Test Bank For Little and Falace's Dental Management of the Medically C
f f f f f f f f f f f
ompromised Patient,
f
10th Edition by Craig Miller, Chapters 1 – 30.
f f f f f f f f
,Little:fDentalfManagementfoffthefMedicallyfCompromisedfPatient,f10thfEditionfTestfBank
TablefoffContents
PARTfONE:fPATIENTfEVALUATIONfANDfRISKfASSESSMENT
Chapterf1:fPatientfEvaluationfandfRiskfAssessment
PARTfTWO:fCARDIOVASCULARfDISEASE
Chapterf2:fInfectivefEndocarditis
Chapterf3:fHypertension
Chapterf4:fIschemicfHeartfDisease
Chapterf5:fCardiacfArrhythmias
Chapterf6:fHeartfFailuref(orfCongestivefHeartfFailure)
PARTfTHREE:fPULMONARYfDISEASE
Chapterf7:fPulmonaryfDisease
Chapterf8:fSmokingfandfTobaccofUsefCessation
Chapterf9:fSleep-RelatedfBreathingfDisorders
PARTfFOUR:fGASTROINTESTIALfDISEASE
Chapterf10:fLiverfDisease
Chapterf11:fGastrointestinalfDisease
PARTfFIVE:fGENITOURINARYfDISEASE
Chapterf12:fChronicfKidneyfDiseasefandfDialysis
Chapterf13:fSexuallyfTransmittedfDiseases
PARTfSIX:fENDOCRINEfANDfMETABOLICfDISEASE
Chapterf14:fDiabetesfMellitus
Chapterf15:fAdrenalfInsufficiency
Chapterf16:fThyroidfDiseases
Chapterf17:fPregnancyfandfBreastfFeeding
PARTfSEVEN:fIMMUNOLOGICfDISEASE
Chapterf18:fAIDS,fHIVfInfection,fandfRelatedfConditions
Chapterf19:fAllergy
Chapterf20:fRheumatologicfandfConnectivefTissuefDisorders
Chapterf21:fOrganfandfBonefMarrowfTransplantation
PARTfEIGHT:fHEMATOLOGICfANDfONCOLOGICfDISEASE
Chapterf22:fDisordersfoffRedfBloodfCells
Chapterf23:fDisordersfoffWhitefBloodfCells
Chapterf24:fAcquiredfBleedingfandfHypercoagulablefDisorders
Chapterf25:fCongenitalfBleedingfandfHypercoagulablefDisorders
Chapterf26:fCancerfandfOralfCarefoffthefPatient
PARTfNINE:fNEUROLOGIC,fBEHAVIORAL,fANDfPSYCHIATRICfDISORDERS
Chapterf27:fNeurologicfDisorders
Chapterf28:fAnxiety,fEatingfDisorders,fandfBehavioralfReactionsftofIllness
Chapterf29:fPsychiatricfDisorders
Chapterf30:fDrugfandfAlcoholfAbuse
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Chapter 01: Patient Evaluation and Risk Assessment
f f f f f f
Little: Dental Management of the Medically Compromised Patient, 10th Edition
f f f f f f f f f
MULTIPLEfCHOICE
1. Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertension,fmea
ningfthatfthefbloodfpressurefisfgreaterfthanforfequalfto mmfHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:f C
Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertension,fwhic
hfisfbloodfpressurefgreaterfthanforfequalftof180/110fmmfHg,funtilfthefconditionfcanfbefbroughtfu
nderfcontrol.
2. ThefAmericanfHeartfAssociationfcurrentlyfrecommendsfantibioticfprophylaxisfforfafpatientfwithf
whichfofftheffollowingfcardiacfconditions?
a. Mitralfvalvefprolapse
b. Prostheticfheartfvalve
c. Rheumaticfheartfdisease
d. Pacemakersfforfcardiacfarrhythmias
ANSWER:f B
Previously,fthefAmericanfHeartfAssociationf(AHA)frecommendedfantibioticfprophylaxisfforfmanyfp
atientsfwithfheartfmurmursfcausedfbyfvalvularfdiseasef(e.g.,fmitralfvalvefprolapse,frheumaticfheartf
disease)finfanfeffortftofpreventfinfectivefendocarditis;fhowever,fcurrentfguidelinesfomitfthisfrecomm
endationfonfthefbasisfoffaccumulatedfscientificfevidence.fIffafmurmurfisfdueftofcertainfspecificfcardi
acfconditionsf(e.g.,fpreviousfendocarditis,fprostheticfheartfvalve,fcomplexfcongenitalfcyanoticfhear
tfdisease),fthefAHAfcontinuesftofrecommendfantibioticfprophylaxisfforfmostfdentalfprocedures.
