Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
meaning that the blood pressure is greater than or equal to mm Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be
brought under control.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
with which of the following cardiac conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANSWER: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic
heart valve, complex congenital cyanotic heart disease), the AHA continues to recommend
antibiotic prophylaxis for most dental procedures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of
the body to certain drugs, including local anesthetics and analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
function. This deficit may result in prolonged bleeding and less efficient metabolism of
certain drugs, including local anesthetics and analgesics.
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: B
Symptoms jand jsigns jconsistent jwith jallergy jinclude jitching, jurticaria j(hives), jrash,
jswelling, jwheezing, jangioedema, jrunny jnose, jand jtearing jeyes. jIsolated jsigns jand
jsymptoms jsuch jas jnausea, jvomiting, jheart jpalpitations, jand jfainting jgenerally jare jnot jof
jan jallergic jorigin jbut jrather jare jmanifestations jof jdrug jintolerance, jadverse jside jeffects, jor
jpsychogenic jreactions.
5. Which jof jthe jfollowing jis jtrue jof jthe jpatient jwith ja jhistory jof jtuberculosis?
a. A jpositive jresult jon jskin jtesting jmeans jthat jthe jperson jhas jactive jTB.
b. Most jpatients jwho jbecome jpositive jskin jtesters jdevelop jactive jdisease.
c. Patients jwith jacquired jimmunodeficiency jsyndrome j(AIDS) jhave ja jhigh
jincidence jof jtuberculosis.
d. A jdiagnosis jof jactive jTB jis jmade jby ja jpurified jprotein jderivative j(PPD) jskin jtest.
ANSWER: j C
The jpotential jcoexistence jof jtuberculosis jand jacquired jimmunodeficiency jsyndrome
j(AIDS) jshould jbe jexplored jbecause jpatients jwith jAIDS jhave ja jhigh jincidence jof
jtuberculosis. jA jpositive jresult jon jskin jtesting jmeans jspecifically jthat jthe jperson jhas jat
jsome jtime jbeen jinfected jwith jTB, jnot jnecessarily jthat jactive jdisease jis jpresent. jMost
jpatients jwho jbecome jpositive jskin jtesters jdo jnot jdevelop jactive jdisease. jA jdiagnosis jof
jactive jTB jis jmade jby jchest jx-ray, jimaging, jsputum jculture, jand jclinical jexamination.
6. Vasoconstrictors jshould jbe javoided jin jpatients jwho jcocaine jor jmethamphetamine
jusers jbecause jthese jagents jmay jprecipitate .
a. severe jhypotension
b. severe jhypertension
c. respiratory jdepression
d. cessation jof jintestinal jperistalsis
ANSWER: j B
Vasoconstrictors jshould jbe javoided jin jpatients jwho jare jcocaine jor jmethamphetamine jusers
jbecause jthe jcombination jmay jprecipitate jarrhythmias, jMI, jor jsevere jhypertension.
7. It jhas jbeen jshown jthat jthe jrisk jfor joccurrence jof ja jserious jperioperative jcardiovascular
jevent j(e.g., jMI, jheart jfailure) jis jincreased jin jpatients jwho jare junable jto jmeet ja j-MET
j(metabolic jequivalent jof jtask) jdemand jduring jnormal jdaily jactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: j A
Daily jactivities jrequiring j4 jMETs jinclude jlevel jwalking jat j4 jmiles/hour jor jclimbing ja jflight
jof jstairs. jActivities jrequiring jgreater jthan j10 jMETs jinclude jswimming jand jsingles jtennis.
jAn jexercise jcapacity jof j10 jto j13 jMETs jindicates jexcellent jphysical jconditioning.
