Dental Management, 10th Edition Little & Falace's

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 Ba
FK FK FK FK FK FK FK FK FK FK FK



nk
Table of Contents
FK FK



PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
FK FK FK FK FK FK



Chapter 1: Patient Evaluation and Risk Assessment
FK FK FK FK FK FK



PART TWO: CARDIOVASCULAR DISEASE
FK FK FK



Chapter 2: Infective Endocarditis
FK FK FK



Chapter 3: Hypertension
FK FK



Chapter 4: Ischemic Heart Disease
FK FK FK FK



Chapter 5: Cardiac Arrhythmias
FK FK FK



Chapter 6: Heart Failure (or Congestive Heart Failure)
FK FK FK FK FK FK FK



PART THREE: PULMONARY DISEASE
FK FK FK



Chapter 7: Pulmonary Disease
FK FK FK



Chapter 8: Smoking and Tobacco Use Cessation
FK FK FK FK FK FK



Chapter 9: Sleep-Related Breathing Disorders
FK FK FK FK



PART FOUR: GASTROINTESTIAL DISEASE
FK FK FK



Chapter 10: Liver Disease
FK FK FK



Chapter 11: Gastrointestinal Disease
FK FK FK



PART FIVE: GENITOURINARY DISEASE
FK FK FK



Chapter 12: Chronic Kidney Disease and Dialysis
FK FK FK FK FK FK



Chapter 13: Sexually Transmitted Diseases
FK FK FK FK



PART SIX: ENDOCRINE AND METABOLIC DISEASE
FK FK FK FK FK



Chapter 14: Diabetes Mellitus
FK FK FK



Chapter 15: Adrenal Insufficiency
FK FK FK



Chapter 16: Thyroid Diseases
FK FK FK



Chapter 17: Pregnancy and Breast Feeding
FK FK FK FK FK



PART SEVEN: IMMUNOLOGIC DISEASE
FK FK FK



Chapter 18: AIDS, HIV Infection, and Related Conditions
FK FK FK FK FK FK FK



Chapter 19: Allergy
FK FK



Chapter 20: Rheumatologic and Connective Tissue Disorders
FK FK FK FK FK FK



Chapter 21: Organ and Bone Marrow Transplantation
FK FK FK FK FK FK



PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
FK FK FK FK FK



Chapter 22: Disorders of Red Blood Cells
FK FK FK FK FK FK



Chapter 23: Disorders of White Blood Cells
FK FK FK FK FK FK



Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
FK FK FK FK FK FK



Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
FK FK FK FK FK FK



Chapter 26: Cancer and Oral Care of the Patient
FK FK FK FK FK FK FK FK



PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
FK FK FK FK FK FK



Chapter 27: Neurologic Disorders
FK FK FK



Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
FK FK FK FK FK FK FK FK FK



Chapter 29: Psychiatric Disorders
FK FK FK



Chapter 30: Drug and Alcohol Abuse
FK FK FK FK FK

, WWW.GRADESMORE.COM
Stuvia.com - FK

The Marketplace to Buy and Sell your Study Material
FK FK FK FK FK FK FK FK FK



Page 1 of 74 FK FK FK

Chapter 01: Patient Evaluation and Risk Assessment
FK FK FK FK FK FK



Little: Dental Management of the Medically Compromised Patient, 10th Edition
FK FK FK FK FK FK FK FK FK




MULTIPLE CHOICE FK




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertensio
FK FK FK FK FK FK FK FK FK FK FK



n, meaning that the blood pressure is greater than or equal to
FK FK FK FK FK FK FK FK FK FK FK mm Hg. FK



a. 200/140
b. 180/140
c. 180/110
d. 160/110

ANSWER: C FK



Elective dental care should be deferred for patients with severe, uncontrolled hypertensio
FK FK FK FK FK FK FK FK FK FK FK



n, which is blood pressure greater than or equal to 180/110 mm Hg, until the condition c
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK



an be brought under control.
FK FK FK FK




2. The American Heart Association currently recommends antibiotic prophylaxis for a patie
FK FK FK FK FK FK FK FK FK FK



nt with which of the following cardiac conditions?
FK FK FK FK FK FK FK



a. Mitral valve prolapse FK FK



b. Prosthetic heart valve FK FK



c. Rheumatic heart disease FK FK



d. Pacemakers for cardiac arrhythmias FK FK FK




ANSWER: B FK



Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
FK FK FK FK FK FK FK FK FK F



many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, r
K FK FK FK FK FK FK FK FK FK FK FK FK FK



