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