Test Bank For Little and Falace's Dental Management o
z+ z+ z+ z+ z+ z+ z+ z+
f the Medically Compromised Patient,
z+ z+ z+ z+
10th Edition by Craig Miller, C
z+ z+ z+ z+ z+z+
hapters 1 - 30 z+ z+ z+
,Little: Dental Management of the Medically Compromised Patient, 10th Edition T
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
est Bank z+
Table of Contents z+ z+
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
z+ z+ z+ z+ z+ z+
PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis Cha
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pter 3: Hypertensionz+ z+
Chapter 4: Ischemic Heart Disease C z+ z+ z+ z+ z+
hapter 5: Cardiac Arrhythmias z+ z+ z+
Chapter 6: Heart Failure (or Congestive Heart Failure)
z+ z+ z+ z+ z+ z+ z+
PART THREE: PULMONARY DISEASE z+ z+ z+
Chapter 7: Pulmonary Disease z+ z+ z+
Chapter 8: Smoking and Tobacco Use Cessation
z+ z+ z+ z+ z+ z+
Chapter 9: Sleep-
z+ z+ z+
Related Breathing Disorders PART FOUR: GA
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STROINTESTIAL DISEASE z+
Chapter 10: Liver Disease z+ z+ z+
Chapter 11: Gastrointestinal Diseasez+ z+ z+
PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysi
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s Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapt z+ z+ z+ z+
er 15: Adrenal Insufficiency Chapter
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16: Thyroid Diseases
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Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter 18: AIDS, HIV Infection, and Related Conditions Chapt
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er 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders Chapt
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er 21: Organ and Bone Marrow Transplantation
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PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
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Chapter 22: Disorders of Red Blood Cells Chap
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ter 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Ch
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apter 25: Congenital Bleeding and Hypercoagulable Disorders Chap
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ter 26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
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Chapter 27: Neurologic Disorders z+ z+ z+
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chap
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ter 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse z+ z+ z+ z+ z+
, WWW.GRADESMORE.COM
Stuvia.comz+-
z+Thez+Marketplacez+toz+Buyz+andz+Sellz+yourz+Studyz+Material
Page 1 of 74 z+ z+ z+
Chapter 01: Patient Evaluation and Risk Assessment
z+ z+ z+ z+ z+ z+
Little: Dental Management of the Medically Compromised Patient, 10th Edition
z+ z+ z+ z+ z+ z+ z+ z+ z+
MULTIPLE CHOICE z+
1. Elective dental care should be deferred for patients with severe, uncontrolled hy
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
pertension, meaning that the blood pressure is greater than or equal to mm Hg.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C z+
Elective dental care should be deferred for patients with severe, uncontrolled hy
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
pertension, which is blood pressure greater than or equal to 180/110 mm Hg, un
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
til the condition can be brought under control.
z+ z+ z+ z+ z+ z+ z+
2. The American Heart Association currently recommends antibiotic prophylaxis for
z+ z+ z+ z+ z+ z+ z+ z+ z+
a patient with which of the following cardiac conditions?
z+ z+ z+ z+ z+ z+ z+ z+
a. Mitral valve prolapse z+ z+
b. Prosthetic heart valve z+ z+
c. Rheumatic heart disease z+ z+
d. Pacemakers for cardiac arrhythmias z+ z+ z+
ANSWER: B z+
Previously, the American Heart Association (AHA) recommended antibiotic prophyl
z+ z+ z+ z+ z+ z+ z+ z+
axis for many patients with heart murmurs caused by valvular disease (e.g., mitral
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
valve prolapse, rheumatic heart disease) in an effort to prevent infective endocardi
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
tis; however, current guidelines omit this recommendation on the basis of accumul
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ated scientific evidence. If a murmur is due to certain specific cardiac conditions (
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic he
z+ z+ z+ z+ z+ z+ z+ z+ z+
art disease), the AHA continues to recommend antibiotic prophylaxis for most dent
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
al procedures.
