TESTBANK r
LITTLE AND FALACE'S DENTAL MANAGEMENT
rr rr rr rr rr
OF THE MEDICALLY COMPROMISEDPATIENT
rr rr rr r
9TH EDITIONr
TESTBANK r
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
rr rr rr rr rr rr rr rr rr rr rr
Table of Contents rr rr
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
rr rr rr rr rr rr
Chapter 1: Patient Evaluation and Risk Assessment
rr rr rr rr rr rr
PART TWO: CARDIOVASCULAR DISEASE rr rr rr
Chapter 2: Infective Endocarditis Chapter rr rr rr r r
3: Hypertension
rr rr
Chapter 4: Ischemic Heart Disease Chap rr rr rr rr r r
ter 5: Cardiac Arrhythmias
rr rr rr
Chapter 6: Heart Failure (or Congestive Heart Failure)
rr rr rr rr rr rr rr
PART THREE: PULMONARY DISEASE rr rr rr
Chapter 7: Pulmonary Disease rr rr rr
Chapter 8: Smoking and Tobacco Use Cessation Chapter
rr rr rr rr rr rr r r
9: Sleep-
rr rr
Related Breathing Disorders PART FOUR: GASTROINT
rr rr r r rr rr
ESTIAL DISEASE rr
Chapter 10: Liver Disease rr rr rr
Chapter 11: Gastrointestinal Disease rr rr rr
PART FIVE: GENITOURINARY DISEASE rr rr rr
Chapter 12: Chronic Kidney Disease and Dialysis Chapte
rr rr rr rr rr rr r r
r 13: Sexually Transmitted Diseases
rr rr rr rr
PART SIX: ENDOCRINE AND METABOLIC DISEASE
rr rr rr rr rr
Chapter 14: Diabetes Mellitus Chapter 15 rr rr rr rr rr
: Adrenal Insufficiency Chapter 16: Thyro
rr rr r r rr rr
id Diseases
rr
Chapter 17: Pregnancy and Breast Feeding rr rr rr rr rr
PART SEVEN: IMMUNOLOGIC DISEASE rr rr rr
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19: All
rr rr rr rr rr rr rr r r rr rr
ergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Chap
rr rr rr rr rr rr r r
ter 21: Organ and Bone Marrow Transplantation
rr rr rr rr rr rr
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
rr rr rr rr rr
Chapter 22: Disorders of Red Blood Cells Chapter 23:
rr rr rr rr rr rr r r rr rr
Disorders of White Blood Cells rr rr rr rr
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapter
rr rr rr rr rr rr r r rr
25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26: Ca
rr rr rr rr rr r r rr rr
ncer and Oral Care of the Patient
rr rr rr rr rr rr
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
rr rr rr rr rr rr
Chapter 27: Neurologic Disorders rr rr rr
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29: Psy
rr rr rr rr rr rr rr rr rr r r rr rr
chiatric Disorders rr
Chapter 30: Drug and Alcohol Abuse rr rr rr rr rr
, WWW.GRADESMORE.COM
Stuvia.comrr-rrTherrMarketplacerrtorrBuyrrandrrSellrryourrrStudyrrMaterial
Page 1 of 74 rr rr rr
Chapter 01: Patient Evaluation and Risk Assessment
rr rr rr rr rr rr
Little: Dental Management of the Medically Compromised Patient, 9th Edition
rr rr rr rr rr rr rr rr rr
MULTIPLE CHOICE rr
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning t
rr rr rr rr rr rr rr rr rr rr rr r r rr
hat the blood pressure is greater than or equal to
rr rr rr rr rr rr rr rr rr mm Hg. rr
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C rr
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is
rr rr rr rr rr rr rr rr rr rr rr r r rr rr
blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought under cont
rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr rr
rol.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which
rr rr rr rr rr rr rr rr rr rr r r rr rr
of the following cardiac conditions?
