Test Bank for Little and Falace's Dental Management of the Medically Compromised Patient, 10thEdition by Craig Miller, Chapters 1-30

Test Bank
Little and Falace's Dental Management of
the Medically Compromised Patient, 10th Edition
by Craig Miller, Chapters 1-30

,Little:tDentaltManagementtoftthetMedicallytCompromisedtPatient,t10thtEditiontTesttBank

TabletoftContents
PARTtONE:tPATIENTtEVALUATIONtANDtRISKtASSESSMENT
Chaptert1:tPatienttEvaluationtandtRisktAssessment
PARTtTWO:tCARDIOVASCULARtDISEASE
Chaptert2:tInfectivetEndocarditis
Chaptert3:tHypertension
Chaptert4:tIschemictHearttDisease
Chaptert5:tCardiactArrhythmias
Chaptert6:tHearttFailuret(ortCongestivetHearttFailure)
PARTtTHREE:tPULMONARYtDISEASE
Chaptert7:tPulmonarytDisease
Chaptert8:tSmokingtandtTobaccotUsetCessation
Chaptert9:tSleep-RelatedtBreathingtDisorders
PARTtFOUR:tGASTROINTESTIALtDISEASE
Chaptert10:tLivertDisease
Chaptert11:tGastrointestinaltDisease
PARTtFIVE:tGENITOURINARYtDISEASE
Chaptert12:tChronictKidneytDiseasetandtDialysis
Chaptert13:tSexuallytTransmittedtDiseases
PARTtSIX:tENDOCRINEtANDtMETABOLICtDISEASE
Chaptert14:tDiabetestMellitus
Chaptert15:tAdrenaltInsufficiency
Chaptert16:tThyroidtDiseases
Chaptert17:tPregnancytandtBreasttFeeding
PARTtSEVEN:tIMMUNOLOGICtDISEASE
Chaptert18:tAIDS,tHIVtInfection,tandtRelatedtConditions
Chaptert19:tAllergy
Chaptert20:tRheumatologictandtConnectivetTissuetDisorders
Chaptert21:tOrgantandtBonetMarrowtTransplantation
PARTtEIGHT:tHEMATOLOGICtANDtONCOLOGICtDISEASE
Chaptert22:tDisorderstoftRedtBloodtCells
Chaptert23:tDisorderstoftWhitetBloodtCells
Chaptert24:tAcquiredtBleedingtandtHypercoagulabletDisorders
Chaptert25:tCongenitaltBleedingtandtHypercoagulabletDisorders
Chaptert26:tCancertandtOraltCaretoftthetPatient
PARTtNINE:tNEUROLOGIC,tBEHAVIORAL,tANDtPSYCHIATRICtDISORDERS
Chaptert27:tNeurologictDisorders
Chaptert28:tAnxiety,tEatingtDisorders,tandtBehavioraltReactionsttotIllness
Chaptert29:tPsychiatrictDisorders
Chaptert30:tDrugtandtAlcoholtAbuse

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


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




MULTIPLEtCHOICE

1. Electivetdentaltcaretshouldtbetdeferredtfortpatientstwithtsevere,tuncontrolledthypertension,t
meaningtthattthetbloodtpressuretistgreatertthantortequaltto mmtHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:t C
Electivetdentaltcaretshouldtbetdeferredtfortpatientstwithtsevere,tuncontrolledthypertension,t
whichtistbloodtpressuretgreatertthantortequalttot180/110tmmtHg,tuntiltthetconditiontcantbetbr
oughttundertcontrol.

2. ThetAmericantHearttAssociationtcurrentlytrecommendstantibiotictprophylaxistfortatpatienttwi
thtwhichtoftthetfollowingtcardiactconditions?
a. Mitraltvalvetprolapse
b. Prostheticthearttvalve
c. Rheumaticthearttdisease
d. Pacemakerstfortcardiactarrhythmias
ANSWER:t B
Previously,tthetAmericantHearttAssociationt(AHA)trecommendedtantibiotictprophylaxistfortman
ytpatientstwiththearttmurmurstcausedtbytvalvulartdiseaset(e.g.,tmitraltvalvetprolapse,trheumatict
hearttdisease)tintanteffortttotpreventtinfectivetendocarditis;thowever,tcurrenttguidelinestomittthis
trecommendationtontthetbasistoftaccumulatedtscientifictevidence.tIftatmurmurtistduettotcertaints

pecifictcardiactconditionst(e.g.,tprevioustendocarditis,tprostheticthearttvalve,tcomplextcongenit
altcyanoticthearttdisease),tthetAHAtcontinuesttotrecommendtantibiotictprophylaxistfortmosttden
taltprocedures.

