Test Bank For Little and Falace's Dental Management of
the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,1.
2. Little: Dental Management of the Medically Compromised Patient, 10th
Edition Test Bank
3.
4. Table of Contents
5. PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
6. Chapter 1: Patient Evaluation and Risk Assessment
7. PART TWO: CARDIOVASCULAR DISEASE
8. Chapter 2: Infective Endocarditis
9. Chapter 3: Hypertension
10. Chapter 4: Ischemic Heart Disease
11. Chapter 5: Cardiac Arrhythmias
12. Chapter 6: Heart Failure (or Congestive Heart Failure)
13. PART THREE: PULMONARY DISEASE
14. Chapter 7: Pulmonary Disease
15. Chapter 8: Smoking and Tobacco Use Cessation
16. Chapter 9: Sleep-Related Breathing Disorders
17. PART FOUR: GASTROINTESTIAL DISEASE
18. Chapter 10: Liver Disease
19. Chapter 11: Gastrointestinal Disease
20. PART FIVE: GENITOURINARY DISEASE
21. Chapter 12: Chronic Kidney Disease and Dialysis
22. Chapter 13: Sexually Transmitted Diseases
23. PART SIX: ENDOCRINE AND METABOLIC DISEASE
24. Chapter 14: Diabetes Mellitus
25. Chapter 15: Adrenal Insufficiency
26. Chapter 16: Thyroid Diseases
27. Chapter 17: Pregnancy and Breast Feeding
28. PART SEVEN: IMMUNOLOGIC DISEASE
29. Chapter 18: AIDS, HIV Infection, and Related Conditions
30. Chapter 19: Allergy
31. Chapter 20: Rheumatologic and Connective Tissue Disorders
32. Chapter 21: Organ and Bone Marrow Transplantation
33. PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
34. Chapter 22: Disorders of Red Blood Cells
35. Chapter 23: Disorders of White Blood Cells
36. Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
37. Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
38. Chapter 26: Cancer and Oral Care of the Patient
39. PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC
DISORDERS
40. Chapter 27: Neurologic Disorders
41. Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
42. Chapter 29: Psychiatric Disorders
43. Chapter 30: Drug and Alcohol Abuse
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44. Chapter 01: Patient Evaluation and Risk Assessment
45. Little: Dental Management of the Medically Compromised Patient, 10th Edition
46.
47.
48. MULTIPLE CHOICE
49. 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.
50. 200/140
51. 180/140
52. 180/110
53. 160/110
54. ANSWER: C
55. Elective dental care should be deferred for patients with severe, uncontrolled
hypertension, which is blood pressure greater than or equal to 180/110 mm Hg, until
the condition can be brought under control.
56. The American Heart Association currently recommends antibiotic prophylaxis for a
patient with which of the following cardiac conditions?
57. Mitral valve prolapse
58. Prosthetic heart valve
59. Rheumatic heart disease
60. Pacemakers for cardiac arrhythmias
61. ANSWER: B
62. 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; however, current guidelines omit this recommendation on the basis of
accumulated scientific evidence. If a murmur is due to certain 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.
63. 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.
64. absorb
65. distribute
66. metabolize
67. excrete
68. ANSWER: C
69. Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
function. This deficit may result in prolonged bleeding and less efficient metabolism of
certain drugs, including local anesthetics and analgesics.
70. Which of the following symptoms and signs is most consistent with allergy?
71. Heart palpitations
72. Itching
73. Vomiting
74. Fainting
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75. ANSWER: B
76. 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.
77. Which of the following is true of the patient with a history of tuberculosis?
78. A positive result on skin testing means that the person has active TB.
79. Most patients who become positive skin testers develop active disease.
80. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of
tuberculosis.
81. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
82. ANSWER: C
83. 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.
84. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
because these agents may precipitate .
85. severe hypotension
86. severe hypertension
87. respiratory depression
88. cessation of intestinal peristalsis
89. ANSWER: B
90. Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine
users because the combination may precipitate arrhythmias, MI, or severe
hypertension.
91. It has been shown that the risk for occurrence of a serious perioperative cardiovascular
event (e.g., MI, heart failure) is increased in patients who are unable to meet a -MET
(metabolic equivalent of task) demand during normal daily activity.
92. 4
93. 6
94. 8
95. 10
96. ANSWER: A
97. 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. An exercise capacity of 10 to 13 METs indicates excellent physical
conditioning.
98. Which of the following alterations in the fingernails is associated with cirrhosis?
99. Yellowing
100. Clubbing
101. White discoloration
102. Splinter
hemorrhages
WWW.NURSYLAB.COM
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the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,1.
