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Complete Test Bank-Little and Falace's
Dental Management of the Medically
Compromised Patient 10th Edition
by Craig Miller, Nelson L. Rhodus,
Nathaniel S. Treister
All Chapters 1-30| Verified Answers(A+)
Fr
an
kl
yn
e
A
pl
u sP
as
1
s
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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
Fr
Chapter 12: Chronic Kidney Disease and Dialysis
an
Chapter 13: Sexually Transmitted Diseases
kl
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
yn
Chapter 15: Adrenal Insufficiency
e
Chapter 16: Thyroid Diseases
A
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
pl
Chapter 18: AIDS, HIV Infection, and Related Conditions
u
Chapter 19: Allergy
sP
Chapter 20: Rheumatologic and Connective Tissue Disorders
as
2
s
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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
Chapter 01: Patient Evaluation and Risk Assessment
MULTIPLE CHOICE
Fr
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.
an
A. 200/140
B. 180/140
kl
C. 180/110
yn
D. 160/110
e
CORRECT ANSWER: C
A
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is blood pressure
of greater than or equal to 180/110 mm Hg, until the condition can be brought under control.
pl
PTS: 1 REF: p. 4
u sP
as
3
s
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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
CORRECT 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; current guidelines omit this recommendation on the basis of accumulated scientific
evidence. If a murmur is due to 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. Patients with pacemakers do not require antibiotic prophylaxis.
PTS: 1 REF: pp. 4-5
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
Fr
D. excrete
an
CORRECT ANSWER: C
Patients with chronic hepatitis (B or C) or cirrhosis have an associated impairment of liver function. This deficit may
kl
result in prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and
analgesics.
yn
PTS: 1 REF: p. 6
e
A
4. Which of the following symptoms and signs is most consistent with allergy?
A. heart palpitations
pl
B. itching
u
C. vomiting
sP
D. fainting
as
4
s
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CORRECT ANSWER: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing, angioedema,
runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, heart palpitations, and fainting
generally are not of an allergic origin but rather are manifestations of drug intolerance, adverse side effects, or
psychogenic reactions.
PTS: 1 REF: p. 6
5. Which of the following is true of the patient with a history of tuberculosis?
A. A positive result on skin testing means that the person has active TB.
B. Most patients who become positive skin testers develop active disease.
C. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tuberculosis.
D. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
CORRECT ANSWER: C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should be explored
because patients with AIDS have a high incidence of tuberculosis. A positive result on skin testing means
specifically that the person has at some time been infected with TB, not necessarily that active disease is present.
Most patients who become positive skin testers do not develop active disease. A diagnosis of active TB is made by
chest x-ray, imaging, sputum culture, and clinical examination.
PTS: 1 REF: p. 6-7
Fr
6. Vasoconstrictors should be avoided in patients who are using cocaine or methamphetamine because these agents
an
may precipitate .
A. severe hypotension
kl
B. severe hypertension
yn
C. respiratory depression
D. cessation of intestinal peristalsis
e
CORRECT ANSWER: B
A
Vasoconstrictors may precipitate cardiac arrhythmias or severe hypertension in patients who are using cocaine or
methamphetamine. Respiratory depression is associated with the use of opioids.
pl
PTS: 1 REF: p. 8
u sP
as
5
s
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7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event is increased in
patients who are unable to meet a -MET (metabolic equivalent of task) demand during normal daily activity.
A. 4
B. 6
C. 8
D. 10
CORRECT ANSWER: A
Risk is increased in patients unable to meet a 4-MET demand. Daily activities requiring 4 METs include level
walking at 4 miles/hour or climbing a flight of stairs. Activities requiring greater than 10 METs include swimming
and singles tennis.
PTS: 1 REF: p. 9
8. Which of the following alterations in the fingernails is associated with cirrhosis?
A. yellowing
B. clubbing
C. white discoloration
D. splinter hemorrhages
CORRECT ANSWER: C
Fr
White discoloration is seen in cirrhosis. Yellowing is from malignancy, clubbing is seen in cardiopulmonary
insufficiency, and splinter hemorrhages are associated with infective endocarditis.
