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 o
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f the Medically Compromised Patient,
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10th Edition by Craig Miller, C
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hapters 1 - 30 Xt Xt Xt

,Little: Dental Management of the Medically Compromised Patient, 10th Edition Te
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st Bank Xt




Table of Contents Xt Xt


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 Cha
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pter 3: Hypertension
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Chapter 4: Ischemic Heart Disease C Xt Xt Xt Xt Xt


hapter 5: Cardiac ArrhythmiasXt Xt Xt


Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASEXt Xt Xt


Chapter 7: Pulmonary Disease Xt Xt Xt


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


Related Breathing Disorders PART FOUR: GAS
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TROINTESTIAL DISEASE Xt


Chapter 10: Liver Disease Xt Xt Xt


Chapter 11: Gastrointestinal DiseaseXt Xt Xt


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 Chapt Xt Xt Xt Xt


er 15: Adrenal Insufficiency Chapter 1
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6: 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 Chapt
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er 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders Chapt
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er 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 Chapt
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er 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 Chapte
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r 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 Xt Xt Xt


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

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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 Xt




1. Elective dental care should be deferred for patients with severe, uncontrolled hyp
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ertension, 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 Xt


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


b. Prosthetic heart valve Xt Xt


c. Rheumatic heart disease Xt Xt


d. Pacemakers for cardiac arrhythmias Xt Xt Xt




ANSWER: B Xt


Previously, the American Heart Association (AHA) recommended antibiotic prophyl
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axis for many patients with heart murmurs caused by valvular disease (e.g., mitral v
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alve prolapse, rheumatic heart disease) in an effort to prevent infective endocarditis
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; however, current guidelines omit this recommendation on the basis of accumulate
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d scientific evidence. If a murmur is due to certain specific cardiac conditions (e.g.,
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previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart dis
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ease), the AHA continues to recommend antibiotic prophylaxis for most dental proce
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dures.

3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decrease
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d 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 Xt


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment
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of liver function. This deficit may result in prolonged bleeding and less efficie
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nt metabolism 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 Xt


b. Itching
c. Vomiting
d. Fainting


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Page 1 of 74
ANSWER: B Xt


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
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of an allergic origin but rather are manifestations of drug intolerance, adverse side
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effects, or psychogenic reactions. Xt Xt Xt




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 highXt Xt Xt Xt Xt Xt Xt Xt


incidence of tuberculosis.
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d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANSWER: C X t


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 tu
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berculosis. A positive result on skin testing means specifically that the person has a
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t some time been infected with TB, not necessarily that active disease is present. M
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ost patients who become positive skin testers do not develop active disease. A dia
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gnosis 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 met Xt Xt Xt Xt Xt Xt Xt Xt Xt


hamphetamine users because these agents may precipitate Xt Xt Xt Xt Xt Xt .
a. severe hypotension Xt


b. severe hypertension Xt


c. respiratory depression Xt


d. cessation of intestinal peristalsis Xt Xt Xt




ANSWER: B Xt


Vasoconstrictors should be avoided in patients who are cocaine or methamphetami Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ne users because the combination may precipitate arrhythmias, MI, or severe hypert
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ension.

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


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a fli
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ght of stairs. Activities requiring greater than 10 METs include swimming and singles t
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ennis. 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 Xt




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