8. Which jof jthe jfollowing jalterations jin jthe jfingernails jis jassociated jwith jcirrhosis?
a. Yellowing
b. Clubbing
c. White jdiscoloration
d. Splinter jhemorrhages
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of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
meaning that the blood pressure is greater than or equal to mm Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be
brought under control.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
with which of the following cardiac conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANSWER: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic
heart valve, complex congenital cyanotic heart disease), the AHA continues to recommend
antibiotic prophylaxis for most dental procedures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of
the body to certain drugs, including local anesthetics and analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
function. This deficit may result in prolonged bleeding and less efficient metabolism of
certain drugs, including local anesthetics and analgesics.
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
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, WWW.GRADESMORE.COM
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Page 1 of 74
ANSWER: B
Symptoms jand jsigns jconsistent jwith jallergy jinclude jitching, jurticaria j(hives), jrash,
jswelling, jwheezing, jangioedema, jrunny jnose, jand jtearing jeyes. jIsolated jsigns jand
jsymptoms jsuch jas jnausea, jvomiting, jheart jpalpitations, jand jfainting jgenerally jare jnot jof
jan jallergic jorigin jbut jrather jare jmanifestations jof jdrug jintolerance, jadverse jside jeffects, jor
jpsychogenic jreactions.
5. Which jof jthe jfollowing jis jtrue jof jthe jpatient jwith ja jhistory jof jtuberculosis?
a. A jpositive jresult jon jskin jtesting jmeans jthat jthe jperson jhas jactive jTB.
b. Most jpatients jwho jbecome jpositive jskin jtesters jdevelop jactive jdisease.
c. Patients jwith jacquired jimmunodeficiency jsyndrome j(AIDS) jhave ja jhigh
jincidence jof jtuberculosis.
d. A jdiagnosis jof jactive jTB jis jmade jby ja jpurified jprotein jderivative j(PPD) jskin jtest.
ANSWER: j C
The jpotential jcoexistence jof jtuberculosis jand jacquired jimmunodeficiency jsyndrome
j(AIDS) jshould jbe jexplored jbecause jpatients jwith jAIDS jhave ja jhigh jincidence jof
jtuberculosis. jA jpositive jresult jon jskin jtesting jmeans jspecifically jthat jthe jperson jhas jat
jsome jtime jbeen jinfected jwith jTB, jnot jnecessarily jthat jactive jdisease jis jpresent. jMost
jpatients jwho jbecome jpositive jskin jtesters jdo jnot jdevelop jactive jdisease. jA jdiagnosis jof
jactive jTB jis jmade jby jchest jx-ray, jimaging, jsputum jculture, jand jclinical jexamination.
6. Vasoconstrictors jshould jbe javoided jin jpatients jwho jcocaine jor jmethamphetamine
jusers jbecause jthese jagents jmay jprecipitate .
a. severe jhypotension
b. severe jhypertension
c. respiratory jdepression
d. cessation jof jintestinal jperistalsis
ANSWER: j B
Vasoconstrictors jshould jbe javoided jin jpatients jwho jare jcocaine jor jmethamphetamine jusers
jbecause jthe jcombination jmay jprecipitate jarrhythmias, jMI, jor jsevere jhypertension.
7. It jhas jbeen jshown jthat jthe jrisk jfor joccurrence jof ja jserious jperioperative jcardiovascular
jevent j(e.g., jMI, jheart jfailure) jis jincreased jin jpatients jwho jare junable jto jmeet ja j-MET
j(metabolic jequivalent jof jtask) jdemand jduring jnormal jdaily jactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: j A
Daily jactivities jrequiring j4 jMETs jinclude jlevel jwalking jat j4 jmiles/hour jor jclimbing ja jflight
jof jstairs. jActivities jrequiring jgreater jthan j10 jMETs jinclude jswimming jand jsingles jtennis.
jAn jexercise jcapacity jof j10 jto j13 jMETs jindicates jexcellent jphysical jconditioning.
8. Which jof jthe jfollowing jalterations jin jthe jfingernails jis jassociated jwith jcirrhosis?
a. Yellowing
b. Clubbing
c. White jdiscoloration
d. Splinter jhemorrhages
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