Test bank for Dental Management of the Medically Compromised Patient, 8th Edition by LITTLE & FALANCES| Complete Elaborated and Latest Test Bank

, Little: Dental Management of the Medically Compromised Patient, 8thE
p p p p p p p p p


dition

Chapterp01:pPatientpEvaluationpandpRiskpAssessmentp

TestpBank

MULTIPLEpCHOICE

1. Electivepdentalpcarepshouldpbepdeferredpforppatientspwithpsevere,puncontrolledphypertensi
on,pmeaningpthatpthepbloodppressurepispgreaterpthanporpequalpto
mmpHg.
A.p 200/140
B.p 180/140
C.p 180/110
D.p 160/110

ANS:p C
Electivepdentalpcarepshouldpbepdeferredpforppatientspwithpsevere,puncontrolledphypertensi
on,pwhichpispbloodppressurepofpgreaterpthanporpequalptop180/110pmmpHg,puntilpthepconditio
npcanpbepbroughtpunderpcontrol.

PTS: 1 REF: p.p4

2. ThepAmericanpHeartpAssociationpcurrentlyprecommendspantibioticpprophylaxispforpap
patientpwithpwhichpofpthepfollowingpcardiacpconditions?
A. mitralpvalvepprolapse
B. prostheticpheartpvalve
C. rheumaticpheartpdisease
D. pacemakerspforpcardiacparrhythmias

ANS:p B
Previously,pthepAmericanpHeartpAssociationp(AHA)precommendedpantibioticpprophylaxispf
orpmanyppatientspwithpheartpmurmurspcausedpbypvalvularpdiseasep(e.g.,pmitralpvalvepprolaps
e,prheumaticpheartpdisease)pinpanpeffortptoppreventpinfectivependocarditis;pcurrentpguidelines
pomitpthisprecommendationponpthepbasispofpaccumulatedpscientificpevidence.pIfpapmurmurpisp


dueptopspecificpcardiacpconditionsp(e.g.,ppreviouspendocarditis,pprostheticpheartpvalve,pcomp
lexpcongenitalpcyanoticpheartpdisease),pthepAHApcontinuesptoprecommendpantibioticpprophy
laxispforpmostpdentalpprocedures.pPatientspwithppacemakerspdopnotprequirepantibioticpproph
ylaxis.


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, TestpBank 1-2



PTS: 1 REF: pp.p4-5

3. Onepconsequencepofpchronicphepatitisp(BporpC)porpcirrhosispofpthepliverpispdecreasedpabilitypo
fpthepbodypto certainpdrugs,pincludingplocalpanestheticspandpanalgesics.
A. absorb
B. distribute
C. metabolize
D. excrete

ANS:p C
Patientspwithpchronicphepatitisp(BporpC)porpcirrhosisphavepanpassociatedpimpairmentpofpliverp
function.pThispdeficitpmaypresultpinpprolongedpbleedingpandplesspefficientpmetabolismpofpcert
ainpdrugs,pincludingplocalpanestheticspandpanalgesics.

PTS: 1 REF: p.p6

4. Whichpofpthepfollowingpsymptomspandpsignspispmostpconsistentpwithpallergy?
A. heartppalpitations
B. itching
C. vomiting
D. fainting

ANS:p B
Symptomspandpsignspconsistentpwithpallergypincludepitching,purticariap(hives),prash,pswellin
g,pwheezing,pangioedema,prunnypnose,pandptearingpeyes.pIsolatedpsignspandpsymptomspsuchp
aspnausea,pvomiting,pheartppalpitations,pandpfaintingpgenerallyparepnotpofpanpallergicporiginpb
utpratherparepmanifestationspofpdrugpintolerance,padversepsidepeffects,porppsychogenicpreactio
ns.

PTS: 1 REF: p.p6

5. Whichpofpthepfollowingpisptruepofptheppatientpwithpaphistorypofptuberculosis?
A. AppositivepresultponpskinptestingpmeanspthatptheppersonphaspactivepTB.
B. Mostppatientspwhopbecomeppositivepskinptesterspdeveloppactivepdisease.
C. Patientspwithpacquiredpimmunodeficiencypsyndromep(AIDS)phavepaphighpi
ncidencepofptuberculosis.
D. ApdiagnosispofpactivepTBpispmadepbypappurifiedpproteinpderivativep(PPD)pskinptest.

ANS:p C


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, TestpBank 1-3

Theppotentialpcoexistencepofptuberculosispandpacquiredpimmunodeficiencypsyndromep(A
IDS)pshouldpbepexploredpbecauseppatientspwithpAIDSphavepaphighpincidencepofptuberculo
sis.pAppositivepresultponpskinptestingpmeanspspecificallypthatptheppersonphaspatpsomeptimep
beenpinfectedpwithpTB,pnotpnecessarilypthatpactivepdiseasepisppresent.pMostppatientspwhop
becomeppositivepskinptesterspdopnotpdeveloppactivepdisease.pApdiagnosispofpactivepTBpispm
adepbypchestpx-ray,pimaging,psputumpculture,pandpclinicalpexamination.

PTS: 1 REF: p.p6-7

6. Vasoconstrictorspshouldpbepavoidedpinppatientspwhoparepusingpcocaineporp
methamphetaminepbecausepthesepagentspmaypprecipitate .
A. severephypotension
B. severephypertension
C. respiratorypdepression
D. cessationpofpintestinalpperistalsis

ANS:p B
Vasoconstrictorspmaypprecipitatepcardiacparrhythmiasporpseverephypertensionpinppatientsp
whoparepusingpcocaineporpmethamphetamine.pRespiratorypdepressionpispassociatedpwithpt
hepusepofpopioids.

PTS: 1 REF: p.p8

7. Itphaspbeenpshownpthatpthepriskpforpoccurrencepofpapseriouspperioperativepcardiovascularpev
entpispincreasedpinppatientspwhoparepunableptopmeetpapppp -
METp(metabolicpequivalentpofptask)pdemandpduringpnormalpdailypactivity.
A. 4
B. 6
C. 8
D. 10

ANS:p A
Riskpispincreasedpinppatientspunableptopmeetpap4-
METpdemand.pDailypactivitiesprequiringp4pMETspincludeplevelpwalkingpatp4pmiles/hourporpcli
mbingpapflightpofpstairs.pActivitiesprequiringpgreaterpthanp10pMETspincludepswimmingpandpsi
nglesptennis.

PTS: 1 REF: p.p9

8. Whichpofpthepfollowingpalterationspinpthepfingernailspispassociatedpwithpcirrhosis?
A. yellowing
B. clubbing
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