Test Bank For ttle and Falace's Dental Management of
M! M! M!M! M! M! M! M! M! M!
the Medically Compromised Patient,
M! M! M!
10th Edition by Craig Miller, C
M! M! M! M! M!M!
hapters 1 - 30 M! M! M!
, ttle: Dental Management of the Medically Compromised Patient, 10th Edition Te
M! M! M! M! M! M! M! M! M! M! M!
st Bank
M!
Table of Contents M! M!
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
M! M! M! M! M! M!
Chapter 1: Patient Evaluation and Risk Assessment
M! M! M! M! M! M!
PART TWO: CARDIOVASCULAR DISEASE
M! M! M!
Chapter 2: Infective Endocarditis Cha
M! M! M! M!
pter 3: Hypertension
M! M!
Chapter 4: Ischemic Heart Disease CM! M! M! M! M!
hapter 5: Cardiac Arrhythmias M! M! M!
Chapter 6: Heart Failure (or Congestive Heart Failure)
M! M! M! M! M! M! M!
PART THREE: PULMONARY DISEASE
M! M! M!
Chapter 7: Pulmonary Disease M! M! M!
Chapter 8: Smoking and Tobacco Use Cessation
M! M! M! M! M! M!
Chapter 9: Sleep-
M! M! M!
Related Breathing Disorders PART FOUR: GA
M! M! M! M! M!
STROINTESTIAL DISEASE M!
Chapter 10: ver Disease M! M!M! M!
Chapter 11: Gastrointestinal Disease
M! M! M!
PART FIVE: GENITOURINARY DISEASE
M! M! M!
Chapter 12: Chronic Kidney Disease and Dialysi
M! M! M! M! M! M!
s Chapter 13: Sexually Transmitted Diseases
M! M! M! M! M!
PART SIX: ENDOCRINE AND METABO C DISEASE
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Chapter 14: Diabetes Mel tus Chapt M! M! M! M! M!
er 15: Adrenal Insufficiency Chapter
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16: 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 Chap
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ter 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Ch
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apter 25: Congenital Bleeding and Hypercoagulable Disorders Chap
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ter 26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
M! M! M! M! M! M!
Chapter 27: Neurologic Disorders M! M! M!
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chap
M! M! M! M! M! M! M! M! M! M!
ter 29: Psychiatric Disorders
M! M! M!
Chapter 30: Drug and Alcohol Abuse M! M! M! M! M!
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Page 1 of 74 M! M! M!
Chapter 01: Patient Evaluation and Risk Assessment
M! M! M! M! M! M!
ttle: Dental Management of the Medically Compromised Patient, 10th Edition
M! M! M! M! M! M! M! M! M! M!
MULTIPLE CHOICE M!
1. Elective dental care should be deferred for patients with severe, uncontrolled hy
M! M! M! M! M! M! M! M! M! M! M!
pertension, meaning that the blood pressure is greater than or equal to mm Hg.
M! M! M! M! M! M! M! M! M! M! M! M!
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C M!
Elective dental care should be deferred for patients with severe, uncontrolled hy
M! M! M! M! M! M! M! M! M! M! M!
pertension, which is blood pressure greater than or equal to 180/110 mm Hg, u
M! M! M! M! M! M! M! M! M! M! M! M! M!
ntil the condition can be brought under control.
M! M! M! M! M! M! M!
2. The American Heart Association currently recommends antibiotic prophylaxis for
M! M! M! M! M! M! M! M! M!
a patient with which of the following cardiac conditions?
M! M! M! M! M! M! M! M!
a. Mitral valve prolapse M! M!
b. Prosthetic heart valve M! M!
c. Rheumatic heart disease M! M!
d. Pacemakers for cardiac arrhythmias M! M! M!
ANSWER: B M!
Previously, the American Heart Association (AHA) recommended antibiotic prophyl
M! M! M! M! M! M! M! M!
axis for many patients with heart murmurs caused by valvular disease (e.g., mitral
M! M! M! M! M! M! M! M! M! M! M! M! M
valve prolapse, rheumatic heart disease) in an effort to prevent infective endocard
! M! M! M! M! M! M! M! M! M! M! M!
itis; however, current guide nes omit this recommendation on the basis of accumul
M! M! M! M! M! M! M! M! M! M! M! M!
ated scientific evidence. If a murmur is due to certain specific cardiac conditions (
M! M! M! M! M! M! M! M! M! M! M! M! M!
e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic he
M! M! M! M! M! M! M! M! M!
art disease), the AHA continues to recommend antibiotic prophylaxis for most dent
M! M! M! M! M! M! M! M! M! M! M!
al procedures.
M!
