Test Bank For Little And Falace's Dental Management Of
The Medically Compromised Patient, 10th Edition By Craig
Miller, Chapters 1 – 30 Latest Edition 2026
,Table Of Contents
1. part one: patient evaluation and risk assessment
2. chapter 1: patient evaluation and risk assessment
3. part two: cardiovascular disease
4. chapter 2: infective endocarditis
5. chapter 3: hypertension
6. chapter 4: ischemic heart disease
7. chapter 5: cardiac arrhythmias
8. chapter 6: heart failure (or congestive heart failure)
9. part three: pulmonary disease
10. chapter 7: pulmonary disease
11. chapter 8: smoking and tobacco use cessation
12. chapter 9: sleep-related breathing disorders
13. part four: gastrointestial disease
14. chapter 10: liver disease
15. chapter 11: gastrointestinal disease
16. part five: genitourinary disease
17. chapter 12: chronic kidney disease and dialysis
18. chapter 13: sexually transmitted diseases
19. part six: endocrine and metabolic disease
20. chapter 14: diabetes mellitus
21. chapter 15: adrenal insufficiency
22. chapter 16: thyroid diseases
23. chapter 17: pregnancy and breast feeding
24. part seven: immunologic disease
25. chapter 18: aids, hiv infection, and related conditions
26. chapter 19: allergy
27. chapter 20: rheumatologic and connective tissue disorders
28. chapter 21: organ and bone marrow transplantation
29. part eight: hematologic and oncologic disease
30. chapter 22: disorders of red blood cells
31. chapter 23: disorders of white blood cells
32. chapter 24: acquired bleeding and hypercoagulable disorders
33. chapter 25: congenital bleeding and hypercoagulable disorders
34. chapter 26: cancer and oral care of the patient
35. part nine: neurologic, behavioral, and psychiatric disorders
36. chapter 27: neurologic disorders
37. chapter 28: anxiety, eating disorders, and behavioral reactions to illness
38. chapter 29: psychiatric disorders
39. 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 tomm hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
Ans: 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
Ans: 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
Ans: 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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Ans: 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. which of the following is true of the patient with a history of tuberculosis?
a. a positive result on skin testing means that the person has active tb.
b. most patients who become positive skin testers develop active disease.
c. patients with acquired immunodeficiency syndrome (aids) have a high
incidence of tuberculosis.
d. a diagnosis of active tb is made by a purified protein derivative (ppd) skin test.
Ans: c
the potential coexistence of tuberculosis and acquired immunodeficiency syndrome
(aids) should be explored because patients with aids have a high incidence of
tuberculosis. a positive result on skin testing means specifically that the person has
at some time been infected with tb, not necessarily that active disease is present.
most patients who become positive skin testers do not develop active disease. a
diagnosis of active tb is made by chest x-ray, imaging, sputum culture, and clinical
examination.
6. vasoconstrictors should be avoided in patients who cocaine or
methamphetamine users because these agents may precipitate .
a. severe hypotension
b. severe hypertension
c. respiratory depression
d. cessation of intestinal peristalsis
Ans: b
vasoconstrictors should be avoided in patients who are cocaine or methamphetamine
users because the combination may precipitate arrhythmias, mi, or severe
hypertension.
7. it has been shown that the risk for occurrence of a serious perioperative
cardiovascular event (e.g., mi, heart failure) is increased in patients who are unable to
meet a -met (metabolic equivalent of task) demand during normal daily activity.
a. 4
b. 6
c. 8
d. 10
Ans: a
daily activities requiring 4 mets include level walking at 4 miles/hour or climbing a
flight of stairs. activities requiring greater than 10 mets include swimming and singles
tennis. an exercise capacity of 10 to 13 mets indicates excellent physical conditioning.
8. which of the following alterations in the fingernails is associated with cirrhosis?
a. yellowing
b. clubbing
c. white discoloration
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The Medically Compromised Patient, 10th Edition By Craig
Miller, Chapters 1 – 30 Latest Edition 2026
,Table Of Contents
1. part one: patient evaluation and risk assessment
2. chapter 1: patient evaluation and risk assessment
3. part two: cardiovascular disease
4. chapter 2: infective endocarditis
5. chapter 3: hypertension
6. chapter 4: ischemic heart disease
7. chapter 5: cardiac arrhythmias
8. chapter 6: heart failure (or congestive heart failure)
9. part three: pulmonary disease
10. chapter 7: pulmonary disease
11. chapter 8: smoking and tobacco use cessation
12. chapter 9: sleep-related breathing disorders
13. part four: gastrointestial disease
14. chapter 10: liver disease
15. chapter 11: gastrointestinal disease
16. part five: genitourinary disease
17. chapter 12: chronic kidney disease and dialysis
18. chapter 13: sexually transmitted diseases
19. part six: endocrine and metabolic disease
20. chapter 14: diabetes mellitus
21. chapter 15: adrenal insufficiency
22. chapter 16: thyroid diseases
23. chapter 17: pregnancy and breast feeding
24. part seven: immunologic disease
25. chapter 18: aids, hiv infection, and related conditions
26. chapter 19: allergy
27. chapter 20: rheumatologic and connective tissue disorders
28. chapter 21: organ and bone marrow transplantation
29. part eight: hematologic and oncologic disease
30. chapter 22: disorders of red blood cells
31. chapter 23: disorders of white blood cells
32. chapter 24: acquired bleeding and hypercoagulable disorders
33. chapter 25: congenital bleeding and hypercoagulable disorders
34. chapter 26: cancer and oral care of the patient
35. part nine: neurologic, behavioral, and psychiatric disorders
36. chapter 27: neurologic disorders
37. chapter 28: anxiety, eating disorders, and behavioral reactions to illness
38. chapter 29: psychiatric disorders
39. 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 tomm hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
Ans: 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
Ans: 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
Ans: 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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Ans: 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. which of the following is true of the patient with a history of tuberculosis?
a. a positive result on skin testing means that the person has active tb.
b. most patients who become positive skin testers develop active disease.
c. patients with acquired immunodeficiency syndrome (aids) have a high
incidence of tuberculosis.
d. a diagnosis of active tb is made by a purified protein derivative (ppd) skin test.
Ans: c
the potential coexistence of tuberculosis and acquired immunodeficiency syndrome
(aids) should be explored because patients with aids have a high incidence of
tuberculosis. a positive result on skin testing means specifically that the person has
at some time been infected with tb, not necessarily that active disease is present.
most patients who become positive skin testers do not develop active disease. a
diagnosis of active tb is made by chest x-ray, imaging, sputum culture, and clinical
examination.
6. vasoconstrictors should be avoided in patients who cocaine or
methamphetamine users because these agents may precipitate .
a. severe hypotension
b. severe hypertension
c. respiratory depression
d. cessation of intestinal peristalsis
Ans: b
vasoconstrictors should be avoided in patients who are cocaine or methamphetamine
users because the combination may precipitate arrhythmias, mi, or severe
hypertension.
7. it has been shown that the risk for occurrence of a serious perioperative
cardiovascular event (e.g., mi, heart failure) is increased in patients who are unable to
meet a -met (metabolic equivalent of task) demand during normal daily activity.
a. 4
b. 6
c. 8
d. 10
Ans: a
daily activities requiring 4 mets include level walking at 4 miles/hour or climbing a
flight of stairs. activities requiring greater than 10 mets include swimming and singles
tennis. an exercise capacity of 10 to 13 mets indicates excellent physical conditioning.
8. which of the following alterations in the fingernails is associated with cirrhosis?
a. yellowing
b. clubbing
c. white discoloration
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