPSYCHIATRIClDISORDERS
Chapterl27:lNeurologiclDisorders
Chapterl28:lAnxiety,lEatinglDisorders,landlBehaviorallReactionsltolIllnesslChapterl2
9:lPsychiatriclDisorders
Chapterl30:lDruglandlAlcohollAbuse

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Chapterl01:lPatientlEvaluationlandlRisklAssessment
Little:lDentallManagementloflthelMedicallylCompromisedlPatient,l10thlEdition


MULTIPLElCHOICE

1. Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhyperte
nsion,lmeaninglthatlthelbloodlpressurelislgreaterlthanlorlequallto mmlHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:l C
Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhyperten
sion,lwhichlislbloodlpressurelgreaterlthanlorlequalltol180/110lmmlHg,luntillthelconditio
nlcanlbelbroughtlunderlcontrol.

2. ThelAmericanlHeartlAssociationlcurrentlylrecommendslantibioticlprophylaxislforlalpat
ientlwithlwhichloflthelfollowinglcardiaclconditions?
a. Mitrallvalvelprolapse
b. Prostheticlheartlvalve
c. Rheumaticlheartldisease
d. Pacemakerslforlcardiaclarrhythmias
ANSWER:l B
Previously,lthelAmericanlHeartlAssociationl(AHA)lrecommendedlantibioticlprophylaxisl
forlmanylpatientslwithlheartlmurmurslcausedlbylvalvularldiseasel(e.g.,lmitrallvalvelprola
pse,lrheumaticlheartldisease)linlanleffortltolpreventlinfectivelendocarditis;lhowever,lcurr
entlguidelineslomitlthislrecommendationlonlthelbasisloflaccumulatedlscientificlevidence
.lIflalmurmurlisldueltolcertainlspecificlcardiaclconditionsl(e.g.,lpreviouslendocarditis,lpro
stheticlheartlvalve,lcomplexlcongenitallcyanoticlheartldisease),lthelAHAlcontinuesltolre
commendlantibioticlprophylaxislforlmostldentallprocedures.

3. Onelconsequenceloflchroniclhepatitisl(BlorlC)lorlcirrhosisloflthelliverlisldecreasedlabilit
yloflthelbodylto certainldrugs,lincludingllocallanestheticslandlanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:l C
Patientslalsolmaylhavelchroniclhepatitisl(BlorlC)lorlcirrhosis,lwithlimpairmentloflliv
erlfunction.lThisldeficitlmaylresultlinlprolongedlbleedinglandllesslefficientlmetaboli
smloflcertainldrugs,lincludingllocallanestheticslandlanalgesics.

4. Whichloflthelfollowinglsymptomslandlsignslislmostlconsistentlwithlallergy?
a. Heartlpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANSWER:l B
Symptomslandlsignslconsistentlwithlallergylincludelitching,lurticarial(hives),lrash,lswelli
ng,lwheezing,langioedema,lrunnylnose,landltearingleyes.lIsolatedlsignslandlsymptomsl
suchlaslnausea,lvomiting,lheartlpalpitations,landlfaintinglgenerallylarelnotloflanlallergicl
originlbutlratherlarelmanifestationslofldruglintolerance,ladverselsideleffects,lorlpsychog
eniclreactions.

5. Whichloflthelfollowinglisltrueloflthelpatientlwithlalhistorylofltuberculosis?
a. AlpositivelresultlonlskinltestinglmeanslthatlthelpersonlhaslactivelTB.
b. Mostlpatientslwholbecomelpositivelskinltestersldeveloplactiveldisease.
c. Patientslwithlacquiredlimmunodeficiencylsyndromel(AIDS)lhavelalhighlin
cidencelofltuberculosis.
d. AldiagnosisloflactivelTBlislmadelbylalpurifiedlproteinlderivativel(PPD)lskinltest.
ANSWER:l C
Thelpotentiallcoexistencelofltuberculosislandlacquiredlimmunodeficiencylsyndromel(AI
DS)lshouldlbelexploredlbecauselpatientslwithlAIDSlhavelalhighlincidencelofltuberculosi
s.lAlpositivelresultlonlskinltestinglmeanslspecificallylthatlthelpersonlhaslatlsomeltimelbe
enlinfectedlwithlTB,lnotlnecessarilylthatlactiveldiseaselislpresent.lMostlpatientslwholbec
omelpositivelskinltestersldolnotldeveloplactiveldisease.lAldiagnosisloflactivelTBlislmadel
bylchestlx-ray,limaging,lsputumlculture,landlclinicallexamination.

6. Vasoconstrictorslshouldlbelavoidedlinlpatientslwholcocainelorlmetha
mphetamineluserslbecauseltheselagentslmaylprecipitate .
a.severelhypotension
b.severelhypertension
c.respiratoryldepression
d.cessationloflintestinallperistalsis
ANSWER:l B
Vasoconstrictorslshouldlbelavoidedlinlpatientslwholarelcocainelorlmethamphetaminelu
serslbecauselthelcombinationlmaylprecipitatelarrhythmias,lMI,lorlseverelhypertension.

7. Itlhaslbeenlshownlthatlthelrisklforloccurrenceloflalseriouslperioperativelcardiovascularl
eventl(e.g.,lMI,lheartlfailure)lislincreasedlinlpatientsl wholarelunableltolmeetlal-
METl(metaboliclequivalentlofltask)ldemandlduringlnormalldailylactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:l A
Dailylactivitieslrequiringl4lMETslincludellevellwalkinglatl4lmiles/hourlorlclimbinglalflightlofls
tairs.lActivitieslrequiringlgreaterlthanl10lMETslincludelswimminglandlsinglesltennis.lAnlex
erciselcapacitylofl10ltol13lMETslindicateslexcellentlphysicallconditioning.

8. Whichloflthelfollowinglalterationslinlthelfingernailslislassociatedlwithlcirrhosis?
a. Yellowing
b. Clubbing
c. Whiteldiscoloration




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