3. Onefconsequencefoffchronicfhepatitisf(BforfC)forfcirrhosisfoffthefliverfisfdecreasedfabilityfoffthefbod
yfto certainfdrugs,fincludingflocalfanestheticsfandfanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:f C
Patientsfalsofmayfhavefchronicfhepatitisf(BforfC)forfcirrhosis,fwithfimpairmentfoffliverffunction.
fThisfdeficitfmayfresultfinfprolongedfbleedingfandflessfefficientfmetabolismfoffcertainfdrugs,fi
ncludingflocalfanestheticsfandfanalgesics.
4. Whichfofftheffollowingfsymptomsfandfsignsfisfmostfconsistentfwithfallergy?
a. Heartfpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:f B
Symptomsfandfsignsfconsistentfwithfallergyfincludefitching,furticariaf(hives),frash,fswelling,fwheezing
,fangioedema,frunnyfnose,fandftearingfeyes.fIsolatedfsignsfandfsymptomsfsuchfasfnausea,fvomiting,f
heartfpalpitations,fandffaintingfgenerallyfarefnotfoffanfallergicforiginfbutfratherfarefmanifestation
sfoffdrugfintolerance,fadversefsidefeffects,forfpsychogenicfreactions.
5. Whichfofftheffollowingfisftruefoffthefpatientfwithfafhistoryfofftuberculosis?
a. AfpositivefresultfonfskinftestingfmeansfthatfthefpersonfhasfactivefTB.
b. Mostfpatientsfwhofbecomefpositivefskinftestersfdevelopfactivefdisease.
c. Patientsfwithfacquiredfimmunodeficiencyfsyndromef(AIDS)fhavefafhighfincidencefofftub
erculosis.
d. AfdiagnosisfoffactivefTBfisfmadefbyfafpurifiedfproteinfderivativef(PPD)fskinftest.
ANSWER:f C
Thefpotentialfcoexistencefofftuberculosisfandfacquiredfimmunodeficiencyfsyndromef(AIDS)fshouldf
befexploredfbecausefpatientsfwithfAIDSfhavefafhighfincidencefofftuberculosis.fAfpositivefresultfonfs
kinftestingfmeansfspecificallyfthatfthefpersonfhasfatfsomeftimefbeenfinfectedfwithfTB,fnotfnecessaril
yfthatfactivefdiseasefisfpresent.fMostfpatientsfwhofbecomefpositivefskinftestersfdofnotfdevelopfacti
vefdisease.fAfdiagnosisfoffactivefTBfisfmadefbyfchestfx-
ray,fimaging,fsputumfculture,fandfclinicalfexamination.
6. Vasoconstrictorsfshouldfbefavoidedfinfpatientsfwhofcocaineforfmethamphetaminefusersfbeca
usefthesefagentsfmayfprecipitate .
a. severefhypotension
b. severefhypertension
c. respiratoryfdepression
d. cessationfoffintestinalfperistalsis
ANSWER:f B
Vasoconstrictorsfshouldfbefavoidedfinfpatientsfwhofarefcocaineforfmethamphetaminefusersfbecaus
efthefcombinationfmayfprecipitatefarrhythmias,fMI,forfseverefhypertension.
7. Itfhasfbeenfshownfthatfthefriskfforfoccurrencefoffafseriousfperioperativefcardiovascularfeventf(e.g.,f
MI,fheartffailure)fisfincreasedfinfpatientsfwhofarefunableftofmeetfaf-
METf(metabolicfequivalentfofftask)fdemandfduringfnormalfdailyfactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:f A
Dailyfactivitiesfrequiringf4fMETsfincludeflevelfwalkingfatf4fmiles/hourforfclimbingfafflightfoffstairs.fActi
vitiesfrequiringfgreaterfthanf10fMETsfincludefswimmingfandfsinglesftennis.fAnfexercisefcapacityfoff10f
tof13fMETsfindicatesfexcellentfphysicalfconditioning.