rr rr rr rr
a. Mitral valve prolapse rr rr
b. Prosthetic heart valve rr rr
c. Rheumatic heart disease rr rr
d. Pacemakers for cardiac arrhythmias rr rr rr
ANS: B rr
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many patie
rr rr rr rr rr rr rr rr rr r r rr
nts with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease)
rr rr rr rr rr rr rr rr rr rr rr r r rr rr r
in an effort to prevent infective endocarditis; however, current guidelines omit this recommendation on
r rr rr rr rr rr rr rr rr r r rr rr rr rr rr
the basis of accumulated scientific evidence. If a murmur is due to certain specific cardiac conditions (e
rr rr rr rr rr rr rr r r rr rr rr rr rr rr rr rr
.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA
rr rr rr r r rr rr rr rr rr rr rr rr rr
continues to recommend antibiotic prophylaxis for most dental procedures.
rr rr r r rr rr rr rr rr
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body to
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr rr
certain drugs, including local anesthetics and analgesics.
rr rr rr rr rr rr
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C rr
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver function. T
rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr
his deficit may result in prolonged bleeding and less efficient metabolism of certain drugs, includi
rr rr rr rr rr rr rr rr rr rr rr r r rr rr
ng local anesthetics and analgesics.
rr rr rr rr
4. Which of the following symptoms and signs is most consistent with allergy?
rr rr rr rr rr rr rr rr rr rr rr
a. Heart palpitations rr
b. Itching
c. Vomiting
d. Fainting
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Stuvia.comrr-rrTherrMarketplacerrtorrBuyrrandrrSellrryourrrStudyrrMaterial
Page 1 of 74 rr rr rr
ANS: B rr
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing,
rr rr rr rr rr rr rr rr rr rr rr r r rr
angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, h
rr rr rr rr rr rr rr rr rr rr rr r r rr rr
eart palpitations, and fainting generally are not of an allergic origin but rather are manifestations of drug
rr rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr rr
intolerance, adverse side effects, or psychogenic reactions. rr rr rr rr rr rr
5. Which of the following is true of the patient with a history of tuberculosis?
rr rr rr rr rr rr rr rr rr rr rr rr rr
a. A positive result on skin testing means that the person has active TB.
rr rr rr rr rr rr rr rr rr rr rr rr
b. Most patients who become positive skin testers develop active disease.
rr rr rr rr rr rr rr rr rr
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tubercu
rr rr rr rr rr rr rr rr rr rr rr
losis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
ANS: C rrr r
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should be e
rr rr rr rr rr rr rr rr rr r r rr rr
xplored because patients with AIDS have a high incidence of tuberculosis. A positive result on skin testi
rr rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr
ng means specifically that the person has at some time been infected with TB, not necessarily that active
rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr rr rr
disease is present. Most patients who become positive skin testers do not develop active disease. A di
rr rr rr rr rr rr rr r r rr rr rr rr rr rr rr rr rr
agnosis of active TB is made by chest x-ray, imaging, sputum culture, and clinical examination.
rr rr rr rr rr rr rr r r rr rr rr rr rr rr
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users rr rr rr rr rr rr rr rr rr rr r r becaus
e these agents may precipitate
rr rr rr rr .
a. severe hypotension rr
b. severe hypertension rr
c. respiratory depression r
d. cessation of intestinal peristalsis rr rr rr
ANS: B rr
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users rr rr rr rr rr rr rr rr rr rr rr r r because rr
the combination may precipitate arrhythmias, MI, or severe hypertension.
rr rr rr rr rr rr rr rr
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r (e.g., MI, rr
heart failure) is increased in patients who are unable to meet a -
rr rr rr rr rr rr rr rr rr rr rr rr rr
MET (metabolic equivalent of task) demand during normal daily activity.
rr r r rr rr rr rr rr rr rr
a. 4
b. 6
c. 8
d. 10
ANS: A rr
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. Activiti
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr
es requiring greater than 10 METs include swimming and singles tennis. An exercise capacity of 10 to 13
rr rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr rr
METs indicates excellent physical conditioning.