z+
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreas
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ed ability of the body to
z+ z+ z+ z+ z+
certain drugs, including local anesthetics and analgesics.
z+ z+ z+ z+ z+ z+
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C z+
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairme
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
nt of liver function. This deficit may result in prolonged bleeding and less effi
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
cient metabolism of certain drugs, including local anesthetics and analgesics.
z+ z+ z+ z+ z+ z+ z+ z+ z+
4. Which of the following symptoms and signs is most consistent with allergy?
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. Heart palpitations z+
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comz+-
z+Thez+Marketplacez+toz+Buyz+andz+Sellz+yourz+Studyz+Material
Page 1 of 74 z+ z+ z+
ANSWER: B z+
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
swelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
not of an allergic origin but rather are manifestations of drug intolerance, adverse
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
side effects, or psychogenic reactions.
z+ z+ z+ z+
5. Which of the following is true of the patient with a history of tuberculosis?
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a. A positive result on skin testing means that the person has active TB.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
b. Most patients who become positive skin testers develop active disease.
z+ z+ z+ z+ z+ z+ z+ z+ z+
c. Patients with acquired immunodeficiency syndrome (AIDS) have a hig
z+ z+ z+ z+ z+ z+ z+ z+
h incidence of tuberculosis.
z+ z+ z+
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ANSWER: C z +
The potential coexistence of tuberculosis and acquired immunodeficiency syndrom
z+ z+ z+ z+ z+ z+ z+ z+
e (AIDS) should be explored because patients with AIDS have a high incidence of
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
tuberculosis. A positive result on skin testing means specifically that the person h
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
as at some time been infected with TB, not necessarily that active disease is pres
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ent. Most patients who become positive skin testers do not develop active disease
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
. A diagnosis of active TB is made by chest x-
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ray, imaging, sputum culture, and clinical examination.
z+ z+ z+ z+ z+ z+
6. Vasoconstrictors should be avoided in patients who cocaine or me z+ z+ z+ z+ z+ z+ z+ z+ z+
thamphetamine users because these agents may precipitate z+ z+ z+ z+ z+ z+ .
a. severe hypotension z+
b. severe hypertension z+
c. respiratory depression z+
d. cessation of intestinal peristalsis z+ z+ z+
ANSWER: B z+
Vasoconstrictors should be avoided in patients who are cocaine or methampheta z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
mine users because the combination may precipitate arrhythmias, MI, or severe hy
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
pertension.
7. It has been shown that the risk for occurrence of a serious perioperative cardiova
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
scular event (e.g., MI, heart failure) is increased in patients who are unable to m
z+ z+ z+ z+ z+ z+ z+ z+ z+ z + z+ z+ z+ z+
eet a -MET (metabolic equivalent of task) demand during normal daily activity.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. 4
b. 6
c. 8
d. 10
ANSWER: A z+
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a fl
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ight of stairs. Activities requiring greater than 10 METs include swimming and single
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
s tennis. An exercise capacity of 10 to 13 METs indicates excellent physical condition
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ing.