heumatic heart disease) in an effort to prevent infective endocarditis; however, current guid
FK FK FK FK FK FK FK FK FK FK FK FK



elines omit this recommendation on the basis of accumulated scientific evidence. If a murm
FK FK FK FK FK FK FK FK FK FK FK FK FK



ur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart
FK FK FK FK FK FK FK FK FK FK FK FK FK



valve, complex congenital cyanotic heart disease), the AHA continues to recommend antibi
FK FK FK FK FK FK FK FK FK FK FK



otic prophylaxis for most dental procedures.
FK FK FK FK FK




3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK



of the body to
FK FK FK certain drugs, including local anesthetics and analgesics.
FK FK FK FK FK FK



a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C FK



Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liv
FK FK FK FK FK FK FK FK FK FK FK FK FK FK



er function. This deficit may result in prolonged bleeding and less efficient metabolis
FK FK FK FK FK FK FK FK FK FK FK FK



m of certain drugs, including local anesthetics and analgesics.
FK FK FK FK FK FK FK FK




4. Which of the following symptoms and signs is most consistent with allergy?
FK FK FK FK FK FK FK FK FK FK FK



a. Heart palpitations FK



b. Itching
c. Vomiting
d. Fainting




WWW.NURSYLAB.COM
GRADESMORE.COM

, WWW.GRADESMORE.COM
Stuvia.com - FK

The Marketplace to Buy and Sell your Study Material
FK FK FK FK FK FK FK FK FK



Page 1 of 74 FK FK FK



ANSWER: B FK



Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling,
FK FK FK FK FK FK FK FK FK FK FK F



Kwheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as
FK FK FK FK FK FK FK FK FK FK FK FK FK



nausea, vomiting, heart palpitations, and fainting generally are not of an allergic origin but
FK FK FK FK FK FK FK FK FK FK FK FK FK FK



rather are manifestations of drug intolerance, adverse side effects, or psychogenic reactions.
FK FK FK FK FK FK FK FK FK FK FK




5. Which of the following is true of the patient with a history of tuberculosis?
FK FK FK FK FK FK FK FK FK FK FK FK FK



a. A positive result on skin testing means that the person has active TB.
FK FK FK FK FK FK FK FK FK FK FK FK



b. Most patients who become positive skin testers develop active disease.
FK FK FK FK FK FK FK FK FK



c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidenc
FK FK FK FK FK FK FK FK FK



e of tuberculosis.
FK FK



d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
FK FK FK FK FK FK FK FK FK FK FK FK FK FK




ANSWER: C F K



The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS
FK FK FK FK FK FK FK FK FK



) should be explored because patients with AIDS have a high incidence of tuberculosis. A
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK



positive result on skin testing means specifically that the person has at some time been inf
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK



ected with TB, not necessarily that active disease is present. Most patients who become po
FK FK FK FK FK FK FK FK FK FK FK FK FK FK



sitive skin testers do not develop active disease. A diagnosis of active TB is made by chest
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK F



Kx-ray, imaging, sputum culture, and clinical examination.
FK FK FK FK FK FK




6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine user
FK FK FK FK FK FK FK FK FK FK



s because these agents may precipitate
FK FK FK FK FK .
a. severe hypotension FK



b. severe hypertension FK



c. respiratory depression FK



d. cessation of intestinal peristalsis FK FK FK




ANSWER: B FK



Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
FK FK FK FK FK FK FK FK FK FK FK FK



because the combination may precipitate arrhythmias, MI, or severe hypertension.
FK FK FK FK FK FK FK FK FK




7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular eve
FK FK FK FK FK FK FK FK FK FK FK FK FK FK



nt (e.g., MI, heart failure) is increased in patients who are unable to meet a -
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK



MET (metabolic equivalent of task) demand during normal daily activity.
FK FK FK FK FK FK FK FK FK



a. 4
b. 6
c. 8
d. 10

ANSWER: A FK



Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK F



stairs. Activities requiring greater than 10 METs include swimming and singles tennis. An ex
K FK FK FK FK FK FK FK FK FK FK FK FK FK



ercise capacity of 10 to 13 METs indicates excellent physical conditioning.
FK FK FK FK FK FK FK FK FK FK




8. Which of the following alterations in the fingernails is associated with cirrhosis?
FK FK FK FK FK FK FK FK FK FK FK



a. Yellowing
b. Clubbing
c. White discoloration FK



d. Splinter hemorrhages FK




WWW.NURSYLAB.COM
GRADESMORE.COM