8. Whichfofftheffollowingfalterationsfinftheffingernailsfisfassociatedfwithfcirrhosis?
a. Yellowing
b. Clubbing
c. Whitefdiscoloration
d. Splinterfhemorrhages
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f f f f f f f f f f f
ompromised Patient,
f
10th Edition by Craig Miller, Chapters 1 – 30.
f f f f f f f f
,Little:fDentalfManagementfoffthefMedicallyfCompromisedfPatient,f10thfEditionfTestfBank
TablefoffContents
PARTfONE:fPATIENTfEVALUATIONfANDfRISKfASSESSMENT
Chapterf1:fPatientfEvaluationfandfRiskfAssessment
PARTfTWO:fCARDIOVASCULARfDISEASE
Chapterf2:fInfectivefEndocarditis
Chapterf3:fHypertension
Chapterf4:fIschemicfHeartfDisease
Chapterf5:fCardiacfArrhythmias
Chapterf6:fHeartfFailuref(orfCongestivefHeartfFailure)
PARTfTHREE:fPULMONARYfDISEASE
Chapterf7:fPulmonaryfDisease
Chapterf8:fSmokingfandfTobaccofUsefCessation
Chapterf9:fSleep-RelatedfBreathingfDisorders
PARTfFOUR:fGASTROINTESTIALfDISEASE
Chapterf10:fLiverfDisease
Chapterf11:fGastrointestinalfDisease
PARTfFIVE:fGENITOURINARYfDISEASE
Chapterf12:fChronicfKidneyfDiseasefandfDialysis
Chapterf13:fSexuallyfTransmittedfDiseases
PARTfSIX:fENDOCRINEfANDfMETABOLICfDISEASE
Chapterf14:fDiabetesfMellitus
Chapterf15:fAdrenalfInsufficiency
Chapterf16:fThyroidfDiseases
Chapterf17:fPregnancyfandfBreastfFeeding
PARTfSEVEN:fIMMUNOLOGICfDISEASE
Chapterf18:fAIDS,fHIVfInfection,fandfRelatedfConditions
Chapterf19:fAllergy
Chapterf20:fRheumatologicfandfConnectivefTissuefDisorders
Chapterf21:fOrganfandfBonefMarrowfTransplantation
PARTfEIGHT:fHEMATOLOGICfANDfONCOLOGICfDISEASE
Chapterf22:fDisordersfoffRedfBloodfCells
Chapterf23:fDisordersfoffWhitefBloodfCells
Chapterf24:fAcquiredfBleedingfandfHypercoagulablefDisorders
Chapterf25:fCongenitalfBleedingfandfHypercoagulablefDisorders
Chapterf26:fCancerfandfOralfCarefoffthefPatient
PARTfNINE:fNEUROLOGIC,fBEHAVIORAL,fANDfPSYCHIATRICfDISORDERS
Chapterf27:fNeurologicfDisorders
Chapterf28:fAnxiety,fEatingfDisorders,fandfBehavioralfReactionsftofIllness
Chapterf29:fPsychiatricfDisorders
Chapterf30:fDrugfandfAlcoholfAbuse
, WWW.GRADESMORE.COM
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
Pagef1foff74
Chapter 01: Patient Evaluation and Risk Assessment
f f f f f f
Little: Dental Management of the Medically Compromised Patient, 10th Edition
f f f f f f f f f
MULTIPLEfCHOICE
1. Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertension,fmea
ningfthatfthefbloodfpressurefisfgreaterfthanforfequalfto mmfHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:f C
Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertension,fwhic
hfisfbloodfpressurefgreaterfthanforfequalftof180/110fmmfHg,funtilfthefconditionfcanfbefbroughtfu
nderfcontrol.
2. ThefAmericanfHeartfAssociationfcurrentlyfrecommendsfantibioticfprophylaxisfforfafpatientfwithf
whichfofftheffollowingfcardiacfconditions?
a. Mitralfvalvefprolapse
b. Prostheticfheartfvalve
c. Rheumaticfheartfdisease
d. Pacemakersfforfcardiacfarrhythmias
ANSWER:f B
Previously,fthefAmericanfHeartfAssociationf(AHA)frecommendedfantibioticfprophylaxisfforfmanyfp
atientsfwithfheartfmurmursfcausedfbyfvalvularfdiseasef(e.g.,fmitralfvalvefprolapse,frheumaticfheartf
disease)finfanfeffortftofpreventfinfectivefendocarditis;fhowever,fcurrentfguidelinesfomitfthisfrecomm
endationfonfthefbasisfoffaccumulatedfscientificfevidence.fIffafmurmurfisfdueftofcertainfspecificfcardi
acfconditionsf(e.g.,fpreviousfendocarditis,fprostheticfheartfvalve,fcomplexfcongenitalfcyanoticfhear
tfdisease),fthefAHAfcontinuesftofrecommendfantibioticfprophylaxisfforfmostfdentalfprocedures.