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the ver is decreas
M! M! M! M! M! M! M! M! M! M! M! M!M! M! M!
ed abi ty of the body to
M! M! M! M! M! M!
certain drugs, including local anesthetics and analgesics.
M! M! M! M! M! M!
a. absorb
b. distribute
c. metabo ze M!
d. excrete
ANSWER: C M!
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairme
M! M! M! M! M! M! M! M! M! M! M! M!
nt of ver function. This deficit may result in prolonged bleeding and less effi
M! M!M! M! M! M! M! M! M! M! M! M! M! M!
cient metabo sm of certain drugs, including local anesthetics and analgesics.
M! M! M! M! M! M! M! M! M! M!
4. Which of the following symptoms and signs is most consistent with allergy?
M! M! M! M! M! M! M! M! M! M! M!
a. Heart palpitations M!
b. Itching
c. Vomiting
d. Fainting
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ANSWER: B M!
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
M! M! M! M! M! M! M! M! M! M! M
swel ng, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
! M! M! M! M! M! M! M! M! M! M! M! M
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are
! M! M! M! M! M! M! M! M! M! M! M
not of an allergic origin but rather are manifestations of drug intolerance, adverse
! M! M! M! M! M! M! M! M! M! M! M! M! M!
side effects, or psychogenic reactions.
M! M! M! M!
5. Which of the following is true of the patient with a history of tuberculosis?
M! M! M! M! M! M! M! M! M! M! M! M! M!
a. A positive result on skin testing means that the person has active TB.
M! M! M! M! M! M! M! M! M! M! M! M!
b. Most patients who become positive skin testers develop active disease.
M! M! M! M! M! M! M! M! M!
c. Patients with acquired immunodeficiency syndrome (AIDS) have a hig
M! M! M! M! M! M! M! M!
h incidence of tuberculosis.
M! M! M!
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
ANSWER: M ! C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrom
M! M! M! M! M! M! M! M!
e (AIDS) should be explored because patients with AIDS have a high incidence of
M! M! M! M! M! M! M! M! M! M! M! M! M!
tuberculosis. A positive result on skin testing means specifically that the person h
M! M! M! M! M! M! M! M! M! M! M! M! M!
as at some time been infected with TB, not necessarily that active disease is pres
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
ent. Most patients who become positive skin testers do not develop active diseas
M! M! M! M! M! M! M! M! M! M! M! M!
e. A diagnosis of active TB is made by chest x-
M! M! M! M! M! M! M! M! M! M!
ray, imaging, sputum culture, and c nical examination.
M! M! M! M! M! M! M!
6. Vasoconstrictors should be avoided in patients who cocaine or m M! M! M! M! M! M! M! M! M!
ethamphetamine users because these agents may precipitate M! M! M! M! M! M! .
a. severe hypotension M!
b. severe hypertension M!
c. respiratory depression M!
d. cessation of intestinal peristalsis M! M! M!
ANSWER: B M!
Vasoconstrictors should be avoided in patients who are cocaine or methampheta M! M! M! M! M! M! M! M! M! M!
mine users because the combination may precipitate arrhythmias, MI, or severe hy
M! M! M! M! M! M! M! M! M! M! M!
pertension.
7. It has been shown that the risk for occurrence of a serious perioperative cardiova
M! M! M! M! M! M! M! M! M! M! M! M! M!
scular event (e.g., MI, heart failure) is increased in patients who are unable to m
M! M! M! M! M! M! M! M! M! M ! M! M! M! M!
eet a -MET (metabo c equivalent of task) demand during normal daily activity.
M! M! M! M! M! M! M! M! M! M! M! M!
a. 4
b. 6
c. 8
d. 10
ANSWER: A M!
Daily activities requiring 4 METs include level walking at 4 miles/hour or c mbing a f
M! M! M! M! M! M! M! M! M! M! M! M! M! M! M! M
ght of stairs. Activities requiring greater than 10 METs include swimming and single
! M! M! M! M! M! M! M! M! M! M! M! M!
s tennis. An exercise capacity of 10 to 13 METs indicates excellent physical condition
M! M! M! M! M! M! M! M! M! M! M! M! M!
ing.
8. Which of the following alterations in the fingernails is associated with cirrhosis?
M! M! M! M! M! M! M! M! M! M! M!
a. Yellowing
b. Clubbing
WWW.NURSYLAB.COM
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M! M! M!M! M! M! M! M! M! M!
the Medically Compromised Patient,
M! M! M!
10th Edition by Craig Miller, C
M! M! M! M! M!M!
hapters 1 - 30 M! M! M!
, ttle: Dental Management of the Medically Compromised Patient, 10th Edition Te
M! M! M! M! M! M! M! M! M! M! M!
st Bank
M!
Table of Contents M! M!
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
M! M! M! M! M! M!
