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Material
Test Bank For Little and Falace's Dental Management of
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bg the Medically Compromised Patient,
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10thEditionbyCraig Miller, Chapters
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bg 1 - 30
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Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
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Table of Contents
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PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis
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Chapter 3: Hypertension
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Chapter 4: Ischemic Heart Disease
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Chapter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease
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Chapter 8: Smoking and Tobacco Use Cessation
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Chapter 9: Sleep-Related Breathing Disorders
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PART FOUR: GASTROINTESTIAL DISEASE
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Chapter 10: Liver Disease
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Chapter 11: Gastrointestinal Disease
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PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis
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Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus
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Chapter 15: Adrenal Insufficiency
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Chapter 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
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Chapter 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders
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Chapter 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
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Chapter 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
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Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
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Chapter 26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
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Chapter 27: Neurologic Disorders
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Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
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Chapter 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 10th Edition
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MULTIPLE CHOICE bg
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
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bg meaning that the blood pressure is greater than or equal to
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C bg
Elective dental care should be deferred for patients with severe, uncontrolled
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hypertension, which is blood pressure greater than or equal to 180/110 mm Hg, until the
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condition can be brought under control.
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2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
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with which of the following cardiac conditions?
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a. Mitral valve prolapse bg bg
b. Prosthetic heart valve bg bg
c. Rheumatic heart disease bg bg
d. Pacemakers for cardiac arrhythmias bg bg bg
ANSWER: B bg
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
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many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
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rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
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guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
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murmur is due to certain specific cardiac conditions (e.g., previous endocarditis,
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prosthetic heart valve, complex congenital cyanotic heart disease), the AHA continues to
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recommend antibiotic prophylaxis for most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability
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of the body to
bg bg bg bg certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C bg
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of
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liver function. This deficit may result in prolonged bleeding and less efficient
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metabolism of certain drugs, including local anesthetics and analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations bg
b. Itching
c. Vomiting
d. Fainting
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ANSWER: B bg
Symptoms and signs consistent with allergy include itching, b g b g b g b g b g b g b g
b urticaria (hives), rash, swelling, wheezing, angioedema, runny nose,
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b and tearing eyes. Isolated signs and symptoms such as nausea,
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b vomiting, heart palpitations, and fainting generally are not of
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b an allergic origin but rather are manifestations of drug
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b intolerance, adverse side effects, or psychogenic reactions.
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5. Which of the following is true of the
b g patient
b g with a history of
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tuberculosis?
b g
a. A positive result on
b g skin testing means
b g that the person has active b g b g b g b g b g b g b g b g b g b g b g b g b g b g b g b g b g b g b g b g
TB. b g b g
b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) b g b g b g b g b g
have a high incidence of tuberculosis.
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d. A diagnosis of active TB is made by a purified protein
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derivative (PPD) skin test.
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ANSWER: C
The potential coexistence of tuberculosis and acquired
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b immunodeficiency syndrome
g (AIDS) should be explored because bg b g b g b g b g b g b g b g b g b g b g b g
patients
b g with AIDS have a high incidence of tuberculosis. A
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b positive result on skin testing means specifically that the
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person has at some time been infected with TB, not
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b necessarily that active disease is present. Most patients who
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b become positive skin
g testers do not develop b active g disease. b g b g b g b g b g b g b g b g b g b g b g b g b g b g
A
b g diagnosisb g of active
b g TB is made by chest x-ray, imaging, b g b g b g b g b g b g b g bg b g b g b g b g b g b g
b gsputum b g culture, and clinical examination. b g b g b g b g b g b g b g b g
6. Vasoconstrictors should be avoided in patients who b g b g b g b g b g b g
b cocaine or methamphetamine users because these agents
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b may precipitate
g b g .
a. severe hypotension b g b g
b. severe hypertension b g b g
c. respiratory depression b g
d. cessation of intestinal peristalsis b g b g b g b g b g b g
ANSWER: B
Vasoconstrictors should be avoided in b g b g b g b g b g patients who are cocaine b g b g b g
b or methamphetamine users because the
g bg b g b g b g b g combination may precipitate b g b g
b arrhythmias, MI, or severe hypertension.
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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
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unable to meet a -MET (metabolic equivalent of task) demand during
normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANSWER: A
Daily b g activities b g requiring b g 4 b g METs b g include b g level b g walking b g at b g 4
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