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Test Bank For Little and Falace's Dental Management of
n1 n1 n1 n1 n1 n1 n1 n1n1
the Medically Compromised Patient,
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10thEditionbyCraigMiller, Chapters
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1 - 30
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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 n1
Little: Dental Management of the Medically Compromised Patient, 10th Edition
n1 n1
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 currentlyrecommends 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. 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
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
ANSWER: 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
ANSWER: A
Daily activities requiring 4 METs include level walking at 4
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Test Bank For Little and Falace's Dental Management of
n1 n1 n1 n1 n1 n1 n1 n1n1
the Medically Compromised Patient,
n1 n1 n1 n1
10thEditionbyCraigMiller, Chapters
1n 1n n1 n1 n1 n1
1 - 30
n1 n1 n1
Downloaded by: Bookista | Want to earn
n1
$1.236
, Stuvia.com - The Marketplace to Buy and Sell your Study
n1
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 n1
Little: Dental Management of the Medically Compromised Patient, 10th Edition
n1 n1
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 currentlyrecommends 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. 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
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
ANSWER: 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
ANSWER: A
Daily activities requiring 4 METs include level walking at 4
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