Chapter 1: Patient Evaluation and Risk Assessment
M! M! M! M! M! M!
PART TWO: CARDIOVASCULAR DISEASE
M! M! M!
Chapter 2: Infective Endocarditis Cha
M! M! M! M!
pter 3: Hypertension
M! M!
Chapter 4: Ischemic Heart Disease CM! M! M! M! M!
hapter 5: Cardiac Arrhythmias M! M! M!
Chapter 6: Heart Failure (or Congestive Heart Failure)
M! M! M! M! M! M! M!
PART THREE: PULMONARY DISEASE
M! M! M!
Chapter 7: Pulmonary Disease M! M! M!
Chapter 8: Smoking and Tobacco Use Cessation
M! M! M! M! M! M!
Chapter 9: Sleep-
M! M! M!
Related Breathing Disorders PART FOUR: GA
M! M! M! M! M!
STROINTESTIAL DISEASE M!
Chapter 10: ver Disease M! M!M! M!
Chapter 11: Gastrointestinal Disease
M! M! M!
PART FIVE: GENITOURINARY DISEASE
M! M! M!
Chapter 12: Chronic Kidney Disease and Dialysi
M! M! M! M! M! M!
s Chapter 13: Sexually Transmitted Diseases
M! M! M! M! M!
PART SIX: ENDOCRINE AND METABO C DISEASE
M! M! M! M! M! M!
Chapter 14: Diabetes Mel tus Chapt M! M! M! M! M!
er 15: Adrenal Insufficiency Chapter
M! M! M! M! M!
16: Thyroid Diseases
M! M!
Chapter 17: Pregnancy and Breast Feeding
M! M! M! M! M!
PART SEVEN: IMMUNOLOGIC DISEASE
M! M! M!
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapt
M! M! M! M! M! M! M! M!
er 19: Allergy
M! M!
Chapter 20: Rheumatologic and Connective Tissue Disorders Chapt
M! M! M! M! M! M! M!
er 21: Organ and Bone Marrow Transplantation
M! M! M! M! M! M!
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
M! M! M! M! M!
Chapter 22: Disorders of Red Blood Cells Chap
M! M! M! M! M! M! M!
ter 23: Disorders of White Blood Cells
M! M! M! M! M! M!
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Ch
M! M! M! M! M! M! M!
apter 25: Congenital Bleeding and Hypercoagulable Disorders Chap
M! M! M! M! M! M! M!
ter 26: Cancer and Oral Care of the Patient
M! M! M! M! M! M! M! M!
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
M! M! M! M! M! M!
Chapter 27: Neurologic Disorders M! M! M!
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chap
M! M! M! M! M! M! M! M! M! M!
ter 29: Psychiatric Disorders
M! M! M!
Chapter 30: Drug and Alcohol Abuse M! M! M! M! M!
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Page 1 of 74 M! M! M!
Chapter 01: Patient Evaluation and Risk Assessment
M! M! M! M! M! M!
ttle: Dental Management of the Medically Compromised Patient, 10th Edition
M! M! M! M! M! M! M! M! M! M!
MULTIPLE CHOICE M!
1. Elective dental care should be deferred for patients with severe, uncontrolled hy
M! M! M! M! M! M! M! M! M! M! M!
pertension, meaning that the blood pressure is greater than or equal to mm Hg.
M! M! M! M! M! M! M! M! M! M! M! M!
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C M!
Elective dental care should be deferred for patients with severe, uncontrolled hy
M! M! M! M! M! M! M! M! M! M! M!
pertension, which is blood pressure greater than or equal to 180/110 mm Hg, u
M! M! M! M! M! M! M! M! M! M! M! M! M!
ntil the condition can be brought under control.
M! M! M! M! M! M! M!
2. The American Heart Association currently recommends antibiotic prophylaxis for
M! M! M! M! M! M! M! M! M!
a patient with which of the following cardiac conditions?
M! M! M! M! M! M! M! M!
a. Mitral valve prolapse M! M!
b. Prosthetic heart valve M! M!
c. Rheumatic heart disease M! M!
d. Pacemakers for cardiac arrhythmias M! M! M!
ANSWER: B M!
Previously, the American Heart Association (AHA) recommended antibiotic prophyl
M! M! M! M! M! M! M! M!
axis for many patients with heart murmurs caused by valvular disease (e.g., mitral
M! M! M! M! M! M! M! M! M! M! M! M! M
valve prolapse, rheumatic heart disease) in an effort to prevent infective endocard
! M! M! M! M! M! M! M! M! M! M! M!
itis; however, current guide nes omit this recommendation on the basis of accumul
M! M! M! M! M! M! M! M! M! M! M! M!
ated scientific evidence. If a murmur is due to certain specific cardiac conditions (
M! M! M! M! M! M! M! M! M! M! M! M! M!
e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic he
M! M! M! M! M! M! M! M! M!
art disease), the AHA continues to recommend antibiotic prophylaxis for most dent
M! M! M! M! M! M! M! M! M! M! M!
al procedures.
