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
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the Medically Compromised Patient,
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10thEdition by Craig Miller, Ch
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apters 1 - 30 hi hi hi

,Little: Dental Management of the Medically Compromised Patient, 10th Edition Tes
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t Bank
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Table of Contents hi hi


PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis Chahi hi hi hi


pter 3: Hypertension
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Chapter 4: Ischemic Heart Disease Ch hi hi hi hi hi


apter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease hi hi hi


Chapter 8: Smoking and Tobacco Use Cessation
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Chapter 9: Sleep- hi hi


Related Breathing Disorders PART FOUR: GAS
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TROINTESTIAL DISEASE hi


Chapter 10: Liver Disease hi hi hi


Chapter 11: Gastrointestinal Disease hi hi hi


PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis
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Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapte hi hi hi hi


r 15: Adrenal Insufficiency Chapter 16:
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Thyroid Diseases
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Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter
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19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders Chapter
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21: Organ and Bone Marrow Transplantation
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PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
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Chapter 22: Disorders of Red Blood Cells Chapte
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r 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Cha
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pter 25: Congenital Bleeding and Hypercoagulable Disorders Chapter
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26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
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Chapter 27: Neurologic Disorders hi hi hi


Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter
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29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse hi hi hi hi hi

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Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 10th Edition
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MULTIPLE CHOICE hi




1. Elective dental care should be deferred for patients with severe, uncontrolled hype
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rtension, meaning that the blood pressure is greater than or equal to mm Hg.
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C hi


Elective dental care should be deferred for patients with severe, uncontrolled hyper
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tension, which is blood pressure greater than or equal to 180/110 mm Hg, until the
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condition can be brought under control. hi hi hi hi hi




2. The American Heart Association currently recommends antibiotic prophylaxis for a
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patient with which of the following cardiac conditions?
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a. Mitral valve prolapse hi hi


b. Prosthetic heart valve hi hi


c. Rheumatic heart disease hi hi


d. Pacemakers for cardiac arrhythmias hi hi hi




ANSWER: B hi


Previously, the American Heart Association (AHA) recommended antibiotic prophyla
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xis for many patients with heart murmurs caused by valvular disease (e.g., mitral valv
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e prolapse, rheumatic heart disease) in an effort to prevent infective endocarditis; ho
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wever, current guidelines omit this recommendation on the basis of accumulated scie
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ntific evidence. If a murmur is due to certain specific cardiac conditions (e.g., previou
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s endocarditis, prosthetic heart valve, complex congenital cyanotic heart disease), th
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e AHA continues to recommend antibiotic prophylaxis for most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased
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ability of the body to certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C hi


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment o
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f liver function. This deficit may result in prolonged bleeding and less efficient m
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etabolism of certain drugs, including local anesthetics and analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations hi


b. Itching
c. Vomiting
d. Fainting




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Page 1 of 74
ANSWER: B hi


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, s
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welling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and sy
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mptoms such as nausea, vomiting, heart palpitations, and fainting generally are not o
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f an allergic origin but rather are manifestations of drug intolerance, adverse side effe
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cts, or psychogenic reactions.
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5. Which of the following is true of the patient with a history of tuberculosis?
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a. A positive result on skin testing means that the person has active TB.
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b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) have a high i hi hi hi hi hi hi hi hi hi


ncidence of tuberculosis. hi hi


d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANSWER: C h i


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (
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AIDS) should be explored because patients with AIDS have a high incidence of tuber
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culosis. A positive result on skin testing means specifically that the person has at so
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me time been infected with TB, not necessarily that active disease is present. Most p
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atients who become positive skin testers do not develop active disease. A diagnosis
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of active TB is made by chest x-
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ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or meth hi hi hi hi hi hi hi hi hi


amphetamine users because these agents may precipitate hi hi hi hi hi hi .
a. severe hypotension hi


b. severe hypertension hi


c. respiratory depression hi


d. cessation of intestinal peristalsis hi hi hi




ANSWER: B hi


Vasoconstrictors should be avoided in patients who are cocaine or methamphetamin hi hi hi hi hi hi hi hi hi hi


e users because the combination may precipitate arrhythmias, MI, or severe hyperten
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sion.

7. It has been shown that the risk for occurrence of a serious perioperative cardiovascu
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lar event (e.g., MI, heart failure) is increased in patients who are unable to meet a -
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MET (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANSWER: A hi


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a fligh
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t of stairs. Activities requiring greater than 10 METs include swimming and singles tenni
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s. An exercise capacity of 10 to 13 METs indicates excellent physical conditioning.
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8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration hi




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