TEST BANK for Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 – 30

TEST BANK for Little and Falace's Dental Management
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of the Medically Compromised Patient, 10th Edition
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by Craig Miller, Verified Chapters 1 – 30
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, TableofContent ft ft




PART ONE:PATIENT EVALUATION ANDRISKASSESSMENT
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Chapter1:Patient Evaluation andRisk Assessment PART
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TWO:CARDIOVASCULARDISEASE
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Chapter2:InfectiveEndocarditis Chapter ft ft ft f t




3:Hypertension
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Chapter4:IschemicHeart Disease ft ft ft ft




Chapter5:CardiacArrhythmias
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Chapter6:Heart Failure (or CongestiveHeart Failure) PART
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THREE:PULMONARYDISEASE
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Chapter7:Pulmonary Disease ft ft ft




Chapter8:Smoking andTobacco Use Cessation ft ft ft ft ft ft




fChapter9:Sleep-RelatedBreathingDisorders
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fPARTFOUR:GASTROINTESTIALDISEASE
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Chapter10:Liver Disease ft ft ft




Chapter11:GastrointestinalDisease ft ft ft




fPARTFIVE:GENITOURINARYDISEASE
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Chapter12:ChronicKidney Disease andDialysis Chapter
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13:SexuallyTransmittedDiseases
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PART SIX:ENDOCRINEANDMETABOLIC DISEASE
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Chapter14:DiabetesMellitus ft ft ft




Chapter15:AdrenalInsufficiency
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fChapter16:ThyroidDiseases
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Chapter17:Pregnancy andBreast Feeding PART ft ft ft ft ft f t




SEVEN:IMMUNOLOGICDISEASE
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Chapter18:AIDS, HIVInfection, andRelatedConditions
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Chapter19:Allergy
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Chapter20:RheumatologicandConnectiveTissue Disorders Chapter
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21: OrganandBone MarrowTransplantation
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PARTEIGHT:HEMATOLOGICANDONCOLOGICDISEASE
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Chapter 22: Disorders of Red Blood Cells Chapter ft ft ft ft ft ft f t




23: Disorders of White Blood Cells
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Chapter24:AcquiredBleedingandHypercoagulableDisorders
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fChapter25:CongenitalBleedingandHypercoagulableDisorders
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fChapter 26: Cancer and Oral Care of the Patient
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PARTNINE:NEUROLOGIC,BEHAVIORAL,ANDPSYCHIATRICDISORDERS
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Chapter27:NeurologicDisorders ft ft ft




Chapter28:Anxiety, Eating Disorders, andBehavioral Reactions to Illness
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f Chapter29:PsychiatricDisorders
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Chapter30: Drug andAlcohol Abuse ft ft ft ft ft

,Chapter01:PatientEvaluationandRiskAssessment
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Little:DentalManagementoftheMedicallyCompromisedPatient,10thEdition
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MULTIPLE CHOICE ft




1. Electivedental careshouldbedeferred forpatientswith severe,uncontrolled
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f t hypertension, meaning that the blood pressure is greater than or equal to ft ft ft ft ft ft ft ft ft ft ft f t mm Hg. ft




a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C ft




Elective dental care should be deferred for patients with severe, uncontrolled
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fhypertension, which is blood pressure greater than or equal to 180/110 mm Hg, until
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fthecondition can be brought under control.
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2. TheAmerican HeartAssociation currentlyrecommendsantibioticprophylaxisfor a
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f t patient with which of the following cardiac conditions? ft ft ft ft ft ft ft




a. Mitral valveprolapse ft ft




b. Prostheticheartvalve ft ft




c. Rheumaticheartdisease ft ft




d. Pacemakersforcardiacarrhythmias ft ft ft




ANS: B ft




Previously,theAmericanHeartAssociation(AHA)recommended antibioticprophylaxis ft ft ft ft ft ft ft ft




ffor many patients with heart murmurs caused by valvular disease (e.g., mitral valve
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fprolapse, rheumatic heart disease) in an effort to prevent infective endocarditis;
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f however, current guidelines omit this recommendation on the basis of accumulated
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fscientific evidence. If a murmur is due to certain specific cardiac conditions (e.g.,
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fprevious endocarditis, prosthetic heart valve, complex congenital cyanotic heart
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fdisease), the AHA continues to recommend antibiotic prophylaxis for most dental
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fprocedures.
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3. Oneconsequenceofchronic hepatitis(B orC) orcirrhosis oftheliver isdecreased
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f t abilityof the body to certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C ft




Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of
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fliver function. This deficit may result in prolonged bleeding and less
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efficient metabolism of certain drugs, including local anesthetics and analgesics.
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4. Which ofthefollowing symptoms and signs ismost consistent with allergy?
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a. Heartpalpitations ft




b. Itching
c. Vomiting
d. Fainting

, ANS: B ft




Symptomsand signsconsistent with allergyincludeitching,urticaria(hives),rash, ft ft ft ft ft ft ft ft ft ft




fswelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
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fsymptoms such as nausea, vomiting, heart palpitations, and fainting generally are not
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fof an allergic origin butrather are manifestations of drug intolerance, adverse side
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feffects,or psychogenicreactions.
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5. Which of the following is true of the patient with ahistory of tuberculosis?
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a. Apositiveresult on skin testing means that the person has activeTB.
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b. Mostpatientswho becomepositiveskintesters develop activedisease. ft ft ft ft ft ft ft ft ft




c. Patientswith acquiredimmunodeficiencysyndrome(AIDS)haveahigh ft ft ft ft ft ft ft ft




f t incidenceoftuberculosis. ft ft




d. Adiagnosis of activeTB is madeby a purified protein derivative(PPD) skin test.
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ANS: C f t




The potential coexistenceof tuberculosisand acquired immunodeficiency syndrome
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f(AIDS) should be explored because patients with AIDS have a high incidence of
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ftuberculosis. A positive result on skin testing means specifically that the person has at
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fsome time been infected with TB, not necessarily that active disease is present. Most
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fpatients who become positive skin testersdo not develop activedisease.A diagnosisof
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f activeTB is made by chest x-ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictorsshouldbeavoided inpatientswho cocaineormethamphetamine ft ft ft ft ft ft ft ft ft




f t users because these agents may precipitate ft ft ft ft ft f t .
a. severehypotension ft




b. severehypertension ft




c. respiratorydepression ft




d. cessationofintestinal peristalsis ft ft ft




ANS: B ft




Vasoconstrictorsshould beavoided inpatients who arecocaineormethamphetamine ft ft ft ft ft ft ft ft ft ft f t users
because the combination may precipitate arrhythmias, MI, or severe hypertension.
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7. Ithasbeen shown that the riskforoccurrenceofa seriousperioperative cardiovascular
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f event (e.g., MI, heart failure) is increased in patients who are unable to meet a -MET
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f (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANS: A ft




Dailyactivities requiring 4 METsincludelevel walking at 4 miles/hour or climbing a flight of
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stairs. Activities requiring greater than 10 METs include swimming and singles tennis. An
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exercise capacity of 10 to 13 METs indicates excellent physical conditioning.
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8. Whichofthe following alterationsinthe fingernailsisassociated with cirrhosis?
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a. Yellowing
b. Clubbing
c. Whitediscoloration ft




d. Splinterhemorrhages ft