M!
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the ver is decreas
M! M! M! M! M! M! M! M! M! M! M! M!M! M! M!
ed abi ty of the body to
M! M! M! M! M! M!
certain drugs, including local anesthetics and analgesics.
M! M! M! M! M! M!
a. absorb
b. distribute
c. metabo ze M!
d. excrete
ANSWER: C M!
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairme
M! M! M! M! M! M! M! M! M! M! M! M!
nt of ver function. This deficit may result in prolonged bleeding and less effi
M! M!M! M! M! M! M! M! M! M! M! M! M! M!
cient metabo sm of certain drugs, including local anesthetics and analgesics.
M! M! M! M! M! M! M! M! M! M!
4. Which of the following symptoms and signs is most consistent with allergy?
M! M! M! M! M! M! M! M! M! M! M!
a. Heart palpitations M!
b. Itching
c. Vomiting
d. Fainting
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M!TheM!MarketplaceM!toM!BuyM!andM!SellM! yourM!StudyM!Material
Page 1 of 74 M! M! M!
ANSWER: B M!
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
M! M! M! M! M! M! M! M! M! M! M
swel ng, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
! M! M! M! M! M! M! M! M! M! M! M! M
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are
! M! M! M! M! M! M! M! M! M! M! M
not of an allergic origin but rather are manifestations of drug intolerance, adverse
! M! M! M! M! M! M! M! M! M! M! M! M! M!
side effects, or psychogenic reactions.
M! M! M! M!
5. Which of the following is true of the patient with a history of tuberculosis?
M! M! M! M! M! M! M! M! M! M! M! M! M!
a. A positive result on skin testing means that the person has active TB.
M! M! M! M! M! M! M! M! M! M! M! M!
b. Most patients who become positive skin testers develop active disease.
M! M! M! M! M! M! M! M! M!
c. Patients with acquired immunodeficiency syndrome (AIDS) have a hig
M! M! M! M! M! M! M! M!
h incidence of tuberculosis.
M! M! M!
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
ANSWER: M ! C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrom
M! M! M! M! M! M! M! M!
e (AIDS) should be explored because patients with AIDS have a high incidence of
M! M! M! M! M! M! M! M! M! M! M! M! M!
tuberculosis. A positive result on skin testing means specifically that the person h
M! M! M! M! M! M! M! M! M! M! M! M! M!
as at some time been infected with TB, not necessarily that active disease is pres
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
ent. Most patients who become positive skin testers do not develop active diseas
M! M! M! M! M! M! M! M! M! M! M! M!
e. A diagnosis of active TB is made by chest x-
M! M! M! M! M! M! M! M! M! M!
ray, imaging, sputum culture, and c nical examination.
M! M! M! M! M! M! M!
6. Vasoconstrictors should be avoided in patients who cocaine or m M! M! M! M! M! M! M! M! M!
ethamphetamine users because these agents may precipitate M! M! M! M! M! M! .
a. severe hypotension M!
b. severe hypertension M!
c. respiratory depression M!
d. cessation of intestinal peristalsis M! M! M!
ANSWER: B M!
Vasoconstrictors should be avoided in patients who are cocaine or methampheta M! M! M! M! M! M! M! M! M! M!
mine users because the combination may precipitate arrhythmias, MI, or severe hy
M! M! M! M! M! M! M! M! M! M! M!
pertension.
7. It has been shown that the risk for occurrence of a serious perioperative cardiova
M! M! M! M! M! M! M! M! M! M! M! M! M!
scular event (e.g., MI, heart failure) is increased in patients who are unable to m
M! M! M! M! M! M! M! M! M! M ! M! M! M! M!
eet a -MET (metabo c equivalent of task) demand during normal daily activity.
M! M! M! M! M! M! M! M! M! M! M! M!
a. 4
b. 6
c. 8
d. 10
ANSWER: A M!
Daily activities requiring 4 METs include level walking at 4 miles/hour or c mbing a f
M! M! M! M! M! M! M! M! M! M! M! M! M! M! M! M
ght of stairs. Activities requiring greater than 10 METs include swimming and single
! M! M! M! M! M! M! M! M! M! M! M! M!
s tennis. An exercise capacity of 10 to 13 METs indicates excellent physical condition
M! M! M! M! M! M! M! M! M! M! M! M! M!
ing.
8. Which of the following alterations in the fingernails is associated with cirrhosis?
M! M! M! M! M! M! M! M! M! M! M!
a. Yellowing
b. Clubbing
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