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Stuvia.com - The Marketplace to Buy and Sell your Study
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Pagel1of74
Little:DentalManagementoftheMedicallyCompromisedPatient,10thlEditionlTestB ank
s s s s s s s ss
TablelofContents s
PARTONE: PATIENTEVALUATION ANDRISKASSESSMENT
ss ss
Chapter1:PatientEvaluationandRiskAssessment
PARTTWO: CARDIOVASCULARDISEASE ss
Chapter2:InfectiveEndocarditisl
Chapter3:Hypertension
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Chapter4:IschemicHeartlDiseaselC
hapter5:CardiaclArrhythmias
ss
Chapter6:HeartFailure(orCongestivelHeartFailure)
PARTTHREE: PULMONARYDISEASE ss
Chapter7:PulmonaryDisease
Chapter8:SmokinglandTobaccolUselCessationlC
hapter9:Sleep-
ss s s
RelatedBreathinglDisordersPARTFOUR:GAST
s s s
ROINTESTIALDISEASE
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Chapter10:LiverDisease
Chapter11:GastrointestinalDisease
ss s
PARTFIVE:GENITOURINARYDISEASE
ss s
Chapter12:ChronicKidneylDiseaselandlDialysislChapter1
3:SexuallyTransmittedDiseases
s s
PARTSIX:ENDOCRINEANDMETABOLIClDISEASE
s s
Chapter 14: DiabeteslMellituslCha
ss ss
pter15:AdrenallInsufficiencyChap
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ter16:ThyroidDiseases
ss s
Chapter17:PregnancyandBreastlFeeding
PARTSEVEN:IMMUNOLOGICDISEASE s
Chapter18:AIDS,HIVInfection,andRelatedlConditionsCh s
apter19:Allergy
ss s
Chapter20:RheumatologiclandConnectivelTissuelDisordersC
hapter21:OrganandlBonelMarrowlTransplantation
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PARTEIGHT:HEMATOLOGICANDlONCOLOGIClDISEASE s s
Chapter 22: Disorderslof Red Blood CellslCh
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apter23:DisordersofWhiteBloodCells
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Chapter 24: AcquiredlBleedingandlHypercoagulable Disorders Chapter2
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5:CongenitalBleedinglandHypercoagulableDisordersChapter26:
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Cance randOrallCarelofthelPatient
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PARTNINE:NEUROLOGIC,BEHAVIORAL,ANDPSYCHIATRIClDISORDERS
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Chapter27:NeurologiclDisorders
Chapter28:Anxiety,EatingDisorders,andBehavioralReactionsltolIllnessChapter29:
s
PsychiatricDisorders
ss s
Chapter30:DrugandAlcoholAbuse
WWW.NURSYLAB.COM
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ss ss ss ss ss ss ss ss ss
Material
Chapter01:Patient EvaluationandRiskAssessment l
Little:Dental Managementofthe MedicallyCompromisedPatient,10thEdition
ss l l
MULTIPLElCHOICE
1. Electiveldentallcareshouldbedeferredlforpatientswithsevere,uncontrolledhyperten s
sion,meaningthatthebloodpressurelisgreaterthanlorequaltol mmHg.a.
ss s s s s
200/140
ss
b. 180/140
c. 180/110
d. 160/110
ANSWER: C ss
Electiveldentallcareshouldbedeferredlforpatientswithsevere,uncontrolledhypertens s
ion,whichislbloodpressuregreaterthanorequaltol180/110mmHg,untilthecondition
ss s s s s s
canbelbroughtundercontrol.
ss
2. ThelAmericanlHeartAssociationcurrentlyrecommendslantibioticprophylaxisforalpati
ss entwithwhichlofthelfollowingcardiacconditions? s
a. Mitralvalvelprolapse
b. Prostheticheartlvalve
c. Rheumaticheartdisease
d. Pacemakersforcardiacarrhythmias
ANSWER:l B ss
Previously, the American Heart Association(AHA) recommendedantibioticprophylaxis
ss ss ss ss ss
formanypatientswithheartmurmurscausedbyvalvulardisease(e.g.,mitralvalveprola
ss
pse, rheumaticheartldisease) in anefforttolpreventlinfectiveendocarditis; however,
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curr
ss
entguidelineslomitthisrecommendationlonthebasisofaccumulatedscientificevidence
ss
. Ifamurmur isldue tocertainspecificlcardiacconditions(e.g., previousendocarditis, pros
ss ss ss ss ss
theticlheartvalve, complexcongenitalcyanoticheartdisease),thelAHAcontinuestolreco
ss ss
mmendantibioticprophylaxisformostdentalprocedures.