3. Onefconsequencefoffchronicfhepatitisf(BforfC)forfcirrhosisfoffthefliverfisfdecreasedfabilityfoffthefbod
yfto certainfdrugs,fincludingflocalfanestheticsfandfanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:f C
Patientsfalsofmayfhavefchronicfhepatitisf(BforfC)forfcirrhosis,fwithfimpairmentfoffliverffunction.
fThisfdeficitfmayfresultfinfprolongedfbleedingfandflessfefficientfmetabolismfoffcertainfdrugs,fi
ncludingflocalfanestheticsfandfanalgesics.
4. Whichfofftheffollowingfsymptomsfandfsignsfisfmostfconsistentfwithfallergy?
a. Heartfpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:f B
Symptomsfandfsignsfconsistentfwithfallergyfincludefitching,furticariaf(hives),frash,fswelling,fwheezing
,fangioedema,frunnyfnose,fandftearingfeyes.fIsolatedfsignsfandfsymptomsfsuchfasfnausea,fvomiting,f
heartfpalpitations,fandffaintingfgenerallyfarefnotfoffanfallergicforiginfbutfratherfarefmanifestation
sfoffdrugfintolerance,fadversefsidefeffects,forfpsychogenicfreactions.
5. Whichfofftheffollowingfisftruefoffthefpatientfwithfafhistoryfofftuberculosis?
a. AfpositivefresultfonfskinftestingfmeansfthatfthefpersonfhasfactivefTB.
b. Mostfpatientsfwhofbecomefpositivefskinftestersfdevelopfactivefdisease.
c. Patientsfwithfacquiredfimmunodeficiencyfsyndromef(AIDS)fhavefafhighfincidencefofftub
erculosis.
d. AfdiagnosisfoffactivefTBfisfmadefbyfafpurifiedfproteinfderivativef(PPD)fskinftest.
ANSWER:f C
Thefpotentialfcoexistencefofftuberculosisfandfacquiredfimmunodeficiencyfsyndromef(AIDS)fshouldf
befexploredfbecausefpatientsfwithfAIDSfhavefafhighfincidencefofftuberculosis.fAfpositivefresultfonfs
kinftestingfmeansfspecificallyfthatfthefpersonfhasfatfsomeftimefbeenfinfectedfwithfTB,fnotfnecessaril
yfthatfactivefdiseasefisfpresent.fMostfpatientsfwhofbecomefpositivefskinftestersfdofnotfdevelopfacti
vefdisease.fAfdiagnosisfoffactivefTBfisfmadefbyfchestfx-
ray,fimaging,fsputumfculture,fandfclinicalfexamination.
6. Vasoconstrictorsfshouldfbefavoidedfinfpatientsfwhofcocaineforfmethamphetaminefusersfbeca
usefthesefagentsfmayfprecipitate .
a. severefhypotension
b. severefhypertension
c. respiratoryfdepression
d. cessationfoffintestinalfperistalsis
ANSWER:f B
Vasoconstrictorsfshouldfbefavoidedfinfpatientsfwhofarefcocaineforfmethamphetaminefusersfbecaus
efthefcombinationfmayfprecipitatefarrhythmias,fMI,forfseverefhypertension.
7. Itfhasfbeenfshownfthatfthefriskfforfoccurrencefoffafseriousfperioperativefcardiovascularfeventf(e.g.,f
MI,fheartffailure)fisfincreasedfinfpatientsfwhofarefunableftofmeetfaf-
METf(metabolicfequivalentfofftask)fdemandfduringfnormalfdailyfactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:f A
Dailyfactivitiesfrequiringf4fMETsfincludeflevelfwalkingfatf4fmiles/hourforfclimbingfafflightfoffstairs.fActi
vitiesfrequiringfgreaterfthanf10fMETsfincludefswimmingfandfsinglesftennis.fAnfexercisefcapacityfoff10f
tof13fMETsfindicatesfexcellentfphysicalfconditioning.
8. Whichfofftheffollowingfalterationsfinftheffingernailsfisfassociatedfwithfcirrhosis?
a. Yellowing
b. Clubbing
c. Whitefdiscoloration
d. Splinterfhemorrhages
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