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