2. Little: Dental Management of the Medically Compromised Patient, 10th
Edition Test Bank
3.
4. Table of Contents
5. PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
6. Chapter 1: Patient Evaluation and Risk Assessment
7. PART TWO: CARDIOVASCULAR DISEASE
8. Chapter 2: Infective Endocarditis
9. Chapter 3: Hypertension
10. Chapter 4: Ischemic Heart Disease
11. Chapter 5: Cardiac Arrhythmias
12. Chapter 6: Heart Failure (or Congestive Heart Failure)
13. PART THREE: PULMONARY DISEASE
14. Chapter 7: Pulmonary Disease
15. Chapter 8: Smoking and Tobacco Use Cessation
16. Chapter 9: Sleep-Related Breathing Disorders
17. PART FOUR: GASTROINTESTIAL DISEASE
18. Chapter 10: Liver Disease
19. Chapter 11: Gastrointestinal Disease
20. PART FIVE: GENITOURINARY DISEASE
21. Chapter 12: Chronic Kidney Disease and Dialysis
22. Chapter 13: Sexually Transmitted Diseases
23. PART SIX: ENDOCRINE AND METABOLIC DISEASE
24. Chapter 14: Diabetes Mellitus
25. Chapter 15: Adrenal Insufficiency
26. Chapter 16: Thyroid Diseases
27. Chapter 17: Pregnancy and Breast Feeding
28. PART SEVEN: IMMUNOLOGIC DISEASE
29. Chapter 18: AIDS, HIV Infection, and Related Conditions
30. Chapter 19: Allergy
31. Chapter 20: Rheumatologic and Connective Tissue Disorders
32. Chapter 21: Organ and Bone Marrow Transplantation
33. PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
34. Chapter 22: Disorders of Red Blood Cells
35. Chapter 23: Disorders of White Blood Cells
36. Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
37. Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
38. Chapter 26: Cancer and Oral Care of the Patient
39. PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC
DISORDERS
40. Chapter 27: Neurologic Disorders
41. Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
42. Chapter 29: Psychiatric Disorders
43. Chapter 30: Drug and Alcohol Abuse
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
44. Chapter 01: Patient Evaluation and Risk Assessment
45. Little: Dental Management of the Medically Compromised Patient, 10th Edition
46.
47.
48. MULTIPLE CHOICE
49. 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.
50. 200/140
51. 180/140
52. 180/110
53. 160/110
54. ANSWER: C
55. Elective dental care should be deferred for patients with severe, uncontrolled
hypertension, which is blood pressure greater than or equal to 180/110 mm Hg, until
the condition can be brought under control.
56. The American Heart Association currently recommends antibiotic prophylaxis for a
patient with which of the following cardiac conditions?
57. Mitral valve prolapse
58. Prosthetic heart valve
59. Rheumatic heart disease
60. Pacemakers for cardiac arrhythmias
61. ANSWER: B
62. 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; however, current guidelines omit this recommendation on the basis of
accumulated scientific evidence. If a murmur is due to certain 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.
63. 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.
64. absorb
65. distribute
66. metabolize
67. excrete
68. ANSWER: C
69. Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
function. This deficit may result in prolonged bleeding and less efficient metabolism of
certain drugs, including local anesthetics and analgesics.
70. Which of the following symptoms and signs is most consistent with allergy?
71. Heart palpitations
72. Itching
73. Vomiting
74. Fainting
WWW.NURSYLAB.COM
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, WWW.GRADESMORE.COM
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Page 1 of 74
75. ANSWER: B
76. 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.
77. Which of the following is true of the patient with a history of tuberculosis?
78. A positive result on skin testing means that the person has active TB.
79. Most patients who become positive skin testers develop active disease.
80. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of
tuberculosis.
81. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
82. ANSWER: C
83. 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.
84. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
because these agents may precipitate .
85. severe hypotension
86. severe hypertension
87. respiratory depression
88. cessation of intestinal peristalsis
89. ANSWER: B
90. Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine
users because the combination may precipitate arrhythmias, MI, or severe
hypertension.
91. It has been shown that the risk for occurrence of a serious perioperative cardiovascular
event (e.g., MI, heart failure) is increased in patients who are unable to meet a -MET
(metabolic equivalent of task) demand during normal daily activity.
92. 4
93. 6
94. 8
95. 10
96. ANSWER: A
97. 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. An exercise capacity of 10 to 13 METs indicates excellent physical
conditioning.
98. Which of the following alterations in the fingernails is associated with cirrhosis?
99. Yellowing
100. Clubbing
101. White discoloration
102. Splinter
hemorrhages
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