3. Onetconsequencetoftchronicthepatitist(BtortC)tortcirrhosistoftthetlivertistdecreasedtabilitytoftthet
bodytto certaintdrugs,tincludingtlocaltanestheticstandtanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:t C
Patientstalsotmaythavetchronicthepatitist(BtortC)tortcirrhosis,twithtimpairmenttoftlivertfunc
tion.tThistdeficittmaytresulttintprolongedtbleedingtandtlesstefficienttmetabolismtoftcertaint
drugs,tincludingtlocaltanestheticstandtanalgesics.

4. Whichtoftthetfollowingtsymptomstandtsignstistmosttconsistenttwithtallergy?
a. Hearttpalpitations
b. Itching
c. Vomiting
d. Fainting


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ANSWER:t B
Symptomstandtsignstconsistenttwithtallergytincludetitching,turticariat(hives),trash,tswelling,twhe
ezing,tangioedema,trunnytnose,tandttearingteyes.tIsolatedtsignstandtsymptomstsuchtastnausea,t
vomiting,thearttpalpitations,tandtfaintingtgenerallytaretnottoftantallergictorigintbuttrathertaretmanif
estationstoftdrugtintolerance,tadversetsideteffects,tortpsychogenictreactions.

5. Whichtoftthetfollowingtisttruetoftthetpatienttwithtathistorytofttuberculosis?
a. AtpositivetresulttontskinttestingtmeanstthattthetpersonthastactivetTB.
b. Mosttpatientstwhotbecometpositivetskinttesterstdeveloptactivetdisease.
c. Patientstwithtacquiredtimmunodeficiencytsyndromet(AIDS)thavetathightincidencetoftt
uberculosis.
d. AtdiagnosistoftactivetTBtistmadetbytatpurifiedtproteintderivativet(PPD)tskinttest.

ANSWER:t C
Thetpotentialtcoexistencetofttuberculosistandtacquiredtimmunodeficiencytsyndromet(AIDS)tsh
ouldtbetexploredtbecausetpatientstwithtAIDSthavetathightincidencetofttuberculosis.tAtpositivetr
esulttontskinttestingtmeanstspecificallytthattthetpersonthastattsomettimetbeentinfectedtwithtTB,t
nottnecessarilytthattactivetdiseasetistpresent.tMosttpatientstwhotbecometpositivetskinttesterst
dotnottdeveloptactivetdisease.tAtdiagnosistoftactivetTBtistmadetbytchesttx-
ray,timaging,tsputumtculture,tandtclinicaltexamination.

6. Vasoconstrictorstshouldtbetavoidedtintpatientstwhotcocainetortmethamphetaminetuserst
becausetthesetagentstmaytprecipitate .
a. severethypotension
b. severethypertension
c. respiratorytdepression
d. cessationtoftintestinaltperistalsis
ANSWER:t B
Vasoconstrictorstshouldtbetavoidedtintpatientstwhotaretcocainetortmethamphetaminetuserstbe
causetthetcombinationtmaytprecipitatetarrhythmias,tMI,tortseverethypertension.

7. Itthastbeentshowntthattthetrisktfortoccurrencetoftatserioustperioperativetcardiovascularteventt(e
.g.,tMI,thearttfailure)tistincreasedtintpatientstwhotaretunablettotmeettat-
METt(metabolictequivalenttofttask)tdemandtduringtnormaltdailytactivity.
a. 4
b. 6
c. 8
d. 10

ANSWER:t A
Dailytactivitiestrequiringt4tMETstincludetleveltwalkingtatt4tmiles/hourtortclimbingtatflighttoftstairs.tA
ctivitiestrequiringtgreatertthant10tMETstincludetswimmingtandtsinglesttennis.tAntexercisetcapacityt
oft10ttot13tMETstindicatestexcellenttphysicaltconditioning.

8. Whichtoftthetfollowingtalterationstintthetfingernailstistassociatedtwithtcirrhosis?
a. Yellowing
b. Clubbing
c. Whitetdiscoloration
d. Splinterthemorrhages



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