Test bank for Dental Management of the Medically Compromised Patient, 8th Edition by LITTLE & FALANCES| Complete Elaborated and Latest Test Bank. All Chapters included and Latest update

, Little:DentalManagement oftheMedicallyCompromisedPatient,8th Editi
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Chapter01:l#PatientEvaluationandRiskAssessmentl#Test

l# Bank

MULTIPLECHOICE

1. Electivedentalcareshould bedeferred forpatientsl#withsevere,l#uncontrolledhypertension,
f f


l#meaning thattheblood pressureisgreaterthanorequalto
f f


mm
l#Hg.


A. 200/140
B. 180/140
C. 180/110
D. 160/110

ANS: l # C
Electivedentalcareshould bedeferred forpatients l#withsevere, l#uncontrolledhypertension,
f f


l#w l#hichisbloodpressureofgreaterthanorequalto 180/110mm f l#Hg,


l#untilthecondition can bebro l#ughtundercontrol.
f f




PTS: 1 REF: p.l#4

2. The American HeartAssociation currentlyrecommendsantibiotic prophylaxisforapat
f f f f


l # ientwith whichofthe following cardiacconditions?
f f f


A. mitralvalveprolapse
B. prostheticheart valve f


C. rheumaticheartdisease
D. pacemakersforcardiacarrhythmias

ANS: l # B
Previously, l#theAmerican l#HeartAssociation(AHA)


l#recommendedantibioticprophylaxisfor


l#manypatientswithheart murmurscausedbyvalvulardisease(e.g., l#mitralvalveprolapse, l#rhe
f


l#umatic heartdisease)
f l#in an l#efforttopreventinfective endocarditis;
f f


l#currentguidelinesomitthi


l#s recommendationon thebasis ofaccumulated scientificevidence. l#If l#amurmurisduetospeci
f f f f


l#ficcardiac conditions(e.g.,
f l#previousendocarditis, l#prostheticheartvalve,


l#complexcongenital l#cyanoticheartdisease), l#the l#AHA


l#continuestorecommendantibioticprophylaxisformostde l#ntalprocedures. l#Patients


l#withpacemakersdonotrequireantibioticprophylaxis.

, Test 1-2
l#Bank




PTS: 1 REF: pp.l#4-5

3. Oneconsequenceofchronic hepatitis (Borl#C)l#orcirrhosisoftheliverisdecreasedabilityofth
f f


l # ebodytol# certaindrugs,l#includinglocalanestheticsandanalgesics.
A. absorb
B. distribute
C. metabolize
D. excrete

ANS: l # C
Patientswithchronichepatitis l#(B l#or l#C) l#orcirrhosishave l#an associated
f


l#impairmentofliverfun


l#ction.Thisdeficitmayresult inprolonged bleedingand lessefficientmetabolismofcertaindr
f f f


l # ugs,l#including locall#anestheticsandanalgesics.
f




PTS: 1 REF: p.l#6

4. Whichofthefollowingsymptomsandsignsismost consistent withallergy?
f f


A. heartpalpitations
B. itching
C. vomiting
D. fainting

ANS: l # B
Symptomsandsignsconsistentwithallergyincludeitching, l#urticaria(hives), l#rash, l#swelling,
l#wheezing, l#angioedema, l#runnynose, l#and tearingeyes. l#Isolatedsignsandsymptomssuch
f


l#as l#na l#usea, l#vomiting, l#heartpalpitations, andfaintinggenerallyarenot of
f f l#an allergic
f


l#origin butrather
f l#aremanifestationsofdrugintolerance, l#adversesideeffects,


l#orpsychogenicreactions.




PTS: 1 REF: p.l#6

5. Whichofthefollowingistrueofthepatientwithahistoryoftuberculosis?
A. Apositiveresultonskintesting meansthatthe personhasactiveTB.
f f


B. Mostpatientswhobecomepositiveskintesters developactivedisease.
f


C. Patientswithacquiredimmunodeficiencysyndrome(AIDS)haveahigh in f


l # cidenceoftuberculosis.


D. AdiagnosisofactiveTBismadebyapurifiedproteinderivative(PPD) skintest.f




ANS: l# C

, Test 1-3
l#Bank



Thepotentialcoexistenceoftuberculosisand acquiredimmunodeficiencysyndrome(AIDS) f


l#shouldbeexploredbecause patientswithAIDShaveahighincidenceoftuberculosis.Aposit
f


l#ive resultonskintesting means specificallythat the personhas
f f f l#at f f


l#sometime been infected wit
f f l# h l#TB, l#notnecessarilythatactivediseaseis present.
f f


l#Most patientswhobecomepositiveskin te
f f


l#stersdonotdevelopactive disease.Adiagnosisofactive TB l#is madebychestx-
f f f


ray, l#imaging, l#sputum culture, f




l# andclinicalexamination. l#PTS: l # 1 REF:

l # p.l#6-7

6. Vasoconstrictors should beavoidedinpatientswhoareusingcocaineorme
f f


l # thamphetaminebecausetheseagentsmayprecipitatel# .
A. severehypotension
B. severehypertension
C. respiratorydepression
D. cessationofintestinalperistalsis

ANS: l # B
Vasoconstrictors mayprecipitatecardiacarrhythmias orseverehypertensioninpatients l#wh
f f


l#oareusingcocaineormethamphetamine. l#Respiratorydepression isassociated withtheuse f f


l#ofopioids.




PTS: 1 REF: p.l#8

7. Itl#hasbeen shownthat theriskforoccurrenceofaserious perioperativecardiovascularevent
f f f


l # isincreased inpatientswho areunable tomeet a
f l # - f f f


MET(metabolicequivalentoftask) demandduring normaldailyactivity. f f


A. 4
B. 6
C. 8
D. 10

ANS: l # A
Riskisincreased inpatients unabletomeet a4-
f f f


METdemand. l#Dailyactivities requiring 4 l#METsincludelevelwalking at 4
f f f f


l#miles/hourorclimb l#ing a l#flightofstairs.Activitiesrequiringgreaterthan
f l#10


l#METsincludeswimmingandsingleste l#nnis.




PTS: 1 REF: p.l#9

8. Whichofthefollowingalterationsin thefingernailsisassociated withcirrhosis? f f


A. yellowing