8. Which of the following alterations in the fingernails is associated with cirrhosis?
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. Yellowing
b. Clubbing
WWW.NURSYLAB.COM
GRADESMORE.COM
z+ z+ z+ z+ z+ z+ z+ z+
f the Medically Compromised Patient,
z+ z+ z+ z+
10th Edition by Craig Miller, C
z+ z+ z+ z+ z+z+
hapters 1 - 30 z+ z+ z+
,Little: Dental Management of the Medically Compromised Patient, 10th Edition T
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
est Bank z+
Table of Contents z+ z+
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
z+ z+ z+ z+ z+ z+
Chapter 1: Patient Evaluation and Risk Assessment
z+ z+ z+ z+ z+ z+
PART TWO: CARDIOVASCULAR DISEASE
z+ z+ z+
Chapter 2: Infective Endocarditis Cha
z+ z+ z+ z+
pter 3: Hypertensionz+ z+
Chapter 4: Ischemic Heart Disease C z+ z+ z+ z+ z+
hapter 5: Cardiac Arrhythmias z+ z+ z+
Chapter 6: Heart Failure (or Congestive Heart Failure)
z+ z+ z+ z+ z+ z+ z+
PART THREE: PULMONARY DISEASE z+ z+ z+
Chapter 7: Pulmonary Disease z+ z+ z+
Chapter 8: Smoking and Tobacco Use Cessation
z+ z+ z+ z+ z+ z+
Chapter 9: Sleep-
z+ z+ z+
Related Breathing Disorders PART FOUR: GA
z+ z+ z+ z+ z+
STROINTESTIAL DISEASE z+
Chapter 10: Liver Disease z+ z+ z+
Chapter 11: Gastrointestinal Diseasez+ z+ z+
PART FIVE: GENITOURINARY DISEASE
z+ z+ z+
Chapter 12: Chronic Kidney Disease and Dialysi
z+ z+ z+ z+ z+ z+
s Chapter 13: Sexually Transmitted Diseases
z+ z+ z+ z+ z+
PART SIX: ENDOCRINE AND METABOLIC DISEASE
z+ z+ z+ z+ z+
Chapter 14: Diabetes Mellitus Chapt z+ z+ z+ z+
er 15: Adrenal Insufficiency Chapter
z+ z+ z+ z+ z+
16: Thyroid Diseases
z+ z+
Chapter 17: Pregnancy and Breast Feeding
z+ z+ z+ z+ z+
PART SEVEN: IMMUNOLOGIC DISEASE
z+ z+ z+
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapt
z+ z+ z+ z+ z+ z+ z+ z+
er 19: Allergy
z+ z+
Chapter 20: Rheumatologic and Connective Tissue Disorders Chapt
z+ z+ z+ z+ z+ z+ z+
er 21: Organ and Bone Marrow Transplantation
z+ z+ z+ z+ z+ z+
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
z+ z+ z+ z+ z+
Chapter 22: Disorders of Red Blood Cells Chap
z+ z+ z+ z+ z+ z+ z+
ter 23: Disorders of White Blood Cells
z+ z+ z+ z+ z+ z+
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Ch
z+ z+ z+ z+ z+ z+ z+
apter 25: Congenital Bleeding and Hypercoagulable Disorders Chap
z+ z+ z+ z+ z+ z+ z+
ter 26: Cancer and Oral Care of the Patient
z+ z+ z+ z+ z+ z+ z+ z+
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
z+ z+ z+ z+ z+ z+
Chapter 27: Neurologic Disorders z+ z+ z+
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chap
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ter 29: Psychiatric Disorders
z+ z+ z+
Chapter 30: Drug and Alcohol Abuse z+ z+ z+ z+ z+
, WWW.GRADESMORE.COM
Stuvia.comz+-
z+Thez+Marketplacez+toz+Buyz+andz+Sellz+yourz+Studyz+Material
Page 1 of 74 z+ z+ z+
Chapter 01: Patient Evaluation and Risk Assessment
z+ z+ z+ z+ z+ z+
Little: Dental Management of the Medically Compromised Patient, 10th Edition
z+ z+ z+ z+ z+ z+ z+ z+ z+
MULTIPLE CHOICE z+
1. Elective dental care should be deferred for patients with severe, uncontrolled hy
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
pertension, meaning that the blood pressure is greater than or equal to mm Hg.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C z+
Elective dental care should be deferred for patients with severe, uncontrolled hy
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
pertension, which is blood pressure greater than or equal to 180/110 mm Hg, un
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
til the condition can be brought under control.
z+ z+ z+ z+ z+ z+ z+
2. The American Heart Association currently recommends antibiotic prophylaxis for
z+ z+ z+ z+ z+ z+ z+ z+ z+
a patient with which of the following cardiac conditions?
