Prepare for dental examinations and clinical coursework with comprehensive practice material based on Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Nelson L. Rhodus, Nathaniel S. Treister, Eric T. Stoopler, and Alexander Ross Kerr.
Published by Mosby/Elsevier, this edition focuses on evaluating medically compromised patients and applying appropriate dental management principles. The 10th edition includes revised material on cancer and women's health and updated information related to the revised INBDE examination.
The resource follows the complete 30-chapter structure of the textbook, covering patient evaluation and risk assessment, cardiovascular and pulmonary conditions, gastrointestinal and genitourinary disease, endocrine and metabolic disorders, immunologic conditions, hematologic and oncologic disease, and neurologic, behavioral, and psychiatric disorders.
Complete 30-Chapter Coverage
Part One – Patient Evaluation and Risk Assessment
Chapter 1 – Patient Evaluation and Risk Assessment
Patient evaluation, medical history, risk assessment, clinical considerations, and planning dental care for medically compromised patients.
Part Two – Cardiovascular Disease
Chapter 2 – Infective Endocarditis
Risk factors, prevention, dental considerations, and management of patients at risk for infective endocarditis.
Chapter 3 – Hypertension
Hypertension assessment, clinical considerations, complications, and dental management.
Chapter 4 – Ischemic Heart Disease
Ischemic heart disease, risk assessment, treatment considerations, and dental management.
Chapter 5 – Cardiac Arrhythmias
Common arrhythmias, patient assessment, medications, complications, and dental treatment considerations.
Chapter 6 – Heart Failure (or Congestive Heart Failure)
Heart failure, clinical manifestations, medical management, risk considerations, and dental care.
Part Three – Pulmonary Disease
Chapter 7 – Pulmonary Disease
Common pulmonary disorders, respiratory assessment, risk factors, and dental management considerations.
Chapter 8 – Smoking and Tobacco Use Cessation
Effects of tobacco use, oral and systemic consequences, cessation approaches, and dental professional considerations.
Chapter 9 – Sleep-Related Breathing Disorders
Sleep-related breathing conditions, clinical considerations, risk assessment, and implications for dental care.
Part Four – Gastrointestinal Disease
Chapter 10 – Liver Disease
Liver disorders, hepatic function, medication considerations, bleeding risks, and dental management.
Chapter 11 – Gastrointestinal Disease
Gastrointestinal conditions, relevant complications, medication considerations, and dental treatment implications.
Part Five – Genitourinary Disease
Chapter 12 – Chronic Kidney Disease and Dialysis
Renal disease, dialysis, medication considerations, bleeding risks, and dental management of patients with kidney disease.
Chapter 13 – Sexually Transmitted Diseases
Common sexually transmitted diseases, systemic and oral manifestations, transmission considerations, and dental care.
Part Six – Endocrine and Metabolic Disease
Chapter 14 – Diabetes Mellitus
Diabetes, glycemic control, complications, medications, risk assessment, and dental management.
Chapter 15 – Adrenal Insufficiency
Adrenal disorders, corticosteroid considerations, adrenal crisis, risk assessment, and dental management.
Chapter 16 – Thyroid Diseases
Thyroid disorders, clinical considerations, medications, complications, and dental treatment planning.
Chapter 17 – Pregnancy and Breast Feeding
Pregnancy-related considerations, medication and treatment considerations, oral health, and dental management during pregnancy and breastfeeding.
Part Seven – Immunologic Disease
Chapter 18 – AIDS, HIV Infection, and Related Conditions
HIV infection, AIDS, immune dysfunction, oral manifestations, infection considerations, and dental management.
Chapter 19 – Allergy
Allergic reactions, hypersensitivity, medication-related reactions, assessment, prevention, and emergency considerations.
Chapter 20 – Rheumatologic and Connective Tissue Disorders
Rheumatologic disease, connective tissue disorders, systemic manifestations, medications, and dental management.
Chapter 21 – Organ and Bone Marrow Transplantation
Transplantation, immunosuppression, infection risk, medication considerations, and dental care.
Part Eight – Hematologic and Oncologic Disease
Chapter 22 – Disorders of Red Blood Cells
Anemias and other red blood cell disorders, clinical considerations, oral manifestations, and dental management.
