TEST BANK For Little and Falace's Dental Management of the
Medically Compromised Patient, 10th Edition by Craig Miller
The key to successful dental management of a medically compromised patient is -
ANSWER:thorough evaluation followed by thoughtful assessment of risk to
determine whether a planned procedure can be safely tolerated
What are the two basic techniques used to obtain a medical history? -
ANSWER:Questionnaire and interview
What are the important inquiries of medical history review - ANSWER:Current
physician, operations and hospitalizations, and treatment received
Heart Failure (HF) - ANSWER:A clinical syndrome complex that results from an
underlying cardiovascular problem
According to the book, within how many days of a heart attack may preclude elective
dental care? - ANSWER:30 days
Angina - ANSWER:Brief substernal pain resulting from myocardial ischemia, a
common significant symptom of coronary heart disease
What is a common significant symptom of coronary heart disease? - ANSWER:Angina
According to the book, at what blood pressure reading would a patient be deferred?
- ANSWER:When the blood pressure is equal to or above 180/110mmHg
In clinic, what is the blood pressure reading in which a patient would be deferred? -
ANSWER:When the blood pressure is equal to or higher than 160/100
Heart murmurs are caused by - ANSWER:turbulent blood flow that produces
vibratory sound during the beating of the heart
Mitral Valve Prolapse (MVP) - ANSWER:Leaflets of the mitral valve, prolapse or
balloon back into the left atrium during systole
Rheumatic Fever - ANSWER:An autoimmune condition that can follow upper
respiratory hemolytic streptococcal infection, and may lead to damage of the heart
valves
Patient with some forms of severe congenital heart diseases are at an increased risk
for: - ANSWER:infective endocarditis
Artificial heart valve is associated with high risk for... - ANSWER:the development of
infective endocarditis with significant morbidity and mortality
, What cardiovascular disease will require a pre-medication prophylaxis? -
ANSWER:Patients with an artificial heart valve
Arrhythmias are frequently related to... - ANSWER:heart failure of ischemic heart
disease
What hematologic disorder is a patient at risk for severe bleeding during any type of
dental treatment? - ANSWER:Hemophilia or inherited bleeding disorder
Patients with a history of blood transfusions are of concern from what two aspects? -
ANSWER:The underlying problem that necessitated a blood transfusion, and
alterations in the delivery of dental treatment
Anemia - ANSWER:May results from an underlying pathologic process, such as
chronic blood loss, decreased production of red blood cells, or hemolysis
Leukemia and lymphoma considerations - ANSWER:Depending on the type or status
of the disease, and the type of treatment, some patients may have bleeding
problems or delayed healing or prone to infection
What can occur in patients taking anti-coagulants or anti-platelet medication's -
ANSWER:Excessive bleeding
What disorders are predisposed to
a stroke? - ANSWER:Hypertension and diabetes
Epilepsy, seizures, and convulsions - ANSWER:A history of epilepsy or Grandma
seizures should be identified, and the degree of seizure control should be
determined
Behavioral disorder/psychiatric treatment - ANSWER:Patients with a history of a
behavioral disorder or psychiatric illness, as well as the nature of that disorder or
illness needs to be identified
What medication can irritate the gastrointestinal tract? - ANSWER:Aspirin or non-
steroidal anti-inflammatory drugs. Patients with colitis may not be able to take
certain antibiotics.
Impaired liver function may result in - ANSWER:Prolonged, bleeding and less
efficient, metabolism of certain drugs, including local anesthetics, and analgesics.
(Hepatitis, liver disease, jaundice, and cirrhosis)
Symptoms and science associated with TRUE allergies include - ANSWER:Itching,
urticaria (hives), Rash, swelling, wheezing, angioedema (swollen face), runny nose,
and teary eyes
Medically Compromised Patient, 10th Edition by Craig Miller
The key to successful dental management of a medically compromised patient is -
ANSWER:thorough evaluation followed by thoughtful assessment of risk to
determine whether a planned procedure can be safely tolerated
What are the two basic techniques used to obtain a medical history? -
ANSWER:Questionnaire and interview
What are the important inquiries of medical history review - ANSWER:Current
physician, operations and hospitalizations, and treatment received
Heart Failure (HF) - ANSWER:A clinical syndrome complex that results from an
underlying cardiovascular problem
According to the book, within how many days of a heart attack may preclude elective
dental care? - ANSWER:30 days
Angina - ANSWER:Brief substernal pain resulting from myocardial ischemia, a
common significant symptom of coronary heart disease
What is a common significant symptom of coronary heart disease? - ANSWER:Angina
According to the book, at what blood pressure reading would a patient be deferred?
- ANSWER:When the blood pressure is equal to or above 180/110mmHg
In clinic, what is the blood pressure reading in which a patient would be deferred? -
ANSWER:When the blood pressure is equal to or higher than 160/100
Heart murmurs are caused by - ANSWER:turbulent blood flow that produces
vibratory sound during the beating of the heart
Mitral Valve Prolapse (MVP) - ANSWER:Leaflets of the mitral valve, prolapse or
balloon back into the left atrium during systole
Rheumatic Fever - ANSWER:An autoimmune condition that can follow upper
respiratory hemolytic streptococcal infection, and may lead to damage of the heart
valves
Patient with some forms of severe congenital heart diseases are at an increased risk
for: - ANSWER:infective endocarditis
Artificial heart valve is associated with high risk for... - ANSWER:the development of
infective endocarditis with significant morbidity and mortality
, What cardiovascular disease will require a pre-medication prophylaxis? -
ANSWER:Patients with an artificial heart valve
Arrhythmias are frequently related to... - ANSWER:heart failure of ischemic heart
disease
What hematologic disorder is a patient at risk for severe bleeding during any type of
dental treatment? - ANSWER:Hemophilia or inherited bleeding disorder
Patients with a history of blood transfusions are of concern from what two aspects? -
ANSWER:The underlying problem that necessitated a blood transfusion, and
alterations in the delivery of dental treatment
Anemia - ANSWER:May results from an underlying pathologic process, such as
chronic blood loss, decreased production of red blood cells, or hemolysis
Leukemia and lymphoma considerations - ANSWER:Depending on the type or status
of the disease, and the type of treatment, some patients may have bleeding
problems or delayed healing or prone to infection
What can occur in patients taking anti-coagulants or anti-platelet medication's -
ANSWER:Excessive bleeding
What disorders are predisposed to
a stroke? - ANSWER:Hypertension and diabetes
Epilepsy, seizures, and convulsions - ANSWER:A history of epilepsy or Grandma
seizures should be identified, and the degree of seizure control should be
determined
Behavioral disorder/psychiatric treatment - ANSWER:Patients with a history of a
behavioral disorder or psychiatric illness, as well as the nature of that disorder or
illness needs to be identified
What medication can irritate the gastrointestinal tract? - ANSWER:Aspirin or non-
steroidal anti-inflammatory drugs. Patients with colitis may not be able to take
certain antibiotics.
Impaired liver function may result in - ANSWER:Prolonged, bleeding and less
efficient, metabolism of certain drugs, including local anesthetics, and analgesics.
(Hepatitis, liver disease, jaundice, and cirrhosis)
Symptoms and science associated with TRUE allergies include - ANSWER:Itching,
urticaria (hives), Rash, swelling, wheezing, angioedema (swollen face), runny nose,
and teary eyes