z+ z+ z+ z+ z+ z+ z+ z+
a. Mitral valve prolapse z+ z+
b. Prosthetic heart valve z+ z+
c. Rheumatic heart disease z+ z+
d. Pacemakers for cardiac arrhythmias z+ z+ z+
ANSWER: B z+
Previously, the American Heart Association (AHA) recommended antibiotic prophyl
z+ z+ z+ z+ z+ z+ z+ z+
axis for many patients with heart murmurs caused by valvular disease (e.g., mitral
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
valve prolapse, rheumatic heart disease) in an effort to prevent infective endocardi
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
tis; however, current guidelines omit this recommendation on the basis of accumul
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ated scientific evidence. If a murmur is due to certain specific cardiac conditions (
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic he
z+ z+ z+ z+ z+ z+ z+ z+ z+
art disease), the AHA continues to recommend antibiotic prophylaxis for most dent
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
al procedures.
z+
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreas
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ed ability of the body to
z+ z+ z+ z+ z+
certain drugs, including local anesthetics and analgesics.
z+ z+ z+ z+ z+ z+
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C z+
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairme
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
nt of liver function. This deficit may result in prolonged bleeding and less effi
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
cient metabolism of certain drugs, including local anesthetics and analgesics.
z+ z+ z+ z+ z+ z+ z+ z+ z+
4. Which of the following symptoms and signs is most consistent with allergy?
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. Heart palpitations z+
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comz+-
z+Thez+Marketplacez+toz+Buyz+andz+Sellz+yourz+Studyz+Material
Page 1 of 74 z+ z+ z+
ANSWER: B z+
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
swelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
not of an allergic origin but rather are manifestations of drug intolerance, adverse
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
side effects, or psychogenic reactions.
z+ z+ z+ z+
5. Which of the following is true of the patient with a history of tuberculosis?
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. A positive result on skin testing means that the person has active TB.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
b. Most patients who become positive skin testers develop active disease.
z+ z+ z+ z+ z+ z+ z+ z+ z+
c. Patients with acquired immunodeficiency syndrome (AIDS) have a hig
z+ z+ z+ z+ z+ z+ z+ z+
h incidence of tuberculosis.
z+ z+ z+
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ANSWER: C z +
The potential coexistence of tuberculosis and acquired immunodeficiency syndrom
z+ z+ z+ z+ z+ z+ z+ z+
e (AIDS) should be explored because patients with AIDS have a high incidence of
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
tuberculosis. A positive result on skin testing means specifically that the person h
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
as at some time been infected with TB, not necessarily that active disease is pres
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ent. Most patients who become positive skin testers do not develop active disease
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
. A diagnosis of active TB is made by chest x-
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ray, imaging, sputum culture, and clinical examination.
z+ z+ z+ z+ z+ z+
6. Vasoconstrictors should be avoided in patients who cocaine or me z+ z+ z+ z+ z+ z+ z+ z+ z+
thamphetamine users because these agents may precipitate z+ z+ z+ z+ z+ z+ .
a. severe hypotension z+
b. severe hypertension z+
c. respiratory depression z+
d. cessation of intestinal peristalsis z+ z+ z+
ANSWER: B z+
Vasoconstrictors should be avoided in patients who are cocaine or methampheta z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
mine users because the combination may precipitate arrhythmias, MI, or severe hy
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
pertension.
7. It has been shown that the risk for occurrence of a serious perioperative cardiova
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
scular event (e.g., MI, heart failure) is increased in patients who are unable to m
z+ z+ z+ z+ z+ z+ z+ z+ z+ z + z+ z+ z+ z+
eet a -MET (metabolic equivalent of task) demand during normal daily activity.
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. 4
b. 6
c. 8
d. 10
ANSWER: A z+
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a fl
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ight of stairs. Activities requiring greater than 10 METs include swimming and single
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
s tennis. An exercise capacity of 10 to 13 METs indicates excellent physical condition
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
ing.
8. Which of the following alterations in the fingernails is associated with cirrhosis?
z+ z+ z+ z+ z+ z+ z+ z+ z+ z+ z+
a. Yellowing
b. Clubbing
WWW.NURSYLAB.COM
GRADESMORE.COM
