,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 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.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C
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.
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: B
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.
5. Whichnofnthenfollowingnis ntruenofnthenpatientnwithnanhistorynofntuberculosis?
a. AnpositivenresultnonnskinntestingnmeansnthatnthenpersonnhasnactivenTB.
b. Mostnpatientsnwhonbecomenpositivenskinntestersndevelopnactivendisease.
c. Patientsnwithnacquirednimmunodeficiencynsyndromen(AIDS) nhavenanhigh
incidencenofntuberculosis.
n
d. AndiagnosisnofnactivenTBnis nmadenbynanpurifiednproteinnderivativen(PPD) nskinntest.
ANSWER: n C
Thenpotentialncoexistencenofntuberculosisnandnacquirednimmunodeficiencynsyndrome
n(AIDS) nshouldnbe nexplorednbecausenpatientsnwithnAIDSnhave nanhighnincidence nof
ntuberculosis. nAnpositivenresult nonnskinntesting nmeansnspecificallynthat nthenpersonnhasnat
nsomentime nbeenninfectednwithnTB, nnot nnecessarilynthat nactivendiseasenisnpresent. nMost
npatientsnwho nbecome npositivenskinntestersndo nnot ndevelopnactivendisease. nAndiagnosis nof
nactivenTBnis nmade nbynchest nx-ray, nimaging, nsputumnculture, nand nclinicalnexamination.
6. Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhoncocainenornmethamphetamine
nusersnbecausenthesenagentsnmaynprecipitate .
a. severenhypotension
b. severenhypertension
c. respiratoryndepression
d. cessationnofnintestinalnperistalsis
ANSWER: n B
Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhonarencocainenornmethamphetaminenusers
nbecausenthe ncombinationnmaynprecipitatenarrhythmias, nMI, nor nsevere nhypertension.
7. It nhas nbeen nshown nthat nthe nrisk nfor noccurrence nof na nserious nperioperative ncardiovascular
nevent n(e.g., nMI, nheart nfailure) nis nincreased nin npatients nwho nare nunable nto nmeet na n-MET
n(metabolicnequivalentnofntask) ndemandnduringnnormalndailynactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: n A
Dailynactivitiesnrequiringn4 nMETsnincludenlevelnwalkingnat n4nmiles/hournornclimbingnanflightnof
nstairs. nActivitiesnrequiringngreaternthann10 nMETsninclude nswimmingnand nsinglesntennis. nAn
nexercise ncapacitynofn10 nto n13 nMETsnindicatesnexcellent nphysicalnconditioning.
8. Whichnofnthenfollowingnalterationsninnthenfingernailsnisnassociatednwithncirrhosis?
a. Yellowing
b. Clubbing
c. Whitendiscoloration
d. Splinternhemorrhages
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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
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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 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.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C
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.
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
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Page 1 of 74
ANSWER: B
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.
5. Whichnofnthenfollowingnis ntruenofnthenpatientnwithnanhistorynofntuberculosis?
a. AnpositivenresultnonnskinntestingnmeansnthatnthenpersonnhasnactivenTB.
b. Mostnpatientsnwhonbecomenpositivenskinntestersndevelopnactivendisease.
c. Patientsnwithnacquirednimmunodeficiencynsyndromen(AIDS) nhavenanhigh
incidencenofntuberculosis.
n
d. AndiagnosisnofnactivenTBnis nmadenbynanpurifiednproteinnderivativen(PPD) nskinntest.
ANSWER: n C
Thenpotentialncoexistencenofntuberculosisnandnacquirednimmunodeficiencynsyndrome
n(AIDS) nshouldnbe nexplorednbecausenpatientsnwithnAIDSnhave nanhighnincidence nof
ntuberculosis. nAnpositivenresult nonnskinntesting nmeansnspecificallynthat nthenpersonnhasnat
nsomentime nbeenninfectednwithnTB, nnot nnecessarilynthat nactivendiseasenisnpresent. nMost
npatientsnwho nbecome npositivenskinntestersndo nnot ndevelopnactivendisease. nAndiagnosis nof
nactivenTBnis nmade nbynchest nx-ray, nimaging, nsputumnculture, nand nclinicalnexamination.
6. Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhoncocainenornmethamphetamine
nusersnbecausenthesenagentsnmaynprecipitate .
a. severenhypotension
b. severenhypertension
c. respiratoryndepression
d. cessationnofnintestinalnperistalsis
ANSWER: n B
Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhonarencocainenornmethamphetaminenusers
nbecausenthe ncombinationnmaynprecipitatenarrhythmias, nMI, nor nsevere nhypertension.
7. It nhas nbeen nshown nthat nthe nrisk nfor noccurrence nof na nserious nperioperative ncardiovascular
nevent n(e.g., nMI, nheart nfailure) nis nincreased nin npatients nwho nare nunable nto nmeet na n-MET
n(metabolicnequivalentnofntask) ndemandnduringnnormalndailynactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: n A
Dailynactivitiesnrequiringn4 nMETsnincludenlevelnwalkingnat n4nmiles/hournornclimbingnanflightnof
nstairs. nActivitiesnrequiringngreaternthann10 nMETsninclude nswimmingnand nsinglesntennis. nAn
nexercise ncapacitynofn10 nto n13 nMETsnindicatesnexcellent nphysicalnconditioning.
8. Whichnofnthenfollowingnalterationsninnthenfingernailsnisnassociatednwithncirrhosis?
a. Yellowing
b. Clubbing
c. Whitendiscoloration
d. Splinternhemorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
