TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Complete Newest Version

Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30

,Little:lDentallManagementloflthelMedicallylCompromisedlPatient,l10thlEditionlTestlBank
TableloflContents
PARTlONE:lPATIENTlEVALUATIONlANDlRISKlASSESSMENT
Chapterl1:lPatientlEvaluationlandlRisklAssessment
PARTlTWO:lCARDIOVASCULARlDISEASE
Chapterl2:lInfectivelEndocarditis
Chapterl3:lHypertension
Chapterl4:lIschemiclHeartlDisease
Chapterl5:lCardiaclArrhythmias
Chapterl6:lHeartlFailurel(orlCongestivelHeartlFailure)
PARTlTHREE:lPULMONARYlDISEASE
Chapterl7:lPulmonarylDisease
Chapterl8:lSmokinglandlTobaccolUselCessation
Chapterl9:lSleep-RelatedlBreathinglDisorders
PARTlFOUR:lGASTROINTESTIALlDISEASE
Chapterl10:lLiverlDisease
Chapterl11:lGastrointestinallDisease
PARTlFIVE:lGENITOURINARYlDISEASE
Chapterl12:lChroniclKidneylDiseaselandlDialysis
Chapterl13:lSexuallylTransmittedlDiseases
PARTlSIX:lENDOCRINElANDlMETABOLIClDISEASE
Chapterl14:lDiabeteslMellitus
Chapterl15:lAdrenallInsufficiency
Chapterl16:lThyroidlDiseases
Chapterl17:lPregnancylandlBreastlFeeding
PARTlSEVEN:lIMMUNOLOGIClDISEASE
Chapterl18:lAIDS,lHIVlInfection,landlRelatedlConditions
Chapterl19:lAllergy
Chapterl20:lRheumatologiclandlConnectivelTissuelDisorders
Chapterl21:lOrganlandlBonelMarrowlTransplantation
PARTlEIGHT:lHEMATOLOGIClANDlONCOLOGIClDISEASE
Chapterl22:lDisordersloflRedlBloodlCells
Chapterl23:lDisordersloflWhitelBloodlCells
Chapterl24:lAcquiredlBleedinglandlHypercoagulablelDisorders
Chapterl25:lCongenitallBleedinglandlHypercoagulablelDisorders
Chapterl26:lCancerlandlOrallCareloflthelPatient
PARTlNINE:lNEUROLOGIC,lBEHAVIORAL,lANDlPSYCHIATRIClDISORDERS
Chapterl27:lNeurologiclDisorders
Chapterl28:lAnxiety,lEatinglDisorders,landlBehaviorallReactionsltolIllness
Chapterl29:lPsychiatriclDisorders
Chapterl30:lDruglandlAlcohollAbuse

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Chapterl01:lPatientlEvaluationlandlRisklAssessment
Little:lDentallManagementloflthelMedicallylCompromisedlPatient,l10thlEdition


MULTIPLElCHOICE

1. Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhypertension,lmea
ninglthatlthelbloodlpressurelislgreaterlthanlorlequallto mmlHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:l C
Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhypertension,lwhi
chlislbloodlpressurelgreaterlthanlorlequalltol180/110lmmlHg,luntillthelconditionlcanlbelbroughtlu
nderlcontrol.

2. ThelAmericanlHeartlAssociationlcurrentlylrecommendslantibioticlprophylaxislforlalpatientlwit
hlwhichloflthelfollowinglcardiaclconditions?
a. Mitrallvalvelprolapse
b. Prostheticlheartlvalve
c. Rheumaticlheartldisease
d. Pacemakerslforlcardiaclarrhythmias
ANSWER:l B
Previously,lthelAmericanlHeartlAssociationl(AHA)lrecommendedlantibioticlprophylaxislforlman
ylpatientslwithlheartlmurmurslcausedlbylvalvularldiseasel(e.g.,lmitrallvalvelprolapse,lrheumaticlhe
artldisease)linlanleffortltolpreventlinfectivelendocarditis;lhowever,lcurrentlguidelineslomitlthislrec
ommendationlonlthelbasisloflaccumulatedlscientificlevidence.lIflalmurmurlisldueltolcertainlspecific
lcardiaclconditionsl(e.g.,lpreviouslendocarditis,lprostheticlheartlvalve,lcomplexlcongenitallcyanot

iclheartldisease),lthelAHAlcontinuesltolrecommendlantibioticlprophylaxislforlmostldentallprocedu
res.

