LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
1. Question: Elective dental care should be deferred for patients with severe, un
i i i i i i i i i i i
controlled hypertension, meaning that the blood pressure is greater than or e
i i i i i i i i i i i
qual to what mm Hg?
i i i i
o Answer: c. 180/110 i i
2. Question: Which cardiac condition currently requires antibiotic prophylaxis
i i i i i i i i
according to the American Heart Association?
i i i i i
o Answer: b. Prosthetic heart valve
i i i i
3. Question: A consequence of chronic hepatitis (B or C) is decreased ability of th
i i i i i i i i i i i i i
e body to do which of the following?
i i i i i i i
o Answer: c. metabolizei i
4. Question: What symptom is most consistent with an allergy?
i i i i i i i i
o Answer: b. Itching i i
5. Question: What is true about a patient with a history of tuberculosis?
i i i i i i i i i i i
o Answer: c. Patients with acquired immunodeficiency syndrome (AIDS) have a high i
i i i i i i i i i i i
ncidence of tuberculosis.i i
6. Question: Why should vasoconstrictors be avoided in patients who are cocain
i i i i i i i i i i
e or methamphetamine users?
i i i
o Answer: b. severe hypertension
i i i
7. Question: A serious perioperative cardiovascular event risk increases in pati
i i i i i i i i i
ents unable to meet what MET demand?
i i i i i i
o Answer: a. 4 i i
8. Question: What alteration in fingernails is associated with cirrhosis?
i i i i i i i i
o Answer: c. White discoloration
i i i
9. Question: When placing a blood pressure cuff, when should it be inflated until
i i i i i i i i i i i i
?
o Answer: b. the radial pulse disappears and then inflated an additional 20 to 30 mm H
i i i i i i i i i i i i i i i
g.
10.Question: What does ASA III classify a patient with?
i i i i i i i i
o Answer: b. Patient’s disease has significant impact on daily activity.
i i i i i i i i i
Infective Endocarditis i
11.Question: Which statement is true about infective endocarditis?
i i i i i i i
o Answer: d. Accumulating evidence questions the validity of antibiotic prophylaxis.
i i i i i i i i i
, LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
12.Question: What is the most common underlying condition predisposing to inf
i i i i i i i i i i
ective endocarditis? i
o Answer: c. Mitral valve prolapse i i i i
13.Question: What is the leading cause of death due to infective endocarditis?
i i i i i i i i i i i
o Answer: b. heart failure i i i
14.Question: How soon do symptoms of infective endocarditis typically onset aft
i i i i i i i i i i
er the presumed initiating bacteremia?
i i i i
o Answer: b. 2 weeks i i i
15.Question: Where are Janeway lesions typically located?
i i i i i i
o Answer: b. Palms of the hands and soles of the feet
i i i i i i i i i i
16.Question: What is true regarding the magnitude of bacteremia needed to caus
i i i i i i i i i i i
e infective endocarditis?
i i
o Answer: b. Cases of IE caused by oral bacteria probably result from frequent exposur
i i i i i i i i i i i i i
e to low inocula.
i i i
17.Question: Is visible bleeding during a dental procedure a reliable predictor of
i i i i i i i i i i i i
bacteremia?
o Answer: b. Both statements are false.
i i i i i
18.Question: What conclusion have investigators drawn about the efficacy of anti
i i i i i i i i i i
biotic prophylaxis for IE?
i i i
o Answer: d. Investigators have concluded that dental or other procedures probably o
i i i i i i i i i i i
nly caused a small fraction of cases of IE.
i i i i i i i i
19.Question: Before dental treatment, which cardiac condition requires antibiot
i i i i i i i i
ic prophylaxis?
i
o Answer: c. Prosthetic cardiac valve
i i i i
20.Question: What antibiotic is suitable for a patient already taking penicillin req
i i i i i i i i i i i
uiring premedication before dental treatment?
i i i i
o Answer: b. Clindamycin i i
Hypertension
21.Question: What are the diastolic pressure ranges for prehypertension?
i i i i i i i i
o Answer: a. 80 to 89 i i i i
22.Question: Who can diagnose hypertension and decide on treatment?
i i i i i i i i
o Answer: a. Physician i i
, LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
23.Question: Which group is most likely to have hypertension according to the pr
i i i i i i i i i i i i
evalence in America? i i
o Answer: d. Its prevalence is similar among men and women.