Chapter 23 – Disorders of White Blood Cells
White blood cell disorders, immune function, infection risks, oral manifestations, and treatment considerations.
Chapter 24 – Acquired Bleeding and Hypercoagulable Disorders
Acquired bleeding disorders, anticoagulant therapy, hypercoagulability, and dental treatment considerations.
Chapter 25 – Congenital Bleeding and Hypercoagulable Disorders
Inherited bleeding and coagulation disorders, clinical risks, precautions, and dental management.
Chapter 26 – Cancer and Oral Care of the Patient
Cancer, cancer therapies, oral complications, treatment-related considerations, and dental care of oncology patients.
Part Nine – Neurologic, Behavioral, and Psychiatric Disorders
Chapter 27 – Neurologic Disorders
Neurologic disease, clinical manifestations, medications, treatment considerations, and dental management.
Chapter 28 – Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Anxiety, eating disorders, behavioral responses, patient assessment, and dental care considerations.
Chapter 29 – Psychiatric Disorders
Psychiatric conditions, medications, clinical considerations, and management of patients receiving dental care.
Chapter 30 – Drug and Alcohol Abuse
Substance use, associated medical and oral conditions, medication considerations, risk assessment, and dental management.
Additional Reference Topics
The 10th edition also includes appendices addressing important dental-clinical reference areas:
Management of common medical emergencies in the dental office
Infection-control guidelines in dental healthcare settings
Therapeutic management of common oral lesions
Drug interactions of significance in dentistry
Herbal supplements used in complementary and alternative medicine
Answers to practice test questions
Key Topics Covered
Patient evaluation and medical risk assessment
Cardiovascular disease and dental management
Infective endocarditis
Hypertension and ischemic heart disease
Cardiac arrhythmias and heart failure
Pulmonary disease
Tobacco use and cessation
Sleep-related breathing disorders
Liver and gastrointestinal disease
Chronic kidney disease and dialysis
Sexually transmitted diseases
Diabetes mellitus
Adrenal and thyroid disorders
Pregnancy and breastfeeding
HIV/AIDS and immunologic disorders
Allergy and hypersensitivity
Rheumatologic and connective tissue disorders
Organ and bone marrow transplantation
Hematologic disorders
Bleeding and hypercoagulable disorders
Cancer and oral care
Neurologic disorders
Anxiety and behavioral reactions
Psychiatric disorders
Drug and alcohol abuse
Dental-office medical emergencies
Infection control
Oral lesions
Clinically significant drug interactions
Exam-Focused Preparation
This resource provides chapter-by-chapter coverage corresponding to the complete 10th edition, making it useful for reviewing medical conditions and their implications for dental treatment. Elsevier describes the edition as thoroughly revised and notes that its content correlates with the revised INBDE examination.
Ideal For
Dental students
Dental hygiene students
Oral medicine coursework
Medically compromised patient management
Dental clinical examinations
INBDE preparation
Chapter-by-chapter revision
Quiz and test preparation
Comprehensive review of systemic disease and dental implications
Complete coverage of all 30 chapters of Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition.
Content preview
,Chapter 1: Patient Evaluation, Risk Assessment, and the Diagnostic Process
Multiple-Choice Questions (48 Questions)
Question 1: What is the primary purpose of the patient evaluation process in dental management?
A) To determine the patient's ability to pay for treatment
B) To assess the patient's medical status and identify risks before dental treatment
C) To schedule treatment appointments efficiently
D) To complete insurance paperwork
Correct Answer: B
Rationale: The primary purpose of patient evaluation is to assess the patient's medical status and
identify any risks that may affect dental treatment planning and delivery.
Question 2: Which component of the medical history is most critical for identifying patients at risk for
medical emergencies in the dental office?
A) Family history of dental disease
B) Current medications and allergies
C) Previous dental treatment history
D) Oral hygiene habits
Correct Answer: B
Rationale: Current medications and allergies are critical for identifying potential drug interactions and
preventing medical emergencies during dental treatment.
Question 3: A patient reports taking warfarin. Which laboratory value is most important to assess before
performing an invasive dental procedure?
A) Complete blood count
B) International Normalized Ratio (INR)
C) Blood glucose level
D) Serum creatinine
Correct Answer: B
Rationale: INR assesses the anticoagulant effect of warfarin and guides decisions regarding the safety of
invasive dental procedures .
