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
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
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 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: GASTROINTESTIAL 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
Chapter 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
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: 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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Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
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 hypertension,
which is blood pressure greater than or equal to 180/110 mm Hg, until the condition 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 prophylaxis 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; however, current
guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic
heart valve, complex congenital cyanotic heart disease), the AHA 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 ability 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 metabolism 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:6 0 B
Symptoms60and60signs60consistent60with60allergy60include60itching,60urticaria60(hives),60rash,60
swelling,60wheezing,60angioedema,60runny60nose,60and60tearing60eyes.60Isolated60signs60and60
symptoms60such60as60nausea,60vomiting,60heart60palpitations,60and60fainting60generally60are60
not60of60an60allergic60origin60but60rather60are60manifestations60of60drug60intolerance,60adverse
60side60effects,60or60psychogenic60reactions.
5. Which60of60the60following60is60true60of60the60patient60with60a60history60of60tuberculosis?
a. A60positive60result60on60skin60testing60means60that60the60person60has60active60TB.
b. Most60patients60who60become60positive60skin60testers60develop60active60disease.
c. Patients60with60acquired60immunodeficiency60syndrome60(AIDS)60have60a60high60i
ncidence60of60tuberculosis.
d. A60diagnosis60of60active60TB60is60made60by60a60purified60protein60derivative60(PPD)60skin60t
est.
ANSWER:6 0 C
The60potential60coexistence60of60tuberculosis60and60acquired60immunodeficiency60syndrome
60(AIDS)60should60be60explored60because60patients60with60AIDS60have60a60high60incidence60
of60tuberculosis.60A60positive60result60on60skin60testing60means60specifically60that60the60pers
on60has60at60some60time60been60infected60with60TB,60not60necessarily60that60active60disease60
is60present.60Most60patients60who60become60positive60skin60testers60do60not60develop60active6
0disease.60A60diagnosis60of60active60TB60is60made60by60chest60x-
ray,60imaging,60sputum60culture,60and60clinical60examination.
6. Vasoconstrictors60should60be60avoided60in60patients60who60cocaine60or60methamphetam
ine60users60because60these60agents60may60precipitate .
a. severe60hypotension
b. severe60hypertension
c. respiratory60depression
d. cessation60of60intestinal60peristalsis
ANSWER:6 0 B
Vasoconstrictors60should60be60avoided60in60patients60who60are60cocaine60or60methamphetami
ne60users60because60the60combination60may60precipitate60arrhythmias,60MI,60or60severe60hyp
ertension.
7. It60has60been60shown60that60the60risk60for60occurrence60of60a60serious60perioperative60cardiov
ascular60event60(e.g.,60MI,60heart60failure)60is60increased60in60patients60who60are60unable60to6
0meet60a60-
MET60(metabolic60equivalent60of60task)60demand60during60normal60daily60activity.
a. 4
b. 6
c. 8
d. 10
ANSWER:60 A
Daily60activities60requiring60460METs60include60level60walking60at60460miles/hour60or60climbing
60a60flight60of60stairs.60Activities60requiring60greater60than601060METs60include60swimming60an
d60singles60tennis.60An60exercise60capacity60of601060to601360METs60indicates60excellent60physic
al60conditioning.
8. Which60of60the60following60alterations60in60the60fingernails60is60associated60with60cirrhosis?
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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
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
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 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: GASTROINTESTIAL 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
Chapter 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
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: 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
, WWW.GRADESMORE.COM
Stuvia.com60-
60The60Marketplace60to60Buy60and60Sell60your60Study60Mate
rial
Chapter 01: Patient Evaluation and Page
Risk60Assessment
160of6074
Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
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 hypertension,
which is blood pressure greater than or equal to 180/110 mm Hg, until the condition 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 prophylaxis 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; however, current
guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic
heart valve, complex congenital cyanotic heart disease), the AHA 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 ability 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 metabolism 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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Page60160of6074
ANSWER:6 0 B
Symptoms60and60signs60consistent60with60allergy60include60itching,60urticaria60(hives),60rash,60
swelling,60wheezing,60angioedema,60runny60nose,60and60tearing60eyes.60Isolated60signs60and60
symptoms60such60as60nausea,60vomiting,60heart60palpitations,60and60fainting60generally60are60
not60of60an60allergic60origin60but60rather60are60manifestations60of60drug60intolerance,60adverse
60side60effects,60or60psychogenic60reactions.
5. Which60of60the60following60is60true60of60the60patient60with60a60history60of60tuberculosis?
a. A60positive60result60on60skin60testing60means60that60the60person60has60active60TB.
b. Most60patients60who60become60positive60skin60testers60develop60active60disease.
c. Patients60with60acquired60immunodeficiency60syndrome60(AIDS)60have60a60high60i
ncidence60of60tuberculosis.
d. A60diagnosis60of60active60TB60is60made60by60a60purified60protein60derivative60(PPD)60skin60t
est.
ANSWER:6 0 C
The60potential60coexistence60of60tuberculosis60and60acquired60immunodeficiency60syndrome
60(AIDS)60should60be60explored60because60patients60with60AIDS60have60a60high60incidence60
of60tuberculosis.60A60positive60result60on60skin60testing60means60specifically60that60the60pers
on60has60at60some60time60been60infected60with60TB,60not60necessarily60that60active60disease60
is60present.60Most60patients60who60become60positive60skin60testers60do60not60develop60active6
0disease.60A60diagnosis60of60active60TB60is60made60by60chest60x-
ray,60imaging,60sputum60culture,60and60clinical60examination.
6. Vasoconstrictors60should60be60avoided60in60patients60who60cocaine60or60methamphetam
ine60users60because60these60agents60may60precipitate .
a. severe60hypotension
b. severe60hypertension
c. respiratory60depression
d. cessation60of60intestinal60peristalsis
ANSWER:6 0 B
Vasoconstrictors60should60be60avoided60in60patients60who60are60cocaine60or60methamphetami
ne60users60because60the60combination60may60precipitate60arrhythmias,60MI,60or60severe60hyp
ertension.
7. It60has60been60shown60that60the60risk60for60occurrence60of60a60serious60perioperative60cardiov
ascular60event60(e.g.,60MI,60heart60failure)60is60increased60in60patients60who60are60unable60to6
0meet60a60-
MET60(metabolic60equivalent60of60task)60demand60during60normal60daily60activity.
a. 4
b. 6
c. 8
d. 10
ANSWER:60 A
Daily60activities60requiring60460METs60include60level60walking60at60460miles/hour60or60climbing
60a60flight60of60stairs.60Activities60requiring60greater60than601060METs60include60swimming60an
d60singles60tennis.60An60exercise60capacity60of601060to601360METs60indicates60excellent60physic
al60conditioning.
8. Which60of60the60following60alterations60in60the60fingernails60is60associated60with60cirrhosis?
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