TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Complete Newest Version

Test Bank For Little and Falace's Dental Management of
+f +f +f +f +f +f +f +f




+f the Medically Compromised Patient,
+f +f +f




10thEdition by Craig Miller, Ch
+f +f +f +f +f+f




apters 1 - 30 +f +f +f

,Little: Dental Management of the Medically Compromised Patient, 10th Edition Te
+f +f +f +f +f +f +f +f +f +f


st Bank +f




Table of Contents +f +f


PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
+f +f +f +f +f +f


Chapter 1: Patient Evaluation and Risk Assessment
+f +f +f +f +f +f


PART TWO: CARDIOVASCULAR DISEASE
+f +f +f


Chapter 2: Infective Endocarditis Cha +f +f +f +f


pter 3: Hypertension
+f +f


Chapter 4: Ischemic Heart Disease C +f +f +f +f +f


hapter 5: Cardiac Arrhythmias +f +f +f


Chapter 6: Heart Failure (or Congestive Heart Failure)
+f +f +f +f +f +f +f


PART THREE: PULMONARY DISEASE +f +f +f


Chapter 7: Pulmonary Disease +f +f +f


Chapter 8: Smoking and Tobacco Use Cessation
+f +f +f +f +f +f +f


Chapter 9: Sleep- +f +f


Related Breathing Disorders PART FOUR: GAS
+f +f +f +f +f


TROINTESTIAL DISEASE +f


Chapter 10: Liver Disease +f +f +f


Chapter 11: Gastrointestinal Disease +f +f +f


PART FIVE: GENITOURINARY DISEASE
+f +f +f


Chapter 12: Chronic Kidney Disease and Dialysis
+f +f +f +f +f +f +f


Chapter 13: Sexually Transmitted Diseases+f +f +f +f


PART SIX: ENDOCRINE AND METABOLIC DISEASE
+f +f +f +f +f


Chapter 14: Diabetes Mellitus Chapt +f +f +f +f


er 15: Adrenal Insufficiency Chapter 1
+f +f +f +f +f


6: Thyroid Diseases
+f +f


Chapter 17: Pregnancy and Breast Feeding +f +f +f +f +f


PART SEVEN: IMMUNOLOGIC DISEASE
+f +f +f


Chapter 18: AIDS, HIV Infection, and Related Conditions Chapte
+f +f +f +f +f +f +f +f


r 19: Allergy
+f +f


Chapter 20: Rheumatologic and Connective Tissue Disorders Chapte
+f +f +f +f +f +f +f


r 21: Organ and Bone Marrow Transplantation
+f +f +f +f +f +f


PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
+f +f +f +f +f


Chapter 22: Disorders of Red Blood Cells Chapt
+f +f +f +f +f +f +f


er 23: Disorders of White Blood Cells
+f +f +f +f +f +f


Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Cha
+f +f +f +f +f +f +f


pter 25: Congenital Bleeding and Hypercoagulable Disorders Chapter
+f +f +f +f +f +f +f


26: Cancer and Oral Care of the Patient
+f +f +f +f +f +f +f +f


PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
+f +f +f +f +f +f


Chapter 27: Neurologic Disorders +f +f +f


Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapte
+f +f +f +f +f +f +f +f +f +f


r 29: Psychiatric Disorders
+f +f +f


Chapter 30: Drug and Alcohol Abuse +f +f +f +f +f

, WWW.GRADESMORE.COM
Stuvia.com+f-
+fThe+fMarketplace+fto+fBuy+fand+fSell+fyour+fStudy+fMaterial


Page 1 of 74 +f +f +f

Chapter 01: Patient Evaluation and Risk Assessment
+f +f +f +f +f +f


Little: Dental Management of the Medically Compromised Patient, 10th Edition
+f +f +f +f +f +f +f +f +f




MULTIPLE CHOICE +f




1. Elective dental care should be deferred for patients with severe, uncontrolled hyp
+f +f +f +f +f +f +f +f +f +f +f


ertension, meaning that the blood pressure is greater than or equal to mm Hg.
+f +f +f +f +f +f +f +f +f +f +f +f


a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C +f


Elective dental care should be deferred for patients with severe, uncontrolled hype
+f +f +f +f +f +f +f +f +f +f +f


rtension, which is blood pressure greater than or equal to 180/110 mm Hg, until th
+f +f +f +f +f +f +f +f +f +f +f +f +f +f


e condition can be brought under control.
+f +f +f +f +f +f




2. The American Heart Association currently recommends antibiotic prophylaxis for a
+f +f +f +f +f +f +f +f +f +f


patient with which of the following cardiac conditions?
+f +f +f +f +f +f +f


a. Mitral valve prolapse +f +f


b. Prosthetic heart valve +f +f


c. Rheumatic heart disease +f +f


d. Pacemakers for cardiac arrhythmias +f +f +f




ANSWER: B +f


Previously, the American Heart Association (AHA) recommended antibiotic prophyla
+f +f +f +f +f +f +f +f


xis for many patients with heart murmurs caused by valvular disease (e.g., mitral val
+f +f +f +f +f +f +f +f +f +f +f +f +f


ve prolapse, rheumatic heart disease) in an effort to prevent infective endocarditis; h
+f +f +f +f +f +f +f +f +f +f +f +f


owever, current guidelines omit this recommendation on the basis of accumulated sc
+f +f +f +f +f +f +f +f +f +f +f


ientific evidence. If a murmur is due to certain specific cardiac conditions (e.g., previ
+f +f +f +f +f +f +f +f +f +f +f +f +f


ous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disease),
+f +f +f +f +f +f +f +f +f


the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
+f +f +f +f +f +f +f +f +f +f +f