i i i i i i i i i
24.Question: Approximately what percentage of all blood pressure-
i i i i i i i
related deaths due to coronary heart disease occurs in prehypertensive perso
i i i i i i i i i i
ns?
o Answer: c. 15 i i
25.Question: What is the first- i i i i
line drug category for treating hypertension when lifestyle changes are ineffe
i i i i i i i i i i
ctive?
o Answer: b. Diuretics, thiazide diuretics, and others.
i i i i i i
26.Question: When should elective dental care be deferred?
i i i i i i i
o Answer: d. 180/110 mm Hg or greater i i i i i i
27.Question: Which method is recommended for stress management in hyperten
i i i i i i i i i
sive dental patients?
i i
o Answer: c. Nitrous oxide plus oxygen for inhalation sedation.
i i i i i i i i
28.Question: Why should chair position changes be avoided during dental treatm
i i i i i i i i i i
ent for hypertensive patients?
i i i
o Answer: b. They tend to produce orthostatic hypotension as a side effect.
i i i i i i i i i i i
29.Question: How many cartridges of 2% lidocaine with 1:100,000 epinephrine i
i i i i i i i i i i
s considered safe for hypertensive patients?
i i i i i
o Answer: a. 2 i i
30.Question: What happens if a dental anesthetic containing a vasoconstrictor is
i i i i i i i i i i i
given to a patient on nonselective β-blockers?
i i i i i i
o Answer: b. Hypertension i i
Continued Medical Management and Procedures i i i i
31.Question: For what blood pressure reading should a dental patient be referre
i i i i i i i i i i i
d for evaluation within one week?
i i i i i
o Answer: d. 180/110 i i
32.Question: What impact does poor oral hygiene have on bacteremia levels after
i i i i i i i i i i i
dental procedures?
i i
o Answer: b. Quality of oral hygiene has an appreciable effect.
i i i i i i i i i
, LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
33.Question: When assessing a patient with a history of heart conditions, what sp
i i i i i i i i i i i i
ecific symptoms should dentists look for?
i i i i i
o Answer: Chest pain, shortness of breath, and fatigue.
i i i i i i i
34.Question: What adjunctive treatment can manage anxiety for a patient under
i i i i i i i i i i
going dental procedures?
i i
o Answer: Short-acting benzodiazepines.
i i
35.Question: Which dietary changes are recommended to help manage hyperten
i i i i i i i i i
sion?
o Answer: Reducing salt intake and increasing fruit and vegetable consumption.
i i i i i i i i i
36.Question: When taking blood pressure, what is the importance of patient posi
i i i i i i i i i i i
tioning?
o Answer: Proper positioning helps ensure an accurate reading.
i i i i i i i
37.Question: In dental treatment, what is a recommended approach for patients
i i i i i i i i i i i
with a history of myocardial infarction?
i i i i i
o Answer: Consult their physician before treatment.
i i i i i
38.Question: What should be done for patients undergoing dental procedures wi
i i i i i i i i i i
th a history of heart valve replacement?
i i i i i i
o Answer: Provide antibiotic prophylaxis as per AHA guidelines.
i i i i i i i
39.Question: Which condition requires you to review a patient’s medical history i
i i i i i i i i i i i
n detail before providing dental care?
i i i i i
o Answer: Infective endocarditis i i
40.Question: How has the prevalence of hypertension in the U.S. population chan
i i i i i i i i i i i
ged over recent decades?
i i i
o Answer: It has been steadily increasing.
i i i i i
Additional Scenarios and Considerations i i i
41.Question: Which medications can affect the metabolism of local anesthetics?
i i i i i i i i i
o Answer: Anticoagulants and certain antihypertensives.
i i i i
42.Question: For patients with controlled hypertension, what dental procedures
i i i i i i i i i
are typically authorized?
i i
o Answer: Both surgical and nonsurgical treatments may proceed.
i i i i i i i
43.Question: How can a history of severe allergic reactions affect dental treatme
i i i i i i i i i i i
nt plans?
i
o Answer: It may require the use of alternative medications or procedures.
i i i i i i i i i i
DITIONiTESTiBANKiISBN-978-0323443555
1. Question: Elective dental care should be deferred for patients with severe, un
i i i i i i i i i i i
controlled hypertension, meaning that the blood pressure is greater than or e
i i i i i i i i i i i
qual to what mm Hg?
