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 Bank
DF DF DF DF DF DF DF DF DF DF DF
Table of Contents
DF DF
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
DF DF DF DF DF DF
Chapter 1: Patient Evaluation and Risk Assessment
DF DF DF DF DF DF
PART TWO: CARDIOVASCULAR DISEASE
DF DF DF
Chapter 2: Infective Endocarditis
DF DF DF
Chapter 3: Hypertension
DF DF
Chapter 4: Ischemic Heart Disease
DF DF DF DF
Chapter 5: Cardiac Arrhythmias
DF DF DF
Chapter 6: Heart Failure (or Congestive Heart Failure)
DF DF DF DF DF DF DF
PART THREE: PULMONARY DISEASE
DF DF DF
Chapter 7: Pulmonary Disease
DF DF DF
Chapter 8: Smoking and Tobacco Use Cessation
DF DF DF DF DF DF
Chapter 9: Sleep-Related Breathing Disorders
DF DF DF DF
PART FOUR: GASTROINTESTIAL DISEASE
DF DF DF
Chapter 10: Liver Disease
DF DF DF
Chapter 11: Gastrointestinal Disease
DF DF DF
PART FIVE: GENITOURINARY DISEASE
DF DF DF
Chapter 12: Chronic Kidney Disease and Dialysis
DF DF DF DF DF DF
Chapter 13: Sexually Transmitted Diseases
DF DF DF DF
PART SIX: ENDOCRINE AND METABOLIC DISEASE
DF DF DF DF DF
Chapter 14: Diabetes Mellitus
DF DF DF
Chapter 15: Adrenal Insufficiency
DF DF DF
Chapter 16: Thyroid Diseases
DF DF DF
Chapter 17: Pregnancy and Breast Feeding
DF DF DF DF DF
PART SEVEN: IMMUNOLOGIC DISEASE
DF DF DF
Chapter 18: AIDS, HIV Infection, and Related Conditions
DF DF DF DF DF DF DF
Chapter 19: Allergy
DF DF
Chapter 20: Rheumatologic and Connective Tissue Disorders
DF DF DF DF DF DF
Chapter 21: Organ and Bone Marrow Transplantation
DF DF DF DF DF DF
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
DF DF DF DF DF
Chapter 22: Disorders of Red Blood Cells
DF DF DF DF DF DF
Chapter 23: Disorders of White Blood Cells
DF DF DF DF DF DF
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
DF DF DF DF DF DF
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
DF DF DF DF DF DF
Chapter 26: Cancer and Oral Care of the Patient
DF DF DF DF DF DF DF DF
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
DF DF DF DF DF DF
Chapter 27: Neurologic Disorders
DF DF DF
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
DF DF DF DF DF DF DF DF DF
Chapter 29: Psychiatric Disorders
DF DF DF
Chapter 30: Drug and Alcohol Abuse
DF DF DF DF DF
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DF DF DF DF DF DF DF DF DF DF
Page 1 of 74 DF DF DF
Chapter 01: Patient Evaluation and Risk Assessment
DF DF DF DF DF DF
Little: Dental Management of the Medically Compromised Patient, 10th Edition
DF DF DF DF DF DF DF DF DF
MULTIPLE CHOICE DF
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
DF DF DF DF DF DF DF DF DF DF DF DF
meaning that the blood pressure is greater than or equal to
DF DF DF DF DF DF DF DF DF DF mm Hg. DF
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C D F
Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
DF DF DF DF DF DF DF DF DF DF DF DF
which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be b
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
rought under control. DF DF
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
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with which of the following cardiac conditions?
DF DF DF DF DF DF
a. Mitral valve prolapse DF DF
b. Prosthetic heart valve DF DF
c. Rheumatic heart disease DF DF
d. Pacemakers for cardiac arrhythmias DF DF DF
ANSWER: B D F
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for m
DF DF DF DF DF DF DF DF DF DF
any patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheum
DF DF DF DF DF DF DF DF DF DF DF DF DF
atic heart disease) in an effort to prevent infective endocarditis; however, current guidelines o
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mit this recommendation on the basis of accumulated scientific evidence. If a murmur is due to
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF D
certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex
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congenital cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis fo
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r most dental procedures.
DF DF DF
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of t
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
he body to
DF DF certain drugs, including local anesthetics and analgesics.
DF DF DF DF DF DF
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C D F
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver f
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
unction. This deficit may result in prolonged bleeding and less efficient metabolism of ce
DF DF DF DF DF DF DF DF DF DF DF DF DF
rtain drugs, including local anesthetics and analgesics.
DF DF DF DF DF DF
4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations DF
b. Itching
c. Vomiting
d. Fainting
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DF DF DF DF DF DF DF DF DF DF
Page 1 of 74 DF DF DF
ANSWER: B D F
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, w
DF DF DF DF DF DF DF DF DF DF DF DF
heezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nause
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a, vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are
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manifestations of drug intolerance, adverse side effects, or psychogenic reactions. DF DF DF DF DF DF DF DF DF
5. Which of the following is true of the patient with a history of tuberculosis?
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a. A positive result on skin testing means that the person has active TB.
