Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. 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.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C
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.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
with which of the following cardiac conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANSWER: B
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.
3. One sconsequence sof schronic shepatitis s(B sor sC) sor scirrhosis sof sthe sliver sis sdecreased
sability sof sthe sbody sto certain sdrugs, sincluding slocal sanesthetics sand sanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: s C
Patients salso smay shave schronic shepatitis s(B sor sC) sor scirrhosis, swith simpairment sof
sliver sfunction. sThis sdeficit smay sresult sin sprolonged sbleeding sand sless sefficient
smetabolism sof scertain sdrugs, sincluding slocal sanesthetics sand sanalgesics.
4. Which sof sthe sfollowing ssymptoms sand ssigns sis smost sconsistent swith sallergy?
a. Heart spalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: s B
Symptoms sand ssigns sconsistent swith sallergy sinclude sitching, surticaria s(hives), srash,
sswelling, swheezing, sangioedema, srunny snose, sand stearing seyes. sIsolated ssigns sand
ssymptoms ssuch sas snausea, svomiting, sheart spalpitations, sand sfainting sgenerally sare snot sof
san sallergic sorigin sbut srather sare smanifestations sof sdrug sintolerance, sadverse sside seffects,
sor spsychogenic sreactions.
5. Which sof sthe sfollowing sis strue sof sthe spatient swith sa shistory sof stuberculosis?
a. A spositive sresult son sskin stesting smeans sthat sthe sperson shas sactive sTB.
b. Most spatients swho sbecome spositive sskin stesters sdevelop sactive sdisease.
c. Patients swith sacquired simmunodeficiency ssyndrome s(AIDS) shave sa shigh
sincidence sof stuberculosis.
d. A sdiagnosis sof sactive sTB sis smade sby sa spurified sprotein sderivative s(PPD) sskin stest.
ANSWER: s C
The spotential scoexistence sof stuberculosis sand sacquired simmunodeficiency ssyndrome
s(AIDS) sshould sbe sexplored sbecause spatients swith sAIDS shave sa shigh sincidence sof
stuberculosis. sA spositive sresult son sskin stesting smeans sspecifically sthat sthe sperson shas sat
ssome stime sbeen sinfected swith sTB, snot snecessarily sthat sactive sdisease sis spresent. sMost
spatients swho sbecome spositive sskin stesters sdo snot sdevelop sactive sdisease. sA sdiagnosis sof
sactive sTB sis smade sby schest sx-ray, simaging, ssputum sculture, sand sclinical sexamination.
6. Vasoconstrictors sshould sbe savoided sin spatients swho scocaine sor smethamphetamine
susers sbecause sthese sagents smay sprecipitate .
a. severe shypotension
b. severe shypertension
c. respiratory sdepression
d. cessation sof sintestinal speristalsis
ANSWER: s B
Vasoconstrictors sshould sbe savoided sin spatients swho sare scocaine sor smethamphetamine
susers sbecause sthe scombination smay sprecipitate sarrhythmias, sMI, sor ssevere shypertension.
7. It shas sbeen sshown sthat sthe srisk sfor soccurrence sof sa sserious sperioperative scardiovascular
sevent s(e.g., sMI, sheart sfailure) sis sincreased sin spatients swho sare sunable sto smeet sa s-MET
s(metabolic sequivalent sof stask) sdemand sduring snormal sdaily sactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: s A
Daily sactivities srequiring s4 sMETs sinclude slevel swalking sat s4 smiles/hour sor sclimbing sa
sflight sof sstairs. sActivities srequiring sgreater sthan s10 sMETs sinclude sswimming sand ssingles
stennis. sAn sexercise scapacity sof s10 sto s13 sMETs sindicates sexcellent sphysical sconditioning.
8. Which sof sthe sfollowing salterations sin sthe sfingernails sis sassociated swith scirrhosis?
a. Yellowing
b. Clubbing
c. White sdiscoloration
d. Splinter shemorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. 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.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C
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.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
with which of the following cardiac conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANSWER: B
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.
