Clinical Medicine Exam 3 with Complete
Solutions
Dental management considerations of patients with psychiatric disease will include all of
the following EXCEPT:
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - correct answer-B
Which clinical finding is suggestive of a platelet disorder?
A. ecchymosis
B. hemarthrosis
C. petechiae
D. delayed surgical bleeding - correct answer-C
Which of the following is a hypercoagulable state?
A. thrombocytopenia
B. hereditary hemorrhagic telangiectasia
C. hemophilia A
D. protein C deficiency - correct answer-D
Patients with bipolar disorders will:
A. report an increased need for sleep
B. have no family history of bipolar disorder
C. present with distinct periods of euphoric mania
D. require pain management with NSAIDs only - correct answer-C
Which factors are considered to be vitamin K dependent?
A. factors 7, 9
B. factors 9, 11
C. factors 7, 11
D. factors 8, 10 - correct answer-A
*Factors II, VII, IX, X* are vitamin K-dependent
,For which patient is DDAVP the initial agent used to promote hemostasis?
A. moderate hemophilia A
B. von Willebrand disease
C. idiopathic thrombocytopenia
D. liver disease - correct answer-B
Schizophrenia:
A. has a lifetime prevalence of 1.1% and occurs later in life
B. responds well to treatment with lithium
C. has a definite genetic cause
D. is characterized by disordered thinking, delusions or hallucinations - correct answer-
D
Pharmacologic adverse effects which are NOT of concern when managing patients with
psychiatric disorders are:
A. orthostatic hypertension
B. hypotension with use of epinephrine
C. tardive dyskinesia
D. agranulocytosis - correct answer-A
Which of the following represents appropriate management of a patient who is
scheduled for the extraction of 2 maxillary anterior teeth?
A. discontinue aspirin 3-5 days prior to surgery
B. obtain and INRR 24 hrs prior to surgery for a patient who is taking LMWH (low
molecular weight heparin)
C. consider using adjunctive hemostatic agents (ex. fibrillar collagen) for the patient
taking Plavix
D. proceed with surgery in the patient with A. Fibrillation if INR is therapeutic b/w 2.5-3 -
correct answer-C and D
Mood disorders:
A. are more common among men than among women
B. are characterized by extreme exaggeration and disturbance of mood and affect
C. include depression, bipolar disorder, and schizophrenia
D. affect 7% of adults in the US - correct answer-B
A patient who is malingering is:
A. making a child sick
B. making themselves sick
C. deliberately feigning illness - correct answer-C
, In the development of a RBC, once a normoblast loses its nucleus, it becomes a:
A. mature RBC
B. mast cell
C. reticulocyte
D. pro-erythroblast - correct answer-C
Erythropoietin is released by the kidney and the:
A. lung
B. bone marrow
C. adrenal glands
D. liver - correct answer-D
Angular cheilitis and glossitis may be seen most often in which condition?
A. anemia
B. lymphoma
C. leukemia
D. errythrocytosis - correct answer-A
Anemia due to RBC destruction may be due to which of the following?
A. inadequate production
B. sequestration in the spleen
C. hemolysis
D. excessive thrombosis - correct answer-C
In sickle cell anemia, what amino acid replaces glutamic acid in the hemoglobin chain?
A. leucine
B. valine
C. tyrosine
D. methionine - correct answer-B
On a blood smear, iron deficiency anemia appears?
A. macrocytic-hypochromic
B. microcytic-hypochromic
C. normochromic
D. sickled - correct answer-B
Von Willebrand factor is released by megakarocytes and:
A. RBCs
Solutions
Dental management considerations of patients with psychiatric disease will include all of
the following EXCEPT:
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - correct answer-B
Which clinical finding is suggestive of a platelet disorder?
A. ecchymosis
B. hemarthrosis
C. petechiae
D. delayed surgical bleeding - correct answer-C
Which of the following is a hypercoagulable state?
A. thrombocytopenia
B. hereditary hemorrhagic telangiectasia
C. hemophilia A
D. protein C deficiency - correct answer-D
Patients with bipolar disorders will:
A. report an increased need for sleep
B. have no family history of bipolar disorder
C. present with distinct periods of euphoric mania
D. require pain management with NSAIDs only - correct answer-C
Which factors are considered to be vitamin K dependent?
A. factors 7, 9
B. factors 9, 11
C. factors 7, 11
D. factors 8, 10 - correct answer-A
*Factors II, VII, IX, X* are vitamin K-dependent
,For which patient is DDAVP the initial agent used to promote hemostasis?
A. moderate hemophilia A
B. von Willebrand disease
C. idiopathic thrombocytopenia
D. liver disease - correct answer-B
Schizophrenia:
A. has a lifetime prevalence of 1.1% and occurs later in life
B. responds well to treatment with lithium
C. has a definite genetic cause
D. is characterized by disordered thinking, delusions or hallucinations - correct answer-
D
Pharmacologic adverse effects which are NOT of concern when managing patients with
psychiatric disorders are:
A. orthostatic hypertension
B. hypotension with use of epinephrine
C. tardive dyskinesia
D. agranulocytosis - correct answer-A
Which of the following represents appropriate management of a patient who is
scheduled for the extraction of 2 maxillary anterior teeth?
A. discontinue aspirin 3-5 days prior to surgery
B. obtain and INRR 24 hrs prior to surgery for a patient who is taking LMWH (low
molecular weight heparin)
C. consider using adjunctive hemostatic agents (ex. fibrillar collagen) for the patient
taking Plavix
D. proceed with surgery in the patient with A. Fibrillation if INR is therapeutic b/w 2.5-3 -
correct answer-C and D
Mood disorders:
A. are more common among men than among women
B. are characterized by extreme exaggeration and disturbance of mood and affect
C. include depression, bipolar disorder, and schizophrenia
D. affect 7% of adults in the US - correct answer-B
A patient who is malingering is:
A. making a child sick
B. making themselves sick
C. deliberately feigning illness - correct answer-C
, In the development of a RBC, once a normoblast loses its nucleus, it becomes a:
A. mature RBC
B. mast cell
C. reticulocyte
D. pro-erythroblast - correct answer-C
Erythropoietin is released by the kidney and the:
A. lung
B. bone marrow
C. adrenal glands
D. liver - correct answer-D
Angular cheilitis and glossitis may be seen most often in which condition?
A. anemia
B. lymphoma
C. leukemia
D. errythrocytosis - correct answer-A
Anemia due to RBC destruction may be due to which of the following?
A. inadequate production
B. sequestration in the spleen
C. hemolysis
D. excessive thrombosis - correct answer-C
In sickle cell anemia, what amino acid replaces glutamic acid in the hemoglobin chain?
A. leucine
B. valine
C. tyrosine
D. methionine - correct answer-B
On a blood smear, iron deficiency anemia appears?
A. macrocytic-hypochromic
B. microcytic-hypochromic
C. normochromic
D. sickled - correct answer-B
Von Willebrand factor is released by megakarocytes and:
A. RBCs
