TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Fully Covered Complete Newest Version

TEST BANK for Little and Falace's Dental Management
of the Medically Compromised Patient, 10th Edition
by Craig Miller, Verified Chapters 1 – 30

,Table of Content BT BT




PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment PART T
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WO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis Chapter 3: BT BT BT B T BT B




Hypertension
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Chapter 4: Ischemic Heart Disease Chapter BT BT BT BT B T BT




5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure) PART T
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HREE: PULMONARY DISEASE BT BT




Chapter 7: Pulmonary Disease BT BT BT




Chapter 8: Smoking and Tobacco Use Cessation Ch BT BT BT BT BT BT B T




apter 9: Sleep- BT BT




Related Breathing Disorders PART FOUR: GASTR BT BT B T BT BT




OINTESTIAL DISEASE BT




Chapter 10: Liver Disease BT BT BT




Chapter 11: Gastrointestinal Disease PART BT BT BT B T BT




FIVE: GENITOURINARY DISEASE BT BT




Chapter 12: Chronic Kidney Disease and Dialysis Chapter 13:
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Sexually Transmitted Diseases BT BT




PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapter 1 BT BT BT B T BT




5: Adrenal Insufficiency Chapter 16: Thy
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roid Diseases BT




Chapter 17: Pregnancy and Breast Feeding PART SE BT BT BT BT BT B T BT




VEN: IMMUNOLOGIC DISEASE BT BT




Chapter 18: AIDS, HIV Infection, and Related Conditions Ch
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apter 19: Allergy BT BT




Chapter 20: Rheumatologic and Connective Tissue Disorders Chapter 21:
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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 Chapter 2 BT BT BT BT BT BT B T BT




3: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapter 2
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5: Congenital Bleeding and Hypercoagulable Disorders Chapter 26: Cance
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r 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 BT BT BT




Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapt
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er 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse BT BT BT BT BT

,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 BT




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertensio
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n, meaning that the blood pressure is greater than or equal to mm Hg.
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C BT




Elective dental care should be deferred for patients with severe, uncontrolled hypert
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ension, which is blood pressure greater than or equal to 180/110 mm Hg, until the condition
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can be brought under control. BT BT BT BT




2. The American Heart Association currently recommends antibiotic prophylaxis for a pat
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ient with which of the following cardiac conditions?
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a. Mitral valve prolapse BT BT




b. Prosthetic heart valve BT BT




c. Rheumatic heart disease BT BT




d. Pacemakers for cardiac arrhythmias BT BT BT




ANS: B BT




Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for BT BT BT BT BT BT BT BT B T BT




many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rh
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eumatic heart disease) in an effort to prevent infective endocarditis; however, current guidel
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ines omit this recommendation on the basis of accumulated scientific evidence. If a murmur i
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s due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve
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, complex congenital cyanotic heart disease), the AHA continues to recommend antibiotic pr
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ophylaxis for most dental procedures. BT BT BT B T




3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability
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Tof the body to certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C BT




Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of live
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r function. This deficit may result in prolonged bleeding and less efficient m
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etabolism of certain drugs, including local anesthetics and analgesics. BT BT BT BT BT BT BT BT




4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations BT




b. Itching
c. Vomiting
d. Fainting

, ANS: B BT




Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling,
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wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as n
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ausea, vomiting, heart palpitations, and fainting generally are not of an allergic origin but ra
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ther are manifestations of drug intolerance, adverse side effects, or psychogenic reactions.
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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 inci BT BT BT BT BT BT BT BT B T




dence of tuberculosis. BT BT




d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANS: C BTB T




The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS
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) should be explored because patients with AIDS have a high incidence of tuberculosis. A po
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sitive result on skin testing means specifically that the person has at some time been infecte
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d with TB, not necessarily that active disease is present. Most patients who become positiv
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e skin testers 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.
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6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users BT BT BT BT BT BT BT BT BT B T




BT because these agents may precipitate . BT BT BT BT BT BTBTB T




a. severehypotension B
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b. severehypertension B
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c. respiratorydepression B
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d. cessation of intestinal peristalsis BT BT BT




ANS: B BT




Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users bec BT BT BT BT BT BT BT BT BT BT B T BT




ause the combination may precipitate 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
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(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.
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a. 4
b. 6
c. 8
d. 10
ANS: A BT




Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of st
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airs. Activities requiring greater than 10 METs include swimming and singles tennis. An exerci
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se capacity of 10 to 13 METs indicates excellent physical conditioning.
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8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration BT




d. Splinterhemorrhages B
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