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3. Onelconsequencelofchronichepatitisl(BlorC)orcirrhosislofthelliverisldecreasedability s
ofthelbodyto certaindrugs,includingllocalanestheticsandanalgesics.
ss ss s
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C ss
Patientsalsomayhavechronichepatitisl(BorC)orcirrhosis,withimpairmentoflive s s s s
rfunction.Thisdeficitmayresultinprolongedlbleedingandlesslefficientmetabolis
ss s s s
mlofcertainldrugs,includinglocalanestheticsandanalgesics.
ss s
4. Whichofthefollowinglsymptomsandlsignsismostconsistentwith s s allergy?
a. Heartpalpitations
b. Itching
c. Vomiting
d. Fainting
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study
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ss ss
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sMaterial
s
Pagel1of74
ANSWER:l B ss
Symptomsandsignslconsistentwithallergylincludeitching,urticarial(hives),rash,swelli s s s
ng,wheezing,angioedema,runnynose,andtearingeyes.Isolatedsignsandlsymptomss
ss s s s
uchasnausea,vomiting,heartpalpitations,andfaintinggenerallyarelnotofanallergicori
ss s s s
ginlbutratherarelmanifestationsofdrugintolerance,adversesideeffects,orpsychogeni
ss s s s s
clreactions.
ss
5. Whichofthelfollowingisltrueofthepatientwithahistoryoftuberculosis?
a. Alpositiveresulton skintestingmeansthatthelpersonhasactiveTB. ss
b. Mostpatientswholbecomelpositiveskintestersdevelopactivedisease.
c. Patientswithacquiredimmunodeficiencysyndrome(AIDS)havelahighinci
denceoftuberculosis.
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d. AdiagnosisofactiveTBislmadelbyalpurifiedproteinderivative(PPD)skintest.
ANSWER:l C s s
Thelpotentialcoexistenceoftuberculosislandlacquiredimmunodeficiencysyndromel(AI
DS) shouldbelexploredbecausepatientswith AIDShavealhighincidenceoftuberculosi
ss ss ss
s. Apositiveresult on skintestingmeansspecificallythatthepersonlhasatsomeltimebee
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ninfectedwith
ss TB, notnecessarilythatactivediseaselis
ss present. ss ss
Mostpatientswhobeco
ss me positiveskinltestersldonotdevelopactiveldisease. ss ss
Adiagnosis
ss of active TB is
ss madeb ylchestx-ss ss ss ss ss
ray,imaging,sputumlculture,andclinicalexamination.
s s s
6. Vasoconstrictorsshouldbelavoidedinpatientswhococainelormetham s s
phetaminelusersbecausetheselagentsmayprecipitate
ss .
a. severelhypotension
b. severehypertension
c. respiratorydepression
d. cessationofintestinalperistalsis
ANSWER:l B ss
Vasoconstrictorsshouldbelavoidedlin patientswhoarelcocaineormethamphetamineu ss
sersbecauselthecombinationlmayprecipitatearrhythmias,MI,orseverelhypertension.
ss
7. Ithasbeenshownlthatthelriskforoccurrenceofaseriousperioperativelcardiovasculare s s
s vent(e.g.,MI,heartfailure)lisincreasedlinpatientswholareunabletomeeta-
s s s s s
MET(metabolicequivalentoftask)demandduringnormaldailyactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:l A ss
Dailyactivitiesrequiring 4 METslincludellevellwalkinglat4lmiles/hourorclimbinglalflightofst
ss ss
airs.
ss Activitiesrequiringlgreaterthan ss 10lMETs ss
includeswimminglandsinglestennis.Anexer
ss
cisecapacityof10lto13lMETslindicateslexcellentphysicalconditioning.
