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 o
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f the Medically Compromised Patient,
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10thEdition by Craig Miller, Ch
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apters 1 - 30 c* c* c*

,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test
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Bank

Table of Contents li li


PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter2:InfectiveEndocarditis Chapt li li li li


er 3: Hypertension
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Chapter4: Ischemic HeartDisease Cha li li li li li


pter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease li li li


Chapter 8: Smoking and Tobacco Use Cessation Ch
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apter 9: Sleep- li li


Related Breathing Disorders PART FOUR: GAST
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ROINTESTIAL DISEASE li


Chapter 10: Liver Disease li li li


Chapter 11: Gastrointestinal Disease li li li


PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic KidneyDisease and Dialysis C
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hapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapter li li li li li


15:AdrenalInsufficiency Chapter 16: T
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hyroid Diseases li


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 Chapter 1
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9: Allergy
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Chapter20: Rheumatologic and Connective Tissue Disorders Chapter 2
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1: 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 Chapter
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23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
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er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26:
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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 li li li


Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 2
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9: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse li li li li li

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Chapter01: Patient Evaluation and Risk Assessment
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Little:Dental Management ofthe Medically Compromised Patient, 10thEdition
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MULTIPLE CHOICE li




1. Elective dental care should be deferred for patients with severe, uncontrolled hyperte
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nsion, meaning that the blood pressure is greater than or equal to mm Hg.
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C li


Elective dental care should be deferred for patients with severe, uncontrolled hyperte
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nsion, which is blood pressure greater than or equal to 180/110 mm Hg, until the condit
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ion can be brought under control.
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2. The American Heart Association currently recommends antibiotic prophylaxis for a pat
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ient with which of the following cardiac conditions?
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a. Mitral valve prolapse li li


b. Prosthetic heart valve li li


c. Rheumatic heart disease li li


d. Pacemakers for cardiac arrhythmias li li li




ANSWER: B li


Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis li li li li li li li li


for many patients with heart murmurs caused by valvular disease (e.g., mitral valve prol
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apse, rheumatic heart disease) in an effort to prevent infective endocarditis; however, c
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urrent guidelines omit this recommendation on the basis of accumulated scientific evide
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nce. If a murmur is due to certain specific cardiac conditions (e.g., previous endocarditis
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, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA continues t
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o recommend antibiotic prophylaxis for most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased abilit
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y of the body to certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C li


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liv
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er function. This deficit may result in prolonged bleeding and less efficient metaboli
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sm of certain drugs, including local anesthetics and analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations li


b. Itching
c. Vomiting
d. Fainting




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ANSWER: B li


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swell
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ing, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms
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such as nausea, vomiting, heart palpitations, and fainting generally are not of an allergic
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origin but rather are manifestations of drug intolerance, adverse side effects, or psycho
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genic reactions. li




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


a. A positive result on skin testing means that the person has active TB.
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b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) have a high inc li li li li li li li li li


idence of tuberculosis. li li


d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANSWER: C l i


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AI
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DS) should be explored because patients with AIDS have a high incidence of tuberculos
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is. A positive result on skin testing means specifically that the person has at some time b
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een infected with TB, not necessarily that active disease is present. Most patients who b
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ecome positive skin testers do not develop active disease. A diagnosis of active TB is m
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ade by chest x-ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or metha li li li li li li li li li


mphetamine users because these agents may precipitate li li li li li li .
a.severe hypotension li


b.severe hypertension li


c.respiratory depression li


d.cessation of intestinal peristalsis li li li




ANSWER: B li


Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine u li li li li li li li li li li li


sers because the combination may precipitate arrhythmias, MI, or severe hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular
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event (e.g., MI, heart failure) is increased in patients who are unable to meet a -
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MET (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10

ANSWER: A li


Daily activities requiring 4 METs include level 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 e
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xercise capacity of 10 to 13 METs indicates excellent physical conditioning.
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8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration li




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