Test Bank For Little and Falace's Dental Management of t
= = = = = = = = =
he 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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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,=rheu
matic=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,=comp
lex=congenital=cyanotic=heart=disease),=the=AHA=continues=to=recommend=antibiotic=prophylaxi
s=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,=w
heezing,=angioedema,=runny=nose,=and=tearing=eyes.=Isolated=signs=and=symptoms=such=as=naus
ea,=vomiting,=heart=palpitations,=and=fainting=generally=are=not=of=an=allergic=origin=but=rather=a
re=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.
ANSWER:= 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=posi
tive=result=on=skin=testing=means=specifically=that=the=person=has=at=some=time=been=infected=w
ith=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
ANSWER:= B
Vasoconstrictors=should=be=avoided=in=patients=who=are=cocaine=or=methamphetamine=users=b
ecause=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
ANSWER:= A
Daily=activities=requiring=4=METs=include=level=walking=at=4=miles/hour=or=climbing=a=flight=of=st
airs.=Activities=requiring=greater=than=10=METs=include=swimming=and=singles=tennis.=An=exercis
e=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
d. Splinter=hemorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
= = = = = = = = =
he 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,=rheu
matic=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,=comp
lex=congenital=cyanotic=heart=disease),=the=AHA=continues=to=recommend=antibiotic=prophylaxi
s=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,=w
heezing,=angioedema,=runny=nose,=and=tearing=eyes.=Isolated=signs=and=symptoms=such=as=naus
ea,=vomiting,=heart=palpitations,=and=fainting=generally=are=not=of=an=allergic=origin=but=rather=a
re=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.
ANSWER:= 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=posi
tive=result=on=skin=testing=means=specifically=that=the=person=has=at=some=time=been=infected=w
ith=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
ANSWER:= B
Vasoconstrictors=should=be=avoided=in=patients=who=are=cocaine=or=methamphetamine=users=b
ecause=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
ANSWER:= A
Daily=activities=requiring=4=METs=include=level=walking=at=4=miles/hour=or=climbing=a=flight=of=st
airs.=Activities=requiring=greater=than=10=METs=include=swimming=and=singles=tennis.=An=exercis
e=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
d. Splinter=hemorrhages
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