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b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence
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of tuberculosis.
DF
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANSWER: C D F
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) s
DF DF DF DF DF DF DF DF DF DF
hould be explored because patients with AIDS have a high incidence of tuberculosis. A positi
DF DF DF DF DF DF DF DF DF DF DF DF DF DF
ve result on skin testing means specifically that the person has at some time been infected wit
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
h TB, not necessarily that active disease is present. Most patients who become positive skin te
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sters do not develop active disease. A diagnosis of active TB is made by chest x-
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ray, imaging, sputum culture, and clinical examination.
DF DF DF DF DF DF
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users b DF DF DF DF DF DF DF DF DF DF DF
ecause these agents may precipitate
DF DF DF DF .
a. severe hypotension DF
b. severe hypertension DF
c. respiratory depression DF
d. cessation of intestinal peristalsis DF DF DF
ANSWER: B D F
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users be DF DF DF DF DF DF DF DF DF DF DF DF
cause the combination may precipitate arrhythmias, MI, or severe hypertension.
DF DF DF DF DF DF DF DF DF
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event (
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
e.g., MI, heart failure) is increased in patients who are unable to meet a -
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MET (metabolic equivalent of task) demand during normal daily activity.
DF DF DF DF DF DF DF DF DF
a. 4
b. 6
c. 8
d. 10
ANSWER: A DF
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stai
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
rs. Activities requiring greater than 10 METs include swimming and singles tennis. An exercise c
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apacity of 10 to 13 METs indicates excellent physical conditioning.
DF DF DF DF DF DF DF DF DF
8. Which of the following alterations in the fingernails is associated with cirrhosis?
DF DF DF DF DF DF DF DF DF DF DF
a. Yellowing
b. Clubbing
c. White discoloration DF
d. Splinter hemorrhages DF
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of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
DF DF DF DF DF DF DF DF DF DF DF
Table of Contents
DF DF
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
DF DF DF DF DF DF
Chapter 1: Patient Evaluation and Risk Assessment
DF DF DF DF DF DF
PART TWO: CARDIOVASCULAR DISEASE
DF DF DF
Chapter 2: Infective Endocarditis
DF DF DF
Chapter 3: Hypertension
DF DF
Chapter 4: Ischemic Heart Disease
DF DF DF DF
Chapter 5: Cardiac Arrhythmias
DF DF DF
Chapter 6: Heart Failure (or Congestive Heart Failure)
DF DF DF DF DF DF DF
PART THREE: PULMONARY DISEASE
DF DF DF
Chapter 7: Pulmonary Disease
DF DF DF
Chapter 8: Smoking and Tobacco Use Cessation
DF DF DF DF DF DF
Chapter 9: Sleep-Related Breathing Disorders
DF DF DF DF
PART FOUR: GASTROINTESTIAL DISEASE
DF DF DF
Chapter 10: Liver Disease
DF DF DF
Chapter 11: Gastrointestinal Disease
DF DF DF
PART FIVE: GENITOURINARY DISEASE
DF DF DF
Chapter 12: Chronic Kidney Disease and Dialysis
DF DF DF DF DF DF
Chapter 13: Sexually Transmitted Diseases
DF DF DF DF
PART SIX: ENDOCRINE AND METABOLIC DISEASE
DF DF DF DF DF
Chapter 14: Diabetes Mellitus
DF DF DF
Chapter 15: Adrenal Insufficiency
DF DF DF
Chapter 16: Thyroid Diseases
DF DF DF
Chapter 17: Pregnancy and Breast Feeding
DF DF DF DF DF
PART SEVEN: IMMUNOLOGIC DISEASE
DF DF DF
Chapter 18: AIDS, HIV Infection, and Related Conditions
DF DF DF DF DF DF DF
Chapter 19: Allergy
DF DF
Chapter 20: Rheumatologic and Connective Tissue Disorders
DF DF DF DF DF DF
Chapter 21: Organ and Bone Marrow Transplantation
DF DF DF DF DF DF
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
DF DF DF DF DF
Chapter 22: Disorders of Red Blood Cells
DF DF DF DF DF DF
Chapter 23: Disorders of White Blood Cells
DF DF DF DF DF DF
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
DF DF DF DF DF DF
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
DF DF DF DF DF DF
Chapter 26: Cancer and Oral Care of the Patient
DF DF DF DF DF DF DF DF
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
DF DF DF DF DF DF
Chapter 27: Neurologic Disorders
DF DF DF
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
DF DF DF DF DF DF DF DF DF
Chapter 29: Psychiatric Disorders
DF DF DF
Chapter 30: Drug and Alcohol Abuse
DF DF DF DF DF
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
DF DF DF DF DF DF DF DF DF DF
Page 1 of 74 DF DF DF
Chapter 01: Patient Evaluation and Risk Assessment
DF DF DF DF DF DF
Little: Dental Management of the Medically Compromised Patient, 10th Edition
DF DF DF DF DF DF DF DF DF
MULTIPLE CHOICE DF
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
DF DF DF DF DF DF DF DF DF DF DF DF
meaning that the blood pressure is greater than or equal to
DF DF DF DF DF DF DF DF DF DF mm Hg. DF
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C D F
Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
DF DF DF DF DF DF DF DF DF DF DF DF
which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be b
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
rought under control. DF DF
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
DF DF DF DF DF DF DF DF DF DF DF
with which of the following cardiac conditions?