an
PTS: 1 REF: p. 9
kl
yn
9. A blood pressure cuff should be placed on the upper arm and inflated until .
A. the radial pulse disappears
e
B. the radial pulse disappears and then inflated an additional 20 to 30 mm Hg
A
C. two fingers cannot fit comfortably under the cuff
D. the pulse no longer can be heard with the stethoscope
pl
CORRECT ANSWER: B
u sP
as
6
s
Franklyn A Plus Pass
Complete Test Bank-Little and Falace's
Dental Management of the Medically
Compromised Patient 10th Edition
by Craig Miller, Nelson L. Rhodus,
Nathaniel S. Treister
All Chapters 1-30| Verified Answers(A+)
Fr
an
kl
yn
e
A
pl
u sP
as
1
s
,@2027// Q&A | 100% Verified // Verified Answers, Latest 2026/2027// Q&A | 100% Verified
Franklyn A Plus Pass
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
Fr
Chapter 12: Chronic Kidney Disease and Dialysis
an
Chapter 13: Sexually Transmitted Diseases
kl
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
yn
Chapter 15: Adrenal Insufficiency
e
Chapter 16: Thyroid Diseases
A
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
pl
Chapter 18: AIDS, HIV Infection, and Related Conditions
u
Chapter 19: Allergy
sP
Chapter 20: Rheumatologic and Connective Tissue Disorders
as
2
s
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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
Chapter 01: Patient Evaluation and Risk Assessment
MULTIPLE CHOICE
Fr
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.
an
A. 200/140
B. 180/140
kl
C. 180/110
yn
D. 160/110
e
CORRECT ANSWER: C
A
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is blood pressure
of greater than or equal to 180/110 mm Hg, until the condition can be brought under control.
pl
PTS: 1 REF: p. 4
u sP
as
3
s
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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
CORRECT 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; current guidelines omit this recommendation on the basis of accumulated scientific
evidence. If a murmur is due to 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. Patients with pacemakers do not require antibiotic prophylaxis.
PTS: 1 REF: pp. 4-5
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
Fr
D. excrete
an
CORRECT ANSWER: C
Patients with chronic hepatitis (B or C) or cirrhosis have an associated impairment of liver function. This deficit may
kl
result in prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and
analgesics.
yn
PTS: 1 REF: p. 6
e
A
4. Which of the following symptoms and signs is most consistent with allergy?
A. heart palpitations
pl
B. itching
u
C. vomiting
sP
D. fainting
as
4
s
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CORRECT ANSWER: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing, angioedema,
runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, heart palpitations, and fainting
generally are not of an allergic origin but rather are manifestations of drug intolerance, adverse side effects, or
psychogenic reactions.
PTS: 1 REF: p. 6
5. Which of the following is true of the patient with a history of tuberculosis?
A. A positive result on skin testing means that the person has active TB.
B. Most patients who become positive skin testers develop active disease.
C. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tuberculosis.
D. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
CORRECT ANSWER: C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should be explored
because patients with AIDS have a high incidence of tuberculosis. A positive result on skin testing means
specifically that the person has at some time been infected with TB, not necessarily that active disease is present.
Most patients who become positive skin testers do not develop active disease. A diagnosis of active TB is made by
chest x-ray, imaging, sputum culture, and clinical examination.
PTS: 1 REF: p. 6-7
Fr
6. Vasoconstrictors should be avoided in patients who are using cocaine or methamphetamine because these agents
an
may precipitate .
A. severe hypotension
kl
B. severe hypertension
yn
C. respiratory depression
D. cessation of intestinal peristalsis
e
CORRECT ANSWER: B
A
Vasoconstrictors may precipitate cardiac arrhythmias or severe hypertension in patients who are using cocaine or
methamphetamine. Respiratory depression is associated with the use of opioids.
pl
PTS: 1 REF: p. 8
u sP
as
5
s
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Franklyn A Plus Pass
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event is increased in
patients who are unable to meet a -MET (metabolic equivalent of task) demand during normal daily activity.
A. 4
B. 6
C. 8
D. 10
CORRECT ANSWER: A
Risk is increased in patients unable to meet a 4-MET demand. Daily activities requiring 4 METs include level
walking at 4 miles/hour or climbing a flight of stairs. Activities requiring greater than 10 METs include swimming
and singles tennis.
PTS: 1 REF: p. 9
8. Which of the following alterations in the fingernails is associated with cirrhosis?
A. yellowing
B. clubbing
C. white discoloration
D. splinter hemorrhages
CORRECT ANSWER: C
Fr
White discoloration is seen in cirrhosis. Yellowing is from malignancy, clubbing is seen in cardiopulmonary
insufficiency, and splinter hemorrhages are associated with infective endocarditis.
an
PTS: 1 REF: p. 9
kl
yn
9. A blood pressure cuff should be placed on the upper arm and inflated until .
A. the radial pulse disappears
e
B. the radial pulse disappears and then inflated an additional 20 to 30 mm Hg
A
C. two fingers cannot fit comfortably under the cuff
D. the pulse no longer can be heard with the stethoscope
pl
CORRECT ANSWER: B
u sP
as
6
s