ss
8. Whichofthefollowingalterationsinthefingernails isassociatedwithcirrhosis? s s
a. Yellowing
b. Clubbing
c. Whiteldiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study
ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss
sMaterial
s
Pagel1of74
Little:DentalManagementoftheMedicallyCompromisedPatient,10thlEditionlTestB ank
s s s s s s s ss
TablelofContents s
PARTONE: PATIENTEVALUATION ANDRISKASSESSMENT
ss ss
Chapter1:PatientEvaluationandRiskAssessment
PARTTWO: CARDIOVASCULARDISEASE ss
Chapter2:InfectiveEndocarditisl
Chapter3:Hypertension
s s
Chapter4:IschemicHeartlDiseaselC
hapter5:CardiaclArrhythmias
ss
Chapter6:HeartFailure(orCongestivelHeartFailure)
PARTTHREE: PULMONARYDISEASE ss
Chapter7:PulmonaryDisease
Chapter8:SmokinglandTobaccolUselCessationlC
hapter9:Sleep-
ss s s
RelatedBreathinglDisordersPARTFOUR:GAST
s s s
ROINTESTIALDISEASE
ss
Chapter10:LiverDisease
Chapter11:GastrointestinalDisease
ss s
PARTFIVE:GENITOURINARYDISEASE
ss s
Chapter12:ChronicKidneylDiseaselandlDialysislChapter1
3:SexuallyTransmittedDiseases
s s
PARTSIX:ENDOCRINEANDMETABOLIClDISEASE
s s
Chapter 14: DiabeteslMellituslCha
ss ss
pter15:AdrenallInsufficiencyChap
ss
ter16:ThyroidDiseases
ss s
Chapter17:PregnancyandBreastlFeeding
PARTSEVEN:IMMUNOLOGICDISEASE s
Chapter18:AIDS,HIVInfection,andRelatedlConditionsCh s
apter19:Allergy
ss s
Chapter20:RheumatologiclandConnectivelTissuelDisordersC
hapter21:OrganandlBonelMarrowlTransplantation
ss
PARTEIGHT:HEMATOLOGICANDlONCOLOGIClDISEASE s s
Chapter 22: Disorderslof Red Blood CellslCh
ss ss ss ss ss
apter23:DisordersofWhiteBloodCells
ss s
Chapter 24: AcquiredlBleedingandlHypercoagulable Disorders Chapter2
ss ss ss ss
5:CongenitalBleedinglandHypercoagulableDisordersChapter26:
ss
Cance randOrallCarelofthelPatient
ss ss s
PARTNINE:NEUROLOGIC,BEHAVIORAL,ANDPSYCHIATRIClDISORDERS
s s s s
Chapter27:NeurologiclDisorders
Chapter28:Anxiety,EatingDisorders,andBehavioralReactionsltolIllnessChapter29:
s
PsychiatricDisorders
ss s
Chapter30:DrugandAlcoholAbuse
WWW.NURSYLAB.COM
GRADESMORE.COM
, Stuvia.com - The Marketplace to Buy and Sell your Study
ss ss ss ss ss ss ss ss ss
Material
Chapter01:Patient EvaluationandRiskAssessment l
Little:Dental Managementofthe MedicallyCompromisedPatient,10thEdition
ss l l
MULTIPLElCHOICE
1. Electiveldentallcareshouldbedeferredlforpatientswithsevere,uncontrolledhyperten s
sion,meaningthatthebloodpressurelisgreaterthanlorequaltol mmHg.a.
ss s s s s
200/140
ss
b. 180/140
c. 180/110
d. 160/110
ANSWER: C ss
Electiveldentallcareshouldbedeferredlforpatientswithsevere,uncontrolledhypertens s
ion,whichislbloodpressuregreaterthanorequaltol180/110mmHg,untilthecondition
ss s s s s s
canbelbroughtundercontrol.
ss
2. ThelAmericanlHeartAssociationcurrentlyrecommendslantibioticprophylaxisforalpati
ss entwithwhichlofthelfollowingcardiacconditions? s
a. Mitralvalvelprolapse
b. Prostheticheartlvalve
c. Rheumaticheartdisease
d. Pacemakersforcardiacarrhythmias
ANSWER:l B ss
Previously, the American Heart Association(AHA) recommendedantibioticprophylaxis
ss ss ss ss ss
formanypatientswithheartmurmurscausedbyvalvulardisease(e.g.,mitralvalveprola
ss
pse, rheumaticheartldisease) in anefforttolpreventlinfectiveendocarditis; however,
s s ss ss ss ss
curr
ss
entguidelineslomitthisrecommendationlonthebasisofaccumulatedscientificevidence
ss
. Ifamurmur isldue tocertainspecificlcardiacconditions(e.g., previousendocarditis, pros
ss ss ss ss ss
theticlheartvalve, complexcongenitalcyanoticheartdisease),thelAHAcontinuestolreco
ss ss
mmendantibioticprophylaxisformostdentalprocedures.