3. Onelconsequenceloflchroniclhepatitisl(BlorlC)lorlcirrhosisloflthelliverlisldecreasedlabilityloflthelbo
dylto certainldrugs,lincludingllocallanestheticslandlanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:l C
Patientslalsolmaylhavelchroniclhepatitisl(BlorlC)lorlcirrhosis,lwithlimpairmentloflliverlfunct
ion.lThisldeficitlmaylresultlinlprolongedlbleedinglandllesslefficientlmetabolismloflcertainldr
ugs,lincludingllocallanestheticslandlanalgesics.

4. Whichloflthelfollowinglsymptomslandlsignslislmostlconsistentlwithlallergy?
a. Heartlpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANSWER:l B
Symptomslandlsignslconsistentlwithlallergylincludelitching,lurticarial(hives),lrash,lswelling,lwhee
zing,langioedema,lrunnylnose,landltearingleyes.lIsolatedlsignslandlsymptomslsuchlaslnausea,lvomi
ting,lheartlpalpitations,landlfaintinglgenerallylarelnotloflanlallergicloriginlbutlratherlarelmanifestati
onslofldruglintolerance,ladverselsideleffects,lorlpsychogeniclreactions.

5. Whichloflthelfollowinglisltrueloflthelpatientlwithlalhistorylofltuberculosis?
a. AlpositivelresultlonlskinltestinglmeanslthatlthelpersonlhaslactivelTB.
b. Mostlpatientslwholbecomelpositivelskinltestersldeveloplactiveldisease.
c. Patientslwithlacquiredlimmunodeficiencylsyndromel(AIDS)lhavelalhighlincidenceloflt
uberculosis.
d. AldiagnosisloflactivelTBlislmadelbylalpurifiedlproteinlderivativel(PPD)lskinltest.
ANSWER:l C
Thelpotentiallcoexistencelofltuberculosislandlacquiredlimmunodeficiencylsyndromel(AIDS)lsho
uldlbelexploredlbecauselpatientslwithlAIDSlhavelalhighlincidencelofltuberculosis.lAlpositivelresu
ltlonlskinltestinglmeanslspecificallylthatlthelpersonlhaslatlsomeltimelbeenlinfectedlwithlTB,lnotlnec
essarilylthatlactiveldiseaselislpresent.lMostlpatientslwholbecomelpositivelskinltestersldolnotldevel
oplactiveldisease.lAldiagnosisloflactivelTBlislmadelbylchestlx-
ray,limaging,lsputumlculture,landlclinicallexamination.

6. Vasoconstrictorslshouldlbelavoidedlinlpatientslwholcocainelorlmethamphetamineluserslbec
auseltheselagentslmaylprecipitate .
a. severelhypotension
b. severelhypertension
c. respiratoryldepression
d. cessationloflintestinallperistalsis
ANSWER:l B
Vasoconstrictorslshouldlbelavoidedlinlpatientslwholarelcocainelorlmethamphetamineluserslbecau
selthelcombinationlmaylprecipitatelarrhythmias,lMI,lorlseverelhypertension.

7. Itlhaslbeenlshownlthatlthelrisklforloccurrenceloflalseriouslperioperativelcardiovascularleventl(e.g.,l
MI,lheartlfailure)lislincreasedlinlpatientslwholarelunableltolmeetlal-
METl(metaboliclequivalentlofltask)ldemandlduringlnormalldailylactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:l A
Dailylactivitieslrequiringl4lMETslincludellevellwalkinglatl4lmiles/hourlorlclimbinglalflightloflstairs.lA
ctivitieslrequiringlgreaterlthanl10lMETslincludelswimminglandlsinglesltennis.lAnlexerciselcapacityl
ofl10ltol13lMETslindicateslexcellentlphysicallconditioning.

8. Whichloflthelfollowinglalterationslinlthelfingernailslislassociatedlwithlcirrhosis?
a. Yellowing
b. Clubbing
c. Whiteldiscoloration
d. Splinterlhemorrhages




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