Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little:41Dental41Management41of41the41Medically41Compromised41Patient,4110th41Edition41
Test41Bank
Table41of41Contents
PART41ONE:41PATIENT41EVALUATION41AND41RISK41ASSESSMENT
Chapter411:41Patient41Evaluation41and41Risk41Assessment
PART41TWO:41CARDIOVASCULAR41DISEASE
Chapter412:41Infective41Endocarditis
Chapter413:41Hypertension
Chapter414:41Ischemic41Heart41Disease
Chapter415:41Cardiac41Arrhythmias
Chapter416:41Heart41Failure41(or41Congestive41Heart41Failure)
PART41THREE:41PULMONARY41DISEASE
Chapter417:41Pulmonary41Disease
Chapter418:41Smoking41and41Tobacco41Use41Cessation
Chapter419:41Sleep-Related41Breathing41Disorders
PART41FOUR:41GASTROINTESTIAL41DISEASE
Chapter4110:41Liver41Disease
Chapter4111:41Gastrointestinal41Disease
PART41FIVE:41GENITOURINARY41DISEASE
Chapter4112:41Chronic41Kidney41Disease41and41Dialysis
Chapter4113:41Sexually41Transmitted41Diseases
PART41SIX:41ENDOCRINE41AND41METABOLIC41DISEASE
Chapter4114:41Diabetes41Mellitus
Chapter4115:41Adrenal41Insufficiency
Chapter4116:41Thyroid41Diseases
Chapter4117:41Pregnancy41and41Breast41Feeding
PART41SEVEN:41IMMUNOLOGIC41DISEASE
Chapter4118:41AIDS,41HIV41Infection,41and41Related41Conditions
Chapter4119:41Allergy
Chapter4120:41Rheumatologic41and41Connective41Tissue41Disorders
Chapter4121:41Organ41and41Bone41Marrow41Transplantation
PART41EIGHT:41HEMATOLOGIC41AND41ONCOLOGIC41DISEASE
Chapter4122:41Disorders41of41Red41Blood41Cells
Chapter4123:41Disorders41of41White41Blood41Cells
Chapter4124:41Acquired41Bleeding41and41Hypercoagulable41Disorders
Chapter4125:41Congenital41Bleeding41and41Hypercoagulable41Disorders
Chapter4126:41Cancer41and41Oral41Care41of41the41Patient
PART41NINE:41NEUROLOGIC,41BEHAVIORAL,41AND41PSYCHIATRIC41DISORDER
S
Chapter4127:41Neurologic41Disorders
Chapter4128:41Anxiety,41Eating41Disorders,41and41Behavioral41Reactions41to41Illness
Chapter4129:41Psychiatric41Disorders
Chapter4130:41Drug41and41Alcohol41Abuse
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Chapter4101:41Patient41Evaluation41and 41Risk
Page 41141of Assessment
414174
Little:41Dental41Management41of41the41Medically41Compromised41Patient,4110th41Edition
MULTIPLE41CHOICE
1. Elective41dental41care41should41be41deferred41for41patients41with41severe,41uncontrolled41hy
pertension,41meaning41that41the41blood41pressure41is41greater41than41or41equal41to
mm41Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:4 1 C
Elective41dental41care41should41be41deferred41for41patients41with41severe,41uncontrolled41hy
pertension,41which41is41blood41pressure41greater41than41or41equal41to41180/11041mm41Hg,41
until41the41condition41can41be41brought41under41control.
2. The41American41Heart41Association41currently41recommends41antibiotic41prophylaxis41for4
1a41patient41with41which41of41the41following41cardiac41conditions?
a. Mitral41valve41prolapse
b. Prosthetic41heart41valve
c. Rheumatic41heart41disease
d. Pacemakers41for41cardiac41arrhythmias
ANSWER:4 1 B
Previously,41the41American41Heart41Association41(AHA)41recommended41antibiotic41prophyla
xis41for41many41patients41with41heart41murmurs41caused41by41valvular41disease41(e.g.,41mitral4
1valve41prolapse,41rheumatic41heart41disease)41in41an41effort41to41prevent41infective41endocard
itis;41however,41current41guidelines41omit41this41recommendation41on41the41basis41of41accumu
lated41scientific41evidence.41If41a41murmur41is41due41to41certain41specific41cardiac41conditions
41(e.g.,41previous41endocarditis,41prosthetic41heart41valve,41complex41congenital41cyanotic41he
art41disease),41the41AHA41continues41to41recommend41antibiotic41prophylaxis41for41most41den
tal41procedures.
3. One41consequence41of41chronic41hepatitis41(B41or41C)41or41cirrhosis41of41the41liver41is41decre
ased41ability41of41the41body41to
certain41drugs,41including41local41anesthetics41and41analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:4 1 C
Patients41also41may41have41chronic41hepatitis41(B41or41C)41or41cirrhosis,41with41impair
ment41of41liver41function.41This41deficit41may41result41in41prolonged41bleeding41and41le
ss41efficient41metabolism41of41certain41drugs,41including41local41anesthetics41and41anal
gesics.