i i i i
o Answer: c. 180/110 i i
2. Question: Which cardiac condition currently requires antibiotic prophylaxis
i i i i i i i i
according to the American Heart Association?
i i i i i
o Answer: b. Prosthetic heart valve
i i i i
3. Question: A consequence of chronic hepatitis (B or C) is decreased ability of th
i i i i i i i i i i i i i
e body to do which of the following?
i i i i i i i
o Answer: c. metabolizei i
4. Question: What symptom is most consistent with an allergy?
i i i i i i i i
o Answer: b. Itching i i
5. Question: What is true about a patient with a history of tuberculosis?
i i i i i i i i i i i
o Answer: c. Patients with acquired immunodeficiency syndrome (AIDS) have a high i
i i i i i i i i i i i
ncidence of tuberculosis.i i
6. Question: Why should vasoconstrictors be avoided in patients who are cocain
i i i i i i i i i i
e or methamphetamine users?
i i i
o Answer: b. severe hypertension
i i i
7. Question: A serious perioperative cardiovascular event risk increases in pati
i i i i i i i i i
ents unable to meet what MET demand?
i i i i i i
o Answer: a. 4 i i
8. Question: What alteration in fingernails is associated with cirrhosis?
i i i i i i i i
o Answer: c. White discoloration
i i i
9. Question: When placing a blood pressure cuff, when should it be inflated until
i i i i i i i i i i i i
?
o Answer: b. the radial pulse disappears and then inflated an additional 20 to 30 mm H
i i i i i i i i i i i i i i i
g.
10.Question: What does ASA III classify a patient with?
i i i i i i i i
o Answer: b. Patient’s disease has significant impact on daily activity.
i i i i i i i i i
Infective Endocarditis i
11.Question: Which statement is true about infective endocarditis?
i i i i i i i
o Answer: d. Accumulating evidence questions the validity of antibiotic prophylaxis.
i i i i i i i i i
, LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
12.Question: What is the most common underlying condition predisposing to inf
i i i i i i i i i i
ective endocarditis? i
o Answer: c. Mitral valve prolapse i i i i
13.Question: What is the leading cause of death due to infective endocarditis?
i i i i i i i i i i i
o Answer: b. heart failure i i i
14.Question: How soon do symptoms of infective endocarditis typically onset aft
i i i i i i i i i i
er the presumed initiating bacteremia?
i i i i
o Answer: b. 2 weeks i i i
15.Question: Where are Janeway lesions typically located?
i i i i i i
o Answer: b. Palms of the hands and soles of the feet
i i i i i i i i i i
16.Question: What is true regarding the magnitude of bacteremia needed to caus
i i i i i i i i i i i
e infective endocarditis?
i i
o Answer: b. Cases of IE caused by oral bacteria probably result from frequent exposur
i i i i i i i i i i i i i
e to low inocula.
i i i
17.Question: Is visible bleeding during a dental procedure a reliable predictor of
i i i i i i i i i i i i
bacteremia?
o Answer: b. Both statements are false.
i i i i i
18.Question: What conclusion have investigators drawn about the efficacy of anti
i i i i i i i i i i
biotic prophylaxis for IE?
i i i
o Answer: d. Investigators have concluded that dental or other procedures probably o
i i i i i i i i i i i
nly caused a small fraction of cases of IE.
i i i i i i i i
19.Question: Before dental treatment, which cardiac condition requires antibiot
i i i i i i i i
ic prophylaxis?
i
o Answer: c. Prosthetic cardiac valve
i i i i
20.Question: What antibiotic is suitable for a patient already taking penicillin req
i i i i i i i i i i i
uiring premedication before dental treatment?
i i i i
o Answer: b. Clindamycin i i
Hypertension
21.Question: What are the diastolic pressure ranges for prehypertension?
i i i i i i i i
o Answer: a. 80 to 89 i i i i
22.Question: Who can diagnose hypertension and decide on treatment?
i i i i i i i i
o Answer: a. Physician i i
, LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
23.Question: Which group is most likely to have hypertension according to the pr
i i i i i i i i i i i i
evalence in America? i i
o Answer: d. Its prevalence is similar among men and women.