rr rr rr rr rr
8. Which of the following alterations in the fingernails is associated with cirrhosis?
rr rr rr rr rr rr rr rr rr rr rr
a. Yellowing
b. Clubbing
c. White discoloration rr
d. Splinter hemorrhages rr
WWW.NURSYLAB.COM
GRADESMORE.COM
LITTLE AND FALACE'S DENTAL MANAGEMENT
rr rr rr rr rr
OF THE MEDICALLY COMPROMISEDPATIENT
rr rr rr r
9TH EDITIONr
TESTBANK r
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
rr rr rr rr rr rr rr rr rr rr rr
Table of Contents rr rr
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
rr rr rr rr rr rr
Chapter 1: Patient Evaluation and Risk Assessment
rr rr rr rr rr rr
PART TWO: CARDIOVASCULAR DISEASE rr rr rr
Chapter 2: Infective Endocarditis Chapter rr rr rr r r
3: Hypertension
rr rr
Chapter 4: Ischemic Heart Disease Chap rr rr rr rr r r
ter 5: Cardiac Arrhythmias
rr rr rr
Chapter 6: Heart Failure (or Congestive Heart Failure)
rr rr rr rr rr rr rr
PART THREE: PULMONARY DISEASE rr rr rr
Chapter 7: Pulmonary Disease rr rr rr
Chapter 8: Smoking and Tobacco Use Cessation Chapter
rr rr rr rr rr rr r r
9: Sleep-
rr rr
Related Breathing Disorders PART FOUR: GASTROINT
rr rr r r rr rr
ESTIAL DISEASE rr
Chapter 10: Liver Disease rr rr rr
Chapter 11: Gastrointestinal Disease rr rr rr
PART FIVE: GENITOURINARY DISEASE rr rr rr
Chapter 12: Chronic Kidney Disease and Dialysis Chapte
rr rr rr rr rr rr r r
r 13: Sexually Transmitted Diseases
rr rr rr rr
PART SIX: ENDOCRINE AND METABOLIC DISEASE
rr rr rr rr rr
Chapter 14: Diabetes Mellitus Chapter 15 rr rr rr rr rr
: Adrenal Insufficiency Chapter 16: Thyro
rr rr r r rr rr
id Diseases
rr
Chapter 17: Pregnancy and Breast Feeding rr rr rr rr rr
PART SEVEN: IMMUNOLOGIC DISEASE rr rr rr
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19: All
rr rr rr rr rr rr rr r r rr rr
ergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Chap
rr rr rr rr rr rr r r
ter 21: Organ and Bone Marrow Transplantation
rr rr rr rr rr rr
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
rr rr rr rr rr
Chapter 22: Disorders of Red Blood Cells Chapter 23:
rr rr rr rr rr rr r r rr rr
Disorders of White Blood Cells rr rr rr rr
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapter
rr rr rr rr rr rr r r rr
25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26: Ca
rr rr rr rr rr r r rr rr
ncer and Oral Care of the Patient
rr rr rr rr rr rr
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
rr rr rr rr rr rr
Chapter 27: Neurologic Disorders rr rr rr
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29: Psy
rr rr rr rr rr rr rr rr rr r r rr rr
chiatric Disorders rr
Chapter 30: Drug and Alcohol Abuse rr rr rr rr rr
, WWW.GRADESMORE.COM
Stuvia.comrr-rrTherrMarketplacerrtorrBuyrrandrrSellrryourrrStudyrrMaterial
Page 1 of 74 rr rr rr
Chapter 01: Patient Evaluation and Risk Assessment
rr rr rr rr rr rr
Little: Dental Management of the Medically Compromised Patient, 9th Edition
rr rr rr rr rr rr rr rr rr
MULTIPLE CHOICE rr
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning t
rr rr rr rr rr rr rr rr rr rr rr r r rr
hat the blood pressure is greater than or equal to
rr rr rr rr rr rr rr rr rr mm Hg. rr
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C rr
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is
rr rr rr rr rr rr rr rr rr rr rr r r rr rr
blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought under cont
rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr rr
rol.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which
rr rr rr rr rr rr rr rr rr rr r r rr rr
of the following cardiac conditions?