ss
3. Onelconsequencelofchronichepatitisl(BlorC)orcirrhosislofthelliverisldecreasedability s
ofthelbodyto certaindrugs,includingllocalanestheticsandanalgesics.
ss ss s
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C ss
Patientsalsomayhavechronichepatitisl(BorC)orcirrhosis,withimpairmentoflive s s s s
rfunction.Thisdeficitmayresultinprolongedlbleedingandlesslefficientmetabolis
ss s s s
mlofcertainldrugs,includinglocalanestheticsandanalgesics.
ss s
4. Whichofthefollowinglsymptomsandlsignsismostconsistentwith s s allergy?
a. Heartpalpitations
b. Itching
c. Vomiting
d. Fainting
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study
ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss ss
ss
sMaterial
s
Pagel1of74
ANSWER:l B ss
Symptomsandsignslconsistentwithallergylincludeitching,urticarial(hives),rash,swelli s s s
ng,wheezing,angioedema,runnynose,andtearingeyes.Isolatedsignsandlsymptomss
ss s s s
uchasnausea,vomiting,heartpalpitations,andfaintinggenerallyarelnotofanallergicori
ss s s s
ginlbutratherarelmanifestationsofdrugintolerance,adversesideeffects,orpsychogeni
ss s s s s
clreactions.
ss
5. Whichofthelfollowingisltrueofthepatientwithahistoryoftuberculosis?
a. Alpositiveresulton skintestingmeansthatthelpersonhasactiveTB. ss
b. Mostpatientswholbecomelpositiveskintestersdevelopactivedisease.
c. Patientswithacquiredimmunodeficiencysyndrome(AIDS)havelahighinci
denceoftuberculosis.
ss
d. AdiagnosisofactiveTBislmadelbyalpurifiedproteinderivative(PPD)skintest.
ANSWER:l C s s
Thelpotentialcoexistenceoftuberculosislandlacquiredimmunodeficiencysyndromel(AI
DS) shouldbelexploredbecausepatientswith AIDShavealhighincidenceoftuberculosi
ss ss ss
s. Apositiveresult on skintestingmeansspecificallythatthepersonlhasatsomeltimebee
ss ss ss ss
ninfectedwith
ss TB, notnecessarilythatactivediseaselis
ss present. ss ss
Mostpatientswhobeco
ss me positiveskinltestersldonotdevelopactiveldisease. ss ss
Adiagnosis
ss of active TB is
ss madeb ylchestx-ss ss ss ss ss
ray,imaging,sputumlculture,andclinicalexamination.
s s s
6. Vasoconstrictorsshouldbelavoidedinpatientswhococainelormetham s s
phetaminelusersbecausetheselagentsmayprecipitate
ss .
a. severelhypotension
b. severehypertension
c. respiratorydepression
d. cessationofintestinalperistalsis
ANSWER:l B ss
Vasoconstrictorsshouldbelavoidedlin patientswhoarelcocaineormethamphetamineu ss
sersbecauselthecombinationlmayprecipitatearrhythmias,MI,orseverelhypertension.
ss
7. Ithasbeenshownlthatthelriskforoccurrenceofaseriousperioperativelcardiovasculare s s
s vent(e.g.,MI,heartfailure)lisincreasedlinpatientswholareunabletomeeta-
s s s s s
MET(metabolicequivalentoftask)demandduringnormaldailyactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:l A ss
Dailyactivitiesrequiring 4 METslincludellevellwalkinglat4lmiles/hourorclimbinglalflightofst
ss ss
airs.
ss Activitiesrequiringlgreaterthan ss 10lMETs ss
includeswimminglandsinglestennis.Anexer
ss
cisecapacityof10lto13lMETslindicateslexcellentphysicalconditioning.
ss
8. Whichofthefollowingalterationsinthefingernails isassociatedwithcirrhosis? s s
a. Yellowing
b. Clubbing
c. Whiteldiscoloration
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