i i i i i i i i i
24.Question: Approximately what percentage of all blood pressure-
i i i i i i i
related deaths due to coronary heart disease occurs in prehypertensive perso
i i i i i i i i i i
ns?
o Answer: c. 15 i i
25.Question: What is the first- i i i i
line drug category for treating hypertension when lifestyle changes are ineffe
i i i i i i i i i i
ctive?
o Answer: b. Diuretics, thiazide diuretics, and others.
i i i i i i
26.Question: When should elective dental care be deferred?
i i i i i i i
o Answer: d. 180/110 mm Hg or greater i i i i i i
27.Question: Which method is recommended for stress management in hyperten
i i i i i i i i i
sive dental patients?
i i
o Answer: c. Nitrous oxide plus oxygen for inhalation sedation.
i i i i i i i i
28.Question: Why should chair position changes be avoided during dental treatm
i i i i i i i i i i
ent for hypertensive patients?
i i i
o Answer: b. They tend to produce orthostatic hypotension as a side effect.
i i i i i i i i i i i
29.Question: How many cartridges of 2% lidocaine with 1:100,000 epinephrine i
i i i i i i i i i i
s considered safe for hypertensive patients?
i i i i i
o Answer: a. 2 i i
30.Question: What happens if a dental anesthetic containing a vasoconstrictor is
i i i i i i i i i i i
given to a patient on nonselective β-blockers?
i i i i i i
o Answer: b. Hypertension i i
Continued Medical Management and Procedures i i i i
31.Question: For what blood pressure reading should a dental patient be referre
i i i i i i i i i i i
d for evaluation within one week?
i i i i i
o Answer: d. 180/110 i i
32.Question: What impact does poor oral hygiene have on bacteremia levels after
i i i i i i i i i i i
dental procedures?
i i
o Answer: b. Quality of oral hygiene has an appreciable effect.
i i i i i i i i i
, LITTLEiANDiFALACE'SiDENTALiMANAGEMENTiOFiTHEiMEDICALLYiCOMPROMISEDiPATIENTi9THiE
DITIONiTESTiBANKiISBN-978-0323443555
33.Question: When assessing a patient with a history of heart conditions, what sp
i i i i i i i i i i i i
ecific symptoms should dentists look for?
i i i i i
o Answer: Chest pain, shortness of breath, and fatigue.
i i i i i i i
34.Question: What adjunctive treatment can manage anxiety for a patient under
i i i i i i i i i i
going dental procedures?
i i
o Answer: Short-acting benzodiazepines.
i i
35.Question: Which dietary changes are recommended to help manage hyperten
i i i i i i i i i
sion?
o Answer: Reducing salt intake and increasing fruit and vegetable consumption.
i i i i i i i i i
36.Question: When taking blood pressure, what is the importance of patient posi
i i i i i i i i i i i
tioning?
o Answer: Proper positioning helps ensure an accurate reading.
i i i i i i i
37.Question: In dental treatment, what is a recommended approach for patients
i i i i i i i i i i i
with a history of myocardial infarction?
i i i i i
o Answer: Consult their physician before treatment.
i i i i i
38.Question: What should be done for patients undergoing dental procedures wi
i i i i i i i i i i
th a history of heart valve replacement?
i i i i i i
o Answer: Provide antibiotic prophylaxis as per AHA guidelines.
i i i i i i i
39.Question: Which condition requires you to review a patient’s medical history i
i i i i i i i i i i i
n detail before providing dental care?
i i i i i
o Answer: Infective endocarditis i i
40.Question: How has the prevalence of hypertension in the U.S. population chan
i i i i i i i i i i i
ged over recent decades?
i i i
o Answer: It has been steadily increasing.
i i i i i
Additional Scenarios and Considerations i i i
41.Question: Which medications can affect the metabolism of local anesthetics?
i i i i i i i i i
o Answer: Anticoagulants and certain antihypertensives.
i i i i
42.Question: For patients with controlled hypertension, what dental procedures
i i i i i i i i i
are typically authorized?
i i
o Answer: Both surgical and nonsurgical treatments may proceed.
i i i i i i i
43.Question: How can a history of severe allergic reactions affect dental treatme
i i i i i i i i i i i
nt plans?
i
o Answer: It may require the use of alternative medications or procedures.
i i i i i i i i i i