rr rr rr rr
a. Mitral valve prolapse rr rr
b. Prosthetic heart valve rr rr
c. Rheumatic heart disease rr rr
d. Pacemakers for cardiac arrhythmias rr rr rr
ANS: B rr
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many patie
rr rr rr rr rr rr rr rr rr r r rr
nts with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease)
rr rr rr rr rr rr rr rr rr rr rr r r rr rr r
in an effort to prevent infective endocarditis; however, current guidelines omit this recommendation on
r rr rr rr rr rr rr rr rr r r rr rr rr rr rr
the basis of accumulated scientific evidence. If a murmur is due to certain specific cardiac conditions (e
rr rr rr rr rr rr rr r r rr rr rr rr rr rr rr rr
.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA
rr rr rr r r rr rr rr rr rr rr rr rr rr
continues to recommend antibiotic prophylaxis for most dental procedures.
rr rr r r rr rr rr rr rr
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body to
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr rr
certain drugs, including local anesthetics and analgesics.
rr rr rr rr rr rr
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C rr
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver function. T
rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr
his deficit may result in prolonged bleeding and less efficient metabolism of certain drugs, includi
rr rr rr rr rr rr rr rr rr rr rr r r rr rr
ng local anesthetics and analgesics.
rr rr rr rr
4. Which of the following symptoms and signs is most consistent with allergy?
rr rr rr rr rr rr rr rr rr rr rr
a. Heart palpitations rr
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comrr-rrTherrMarketplacerrtorrBuyrrandrrSellrryourrrStudyrrMaterial
Page 1 of 74 rr rr rr
ANS: B rr
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing,
rr rr rr rr rr rr rr rr rr rr rr r r rr
angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, h
rr rr rr rr rr rr rr rr rr rr rr r r rr rr
eart palpitations, and fainting generally are not of an allergic origin but rather are manifestations of drug
rr rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr rr
intolerance, adverse side effects, or psychogenic reactions. rr rr rr rr rr rr
5. Which of the following is true of the patient with a history of tuberculosis?
rr rr rr rr rr rr rr rr rr rr rr rr rr
a. A positive result on skin testing means that the person has active TB.
rr rr rr rr rr rr rr rr rr rr rr rr
b. Most patients who become positive skin testers develop active disease.
rr rr rr rr rr rr rr rr rr
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tubercu
rr rr rr rr rr rr rr rr rr rr rr
losis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
ANS: C rrr r
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should be e
rr rr rr rr rr rr rr rr rr r r rr rr
xplored because patients with AIDS have a high incidence of tuberculosis. A positive result on skin testi
rr rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr
ng means specifically that the person has at some time been infected with TB, not necessarily that active
rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr rr rr
disease is present. Most patients who become positive skin testers do not develop active disease. A di
rr rr rr rr rr rr rr r r rr rr rr rr rr rr rr rr rr
agnosis of active TB is made by chest x-ray, imaging, sputum culture, and clinical examination.
rr rr rr rr rr rr rr r r rr rr rr rr rr rr
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users rr rr rr rr rr rr rr rr rr rr r r becaus
e these agents may precipitate
rr rr rr rr .
a. severe hypotension rr
b. severe hypertension rr
c. respiratory depression r
d. cessation of intestinal peristalsis rr rr rr
ANS: B rr
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users rr rr rr rr rr rr rr rr rr rr rr r r because rr
the combination may precipitate arrhythmias, MI, or severe hypertension.
rr rr rr rr rr rr rr rr
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r (e.g., MI, rr
heart failure) is increased in patients who are unable to meet a -
rr rr rr rr rr rr rr rr rr rr rr rr rr
MET (metabolic equivalent of task) demand during normal daily activity.
rr r r rr rr rr rr rr rr rr
a. 4
b. 6
c. 8
d. 10
ANS: A rr
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. Activiti
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr r r rr
es requiring greater than 10 METs include swimming and singles tennis. An exercise capacity of 10 to 13
rr rr rr rr rr rr rr rr rr rr rr r r rr rr rr rr rr
METs indicates excellent physical conditioning.
rr rr rr rr rr
8. Which of the following alterations in the fingernails is associated with cirrhosis?
rr rr rr rr rr rr rr rr rr rr rr
a. Yellowing
b. Clubbing
c. White discoloration rr
d. Splinter hemorrhages rr
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