4. Which41of41the41following41symptoms41and41signs41is41most41consistent41with41allergy?
a. Heart41palpitations
b. Itching
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of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little:41Dental41Management41of41the41Medically41Compromised41Patient,4110th41Edition41
Test41Bank
Table41of41Contents
PART41ONE:41PATIENT41EVALUATION41AND41RISK41ASSESSMENT
Chapter411:41Patient41Evaluation41and41Risk41Assessment
PART41TWO:41CARDIOVASCULAR41DISEASE
Chapter412:41Infective41Endocarditis
Chapter413:41Hypertension
Chapter414:41Ischemic41Heart41Disease
Chapter415:41Cardiac41Arrhythmias
Chapter416:41Heart41Failure41(or41Congestive41Heart41Failure)
PART41THREE:41PULMONARY41DISEASE
Chapter417:41Pulmonary41Disease
Chapter418:41Smoking41and41Tobacco41Use41Cessation
Chapter419:41Sleep-Related41Breathing41Disorders
PART41FOUR:41GASTROINTESTIAL41DISEASE
Chapter4110:41Liver41Disease
Chapter4111:41Gastrointestinal41Disease
PART41FIVE:41GENITOURINARY41DISEASE
Chapter4112:41Chronic41Kidney41Disease41and41Dialysis
Chapter4113:41Sexually41Transmitted41Diseases
PART41SIX:41ENDOCRINE41AND41METABOLIC41DISEASE
Chapter4114:41Diabetes41Mellitus
Chapter4115:41Adrenal41Insufficiency
Chapter4116:41Thyroid41Diseases
Chapter4117:41Pregnancy41and41Breast41Feeding
PART41SEVEN:41IMMUNOLOGIC41DISEASE
Chapter4118:41AIDS,41HIV41Infection,41and41Related41Conditions
Chapter4119:41Allergy
Chapter4120:41Rheumatologic41and41Connective41Tissue41Disorders
Chapter4121:41Organ41and41Bone41Marrow41Transplantation
PART41EIGHT:41HEMATOLOGIC41AND41ONCOLOGIC41DISEASE
Chapter4122:41Disorders41of41Red41Blood41Cells
Chapter4123:41Disorders41of41White41Blood41Cells
Chapter4124:41Acquired41Bleeding41and41Hypercoagulable41Disorders
Chapter4125:41Congenital41Bleeding41and41Hypercoagulable41Disorders
Chapter4126:41Cancer41and41Oral41Care41of41the41Patient
PART41NINE:41NEUROLOGIC,41BEHAVIORAL,41AND41PSYCHIATRIC41DISORDER
S
Chapter4127:41Neurologic41Disorders
Chapter4128:41Anxiety,41Eating41Disorders,41and41Behavioral41Reactions41to41Illness
Chapter4129:41Psychiatric41Disorders
Chapter4130:41Drug41and41Alcohol41Abuse
, WWW.GRADESMORE.COM
Stuvia.com41-
41The41Marketplace41to41Buy41and41Sell41your41Study41Mate
rial
Chapter4101:41Patient41Evaluation41and 41Risk
Page 41141of Assessment
414174
Little:41Dental41Management41of41the41Medically41Compromised41Patient,4110th41Edition
MULTIPLE41CHOICE
1. Elective41dental41care41should41be41deferred41for41patients41with41severe,41uncontrolled41hy
pertension,41meaning41that41the41blood41pressure41is41greater41than41or41equal41to
mm41Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:4 1 C
Elective41dental41care41should41be41deferred41for41patients41with41severe,41uncontrolled41hy
pertension,41which41is41blood41pressure41greater41than41or41equal41to41180/11041mm41Hg,41
until41the41condition41can41be41brought41under41control.
2. The41American41Heart41Association41currently41recommends41antibiotic41prophylaxis41for4
1a41patient41with41which41of41the41following41cardiac41conditions?
a. Mitral41valve41prolapse
b. Prosthetic41heart41valve
c. Rheumatic41heart41disease
d. Pacemakers41for41cardiac41arrhythmias
ANSWER:4 1 B
Previously,41the41American41Heart41Association41(AHA)41recommended41antibiotic41prophyla
xis41for41many41patients41with41heart41murmurs41caused41by41valvular41disease41(e.g.,41mitral4
1valve41prolapse,41rheumatic41heart41disease)41in41an41effort41to41prevent41infective41endocard
itis;41however,41current41guidelines41omit41this41recommendation41on41the41basis41of41accumu
lated41scientific41evidence.41If41a41murmur41is41due41to41certain41specific41cardiac41conditions
41(e.g.,41previous41endocarditis,41prosthetic41heart41valve,41complex41congenital41cyanotic41he
art41disease),41the41AHA41continues41to41recommend41antibiotic41prophylaxis41for41most41den
tal41procedures.
3. One41consequence41of41chronic41hepatitis41(B41or41C)41or41cirrhosis41of41the41liver41is41decre
ased41ability41of41the41body41to
certain41drugs,41including41local41anesthetics41and41analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:4 1 C
Patients41also41may41have41chronic41hepatitis41(B41or41C)41or41cirrhosis,41with41impair
ment41of41liver41function.41This41deficit41may41result41in41prolonged41bleeding41and41le
ss41efficient41metabolism41of41certain41drugs,41including41local41anesthetics41and41anal
gesics.
4. Which41of41the41following41symptoms41and41signs41is41most41consistent41with41allergy?
a. Heart41palpitations
b. Itching
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com41-
41The41Marketplace41to41Buy41and41Sell41your41Study41Mate
rial
c. Vomiting Page41141of4174
d. Fainting
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