Question 4: What is the ASA Physical Status Classification used for in dentistry?
A) To classify dental caries severity
B) To assess a patient's overall health status before treatment
C) To determine insurance reimbursement rates
D) To evaluate periodontal disease progression
Correct Answer: B
Rationale: The ASA Physical Status Classification assesses a patient's overall health status to guide dental
treatment planning and risk assessment.
Question 5: A patient with an ASA classification of III would be described as:
A) A normal healthy patient
B) A patient with mild systemic disease
C) A patient with severe systemic disease that limits activity
D) A moribund patient
,Correct Answer: C
Rationale: ASA III indicates a patient with severe systemic disease that limits activity but is not
incapacitating.
Question 6: Which of the following is considered a normal blood pressure reading?
A) 180/110 mmHg
B) 140/90 mmHg
C) 120/80 mmHg
D) 160/100 mmHg
Correct Answer: C
Rationale: Normal blood pressure is less than 120/80 mmHg.
Question 7: According to hypertension guidelines, at what blood pressure level should elective dental
treatment be deferred?
A) 140/90 mmHg
B) 160/100 mmHg
C) 180/110 mmHg
D) 150/95 mmHg
Correct Answer: C
Rationale: Dental treatment should be deferred when blood pressure is at or above 180/110 mmHg .
Question 8: What is the most important question to ask a patient with a history of infective endocarditis
before dental treatment?
A) "When was your last dental visit?"
B) "Do you have any allergies?"
C) "Do you have a prosthetic heart valve or prior history of endocarditis?"
D) "How often do you brush your teeth?"
Correct Answer: C
Rationale: Patients with prosthetic heart valves or prior history of infective endocarditis are at high risk
and may require antibiotic prophylaxis .
Question 9: Which cardiac conditions require antibiotic prophylaxis before invasive dental procedures?
A) Mitral valve prolapse
B) Prosthetic heart valves and prior history of infective endocarditis
C) Hypertension
D) Atrial fibrillation
Correct Answer: B
Rationale: Prosthetic heart valves and prior history of infective endocarditis are among the highest-risk
conditions requiring prophylaxis .
Question 10: A patient reports a penicillin allergy. Which antibiotic would be appropriate for infective
endocarditis prophylaxis?
A) Amoxicillin
B) Ampicillin
C) Cephalexin, azithromycin, or doxycycline
D) Clindamycin
Correct Answer: C
, Rationale: For penicillin-allergic patients, alternatives include cephalexin, azithromycin, or doxycycline.
Clindamycin is no longer recommended due to adverse effects .
Question 11: What is the recommended timing for antibiotic prophylaxis before dental procedures?
A) The night before the procedure
B) 30 to 60 minutes before the procedure
C) 2 hours after the procedure
D) Immediately after the procedure
Correct Answer: B
Rationale: Antibiotic prophylaxis should be administered 30 to 60 minutes before the invasive dental
procedure .
Question 12: Which dental procedures require antibiotic prophylaxis for high-risk cardiac patients?
A) Routine dental examination
B) Taking dental radiographs
C) Tooth extraction and periodontal procedures involving gingival manipulation
D) Placement of removable orthodontic appliances
Correct Answer: C
Rationale: Procedures involving manipulation of gingival tissue or the periapical region require
prophylaxis in high-risk patients .
Question 13: A patient with diabetes reports poorly controlled blood glucose. What is the primary
concern for dental treatment?
A) Increased risk of infection and delayed wound healing
B) Increased risk of bleeding
C) Increased risk of hypertension
D) Increased risk of allergic reaction
Correct Answer: A
Rationale: Poorly controlled diabetes increases the risk of infection and impairs wound healing .
Question 14: Which medication commonly prescribed for diabetes requires timing considerations for
dental appointments?
A) Metformin
B) Insulin
C) Glipizide
D) Sitagliptin
Correct Answer: B
Rationale: Insulin timing must be coordinated with meals and dental appointments to prevent
hypoglycemia.
Question 15: A patient with a history of adrenal insufficiency requires steroid supplementation before
dental surgery. Why?
A) To prevent allergic reactions
B) To prevent adrenal crisis from procedure-related stress
C) To prevent infection
D) To prevent bleeding
Correct Answer: B