3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased
+f +f +f +f +f +f +f +f +f +f +f +f +f +f +f


ability of the body to certain drugs, including local anesthetics and analgesics.
+f +f +f +f +f +f +f +f +f +f


a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C +f


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment
+f +f +f +f +f +f +f +f +f +f +f +f +f


of liver function. This deficit may result in prolonged bleeding and less efficient
+f +f +f +f +f +f +f +f +f +f +f +f +f


metabolism of certain drugs, including local anesthetics and analgesics.
+f +f +f +f +f +f +f +f




4. Which of the following symptoms and signs is most consistent with allergy?
+f +f +f +f +f +f +f +f +f +f +f


a. Heart palpitations +f


b. Itching
c. Vomiting
d. Fainting




WWW.NURSYLAB.COM

GRADESMORE.COM

, WWW.GRADESMORE.COM
Stuvia.com+f-
+fThe+fMarketplace+fto+fBuy+fand+fSell+fyour+fStudy+fMaterial


Page 1 of 74 +f +f +f


ANSWER: B +f


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, s
+f +f +f +f +f +f +f +f +f +f +f


welling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and sy
+f +f +f +f +f +f +f +f +f +f +f


mptoms such as nausea, vomiting, heart palpitations, and fainting generally are not
+f +f +f +f +f +f +f +f +f +f +f +f


of an allergic origin but rather are manifestations of drug intolerance, adverse side e
+f +f +f +f +f +f +f +f +f +f +f +f +f


ffects, or psychogenic reactions.
+f +f +f




5. Which of the following is true of the patient with a history of tuberculosis?
+f +f +f +f +f +f +f +f +f +f +f +f +f


a. A positive result on skin testing means that the person has active TB.
+f +f +f +f +f +f +f +f +f +f +f +f


b. Most patients who become positive skin testers develop active disease.
+f +f +f +f +f +f +f +f +f


c. Patients with acquired immunodeficiency syndrome (AIDS) have a high
+f +f +f +f +f +f +f +f +f


incidence of tuberculosis. +f +f


d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
+f +f +f +f +f +f +f +f +f +f +f +f +f +f




ANSWER: C + f


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome
+f +f +f +f +f +f +f +f +f


(AIDS) should be explored because patients with AIDS have a high incidence of tub
+f +f +f +f +f +f +f +f +f +f +f +f +f


erculosis. A positive result on skin testing means specifically that the person has at
+f +f +f +f +f +f +f +f +f +f +f +f +f +f


some time been infected with TB, not necessarily that active disease is present. Mo
+f +f +f +f +f +f +f +f +f +f +f +f +f


st patients who become positive skin testers do not develop active disease. A diagn
+f +f +f +f +f +f +f +f +f +f +f +f +f


osis of active TB is made by chest x-
+f +f +f +f +f +f +f +f


ray, imaging, sputum culture, and clinical examination.
+f +f +f +f +f +f




6. Vasoconstrictors should be avoided in patients who cocaine or met +f +f +f +f +f +f +f +f +f


hamphetamine users because these agents may precipitate +f +f +f +f +f +f .
a. severe hypotension +f


b. severe hypertension +f


c. respiratory depression +f


d. cessation of intestinal peristalsis +f +f +f




ANSWER: B +f


Vasoconstrictors should be avoided in patients who are cocaine or methamphetami +f +f +f +f +f +f +f +f +f +f


ne users because the combination may precipitate arrhythmias, MI, or severe hypert
+f +f +f +f +f +f +f +f +f +f +f


ension.

7. It has been shown that the risk for occurrence of a serious perioperative cardiovasc
+f +f +f +f +f +f +f +f +f +f +f +f +f


ular event (e.g., MI, heart failure) is increased in patients who are unable to meet a
+f +f +f +f +f +f +f +f +f + f +f +f +f +f +f +f


-MET (metabolic equivalent of task) demand during normal daily activity.
+f +f +f +f +f +f +f +f +f


a. 4
b. 6
c. 8
d. 10

ANSWER: A +f


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flig
+f +f +f +f +f +f +f +f +f +f +f +f +f +f


ht of stairs. Activities requiring greater than 10 METs include swimming and singles te
+f +f +f +f +f +f +f +f +f +f +f +f +f


nnis. An exercise capacity of 10 to 13 METs indicates excellent physical conditioning.
+f +f +f +f +f +f +f +f +f +f +f +f




8. Which of the following alterations in the fingernails is associated with cirrhosis?
+f +f +f +f +f +f +f +f +f +f +f


a. Yellowing
b. Clubbing
c. White discoloration +f




WWW.NURSYLAB.COM

GRADESMORE.COM