DF DF DF DF DF DF
a. Mitral valve prolapse DF DF
b. Prosthetic heart valve DF DF
c. Rheumatic heart disease DF DF
d. Pacemakers for cardiac arrhythmias DF DF DF
ANSWER: B D F
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for m
DF DF DF DF DF DF DF DF DF DF
any patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheum
DF DF DF DF DF DF DF DF DF DF DF DF DF
atic heart disease) in an effort to prevent infective endocarditis; however, current guidelines o
DF DF DF DF DF DF DF DF DF DF DF DF DF
mit this recommendation on the basis of accumulated scientific evidence. If a murmur is due to
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF D
certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex
F DF DF DF DF DF DF DF DF DF DF D
congenital cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis fo
F DF DF DF DF DF DF DF DF DF DF DF
r most dental procedures.
DF DF DF
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of t
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
he body to
DF DF certain drugs, including local anesthetics and analgesics.
DF DF DF DF DF DF
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C D F
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver f
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
unction. This deficit may result in prolonged bleeding and less efficient metabolism of ce
DF DF DF DF DF DF DF DF DF DF DF DF DF
rtain drugs, including local anesthetics and analgesics.
DF DF DF DF DF DF
4. Which of the following symptoms and signs is most consistent with allergy?
DF DF DF DF DF DF DF DF DF DF DF
a. Heart palpitations DF
b. Itching
c. Vomiting
d. Fainting
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GRADESMORE.COM
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DF DF DF DF DF DF DF DF DF DF
Page 1 of 74 DF DF DF
ANSWER: B D F
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, w
DF DF DF DF DF DF DF DF DF DF DF DF
heezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nause
DF DF DF DF DF DF DF DF DF DF DF DF DF
a, vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
manifestations of drug intolerance, adverse side effects, or psychogenic reactions. DF DF DF DF DF DF DF DF DF
5. Which of the following is true of the patient with a history of tuberculosis?
DF DF DF DF DF DF DF DF DF DF DF DF DF
a. A positive result on skin testing means that the person has active TB.
DF DF DF DF DF DF DF DF DF DF DF DF
b. Most patients who become positive skin testers develop active disease.
DF DF DF DF DF DF DF DF DF
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence
DF DF DF DF DF DF DF DF DF DF
of tuberculosis.
DF
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
DF DF DF DF DF DF DF DF DF DF DF DF DF DF
ANSWER: C D F
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) s
DF DF DF DF DF DF DF DF DF DF
hould be explored because patients with AIDS have a high incidence of tuberculosis. A positi
DF DF DF DF DF DF DF DF DF DF DF DF DF DF
ve result on skin testing means specifically that the person has at some time been infected wit
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
h TB, not necessarily that active disease is present. Most patients who become positive skin te
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
sters do not develop active disease. A diagnosis of active TB is made by chest x-
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
ray, imaging, sputum culture, and clinical examination.
DF DF DF DF DF DF
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users b DF DF DF DF DF DF DF DF DF DF DF
ecause these agents may precipitate
DF DF DF DF .
a. severe hypotension DF
b. severe hypertension DF
c. respiratory depression DF
d. cessation of intestinal peristalsis DF DF DF
ANSWER: B D F
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users be DF DF DF DF DF DF DF DF DF DF DF DF
cause the combination may precipitate arrhythmias, MI, or severe hypertension.
DF DF DF DF DF DF DF DF DF
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event (
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
e.g., MI, heart failure) is increased in patients who are unable to meet a -
DF DF DF DF DF DF DF DF DF DF DF DF DF DF
MET (metabolic equivalent of task) demand during normal daily activity.
DF DF DF DF DF DF DF DF DF
a. 4
b. 6
c. 8
d. 10
ANSWER: A DF
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stai
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
rs. Activities requiring greater than 10 METs include swimming and singles tennis. An exercise c
DF DF DF DF DF DF DF DF DF DF DF DF DF DF
apacity of 10 to 13 METs indicates excellent physical conditioning.
DF DF DF DF DF DF DF DF DF
8. Which of the following alterations in the fingernails is associated with cirrhosis?
DF DF DF DF DF DF DF DF DF DF DF
a. Yellowing
b. Clubbing
c. White discoloration DF
d. Splinter hemorrhages DF
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