3. One sconsequence sof schronic shepatitis s(B sor sC) sor scirrhosis sof sthe sliver sis sdecreased
sability sof sthe sbody sto certain sdrugs, sincluding slocal sanesthetics sand sanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: s C
Patients salso smay shave schronic shepatitis s(B sor sC) sor scirrhosis, swith simpairment sof
sliver sfunction. sThis sdeficit smay sresult sin sprolonged sbleeding sand sless sefficient
smetabolism sof scertain sdrugs, sincluding slocal sanesthetics sand sanalgesics.
4. Which sof sthe sfollowing ssymptoms sand ssigns sis smost sconsistent swith sallergy?
a. Heart spalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
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, WWW.GRADESMORE.COM
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Page 1 of 74
ANSWER: s B
Symptoms sand ssigns sconsistent swith sallergy sinclude sitching, surticaria s(hives), srash,
sswelling, swheezing, sangioedema, srunny snose, sand stearing seyes. sIsolated ssigns sand
ssymptoms ssuch sas snausea, svomiting, sheart spalpitations, sand sfainting sgenerally sare snot sof
san sallergic sorigin sbut srather sare smanifestations sof sdrug sintolerance, sadverse sside seffects,
sor spsychogenic sreactions.
5. Which sof sthe sfollowing sis strue sof sthe spatient swith sa shistory sof stuberculosis?
a. A spositive sresult son sskin stesting smeans sthat sthe sperson shas sactive sTB.
b. Most spatients swho sbecome spositive sskin stesters sdevelop sactive sdisease.
c. Patients swith sacquired simmunodeficiency ssyndrome s(AIDS) shave sa shigh
sincidence sof stuberculosis.
d. A sdiagnosis sof sactive sTB sis smade sby sa spurified sprotein sderivative s(PPD) sskin stest.
ANSWER: s C
The spotential scoexistence sof stuberculosis sand sacquired simmunodeficiency ssyndrome
s(AIDS) sshould sbe sexplored sbecause spatients swith sAIDS shave sa shigh sincidence sof
stuberculosis. sA spositive sresult son sskin stesting smeans sspecifically sthat sthe sperson shas sat
ssome stime sbeen sinfected swith sTB, snot snecessarily sthat sactive sdisease sis spresent. sMost
spatients swho sbecome spositive sskin stesters sdo snot sdevelop sactive sdisease. sA sdiagnosis sof
sactive sTB sis smade sby schest sx-ray, simaging, ssputum sculture, sand sclinical sexamination.
6. Vasoconstrictors sshould sbe savoided sin spatients swho scocaine sor smethamphetamine
susers sbecause sthese sagents smay sprecipitate .
a. severe shypotension
b. severe shypertension
c. respiratory sdepression
d. cessation sof sintestinal speristalsis
ANSWER: s B
Vasoconstrictors sshould sbe savoided sin spatients swho sare scocaine sor smethamphetamine
susers sbecause sthe scombination smay sprecipitate sarrhythmias, sMI, sor ssevere shypertension.
7. It shas sbeen sshown sthat sthe srisk sfor soccurrence sof sa sserious sperioperative scardiovascular
sevent s(e.g., sMI, sheart sfailure) sis sincreased sin spatients swho sare sunable sto smeet sa s-MET
s(metabolic sequivalent sof stask) sdemand sduring snormal sdaily sactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: s A
Daily sactivities srequiring s4 sMETs sinclude slevel swalking sat s4 smiles/hour sor sclimbing sa
sflight sof sstairs. sActivities srequiring sgreater sthan s10 sMETs sinclude sswimming sand ssingles
stennis. sAn sexercise scapacity sof s10 sto s13 sMETs sindicates sexcellent sphysical sconditioning.
8. Which sof sthe sfollowing salterations sin sthe sfingernails sis sassociated swith scirrhosis?
a. Yellowing
b. Clubbing
c. White sdiscoloration
d. Splinter shemorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
