dental management of the medically compromised patient 8th edition by little test_bank

, Little:DentalManagement oftheMedicallyCompromisedPatient,8th Editi
f i#


on
i#




Chapter01:i#PatientEvaluationandRiskAssessmenti#Test

i# Bank

MULTIPLECHOICE

1. Electivedentalcareshould bedeferred forpatientsi#withsevere,i#uncontrolledhypertension,
f f


i#meaning thattheblood pressureisgreaterthanorequalto
f f


mm
i#Hg.


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

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


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


i#untilthecondition can bebro i#ughtundercontrol.
f f




PTS: 1 REF: p.i#4

2. The American HeartAssociation currentlyrecommendsantibiotic prophylaxisforapat
f f f f


i # ientwith whichofthe following cardiacconditions?
f f f


A. mitralvalveprolapse
B. prostheticheart valve f


C. rheumaticheartdisease
D. pacemakersforcardiacarrhythmias

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


i#recommendedantibioticprophylaxisfor


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


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


i#currentguidelinesomitthi


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


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


i#complexcongenital i#cyanoticheartdisease), i#the i#AHA


i#continuestorecommendantibioticprophylaxisformostde i#ntalprocedures. i#Patients


i#withpacemakersdonotrequireantibioticprophylaxis.

, Test 1-2
i#Bank




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

3. Oneconsequenceofchronic hepatitis (Bori#C)i#orcirrhosisoftheliverisdecreasedabilityofth
f f


i # ebodytoi# certaindrugs,i#includinglocalanestheticsandanalgesics.
A. absorb
B. distribute
C. metabolize
D. excrete

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


i#impairmentofliverfun


i#ction.Thisdeficitmayresult inprolonged bleedingand lessefficientmetabolismofcertaindr
f f f


i # ugs,i#including locali#anestheticsandanalgesics.
f




PTS: 1 REF: p.i#6

4. Whichofthefollowingsymptomsandsignsismost consistent withallergy?
f f


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

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


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


i#origin butrather
f i#aremanifestationsofdrugintolerance, i#adversesideeffects,


i#orpsychogenicreactions.




PTS: 1 REF: p.i#6

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


B. Mostpatientswhobecomepositiveskintesters developactivedisease.
f


C. Patientswithacquiredimmunodeficiencysyndrome(AIDS)haveahigh in f


i # cidenceoftuberculosis.


D. AdiagnosisofactiveTBismadebyapurifiedproteinderivative(PPD) skintest.f




ANS: i# C

, Test 1-3
i#Bank



Thepotentialcoexistenceoftuberculosisand acquiredimmunodeficiencysyndrome(AIDS) f


i#shouldbeexploredbecause patientswithAIDShaveahighincidenceoftuberculosis.Aposit
f


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


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


i#Most patientswhobecomepositiveskin te
f f


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


ray, i#imaging, i#sputum culture, f




i# andclinicalexamination. i#PTS: i # 1 REF:

i # p.i#6-7

6. Vasoconstrictors should beavoidedinpatientswhoareusingcocaineorme
f f


i # thamphetaminebecausetheseagentsmayprecipitatei# .
A. severehypotension
B. severehypertension
C. respiratorydepression
D. cessationofintestinalperistalsis

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


i#oareusingcocaineormethamphetamine. i#Respiratorydepression isassociated withtheuse f f


i#ofopioids.




PTS: 1 REF: p.i#8

7. Iti#hasbeen shownthat theriskforoccurrenceofaserious perioperativecardiovascularevent
f f f


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


MET(metabolicequivalentoftask) demandduring normaldailyactivity. f f


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

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


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


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


i#METsincludeswimmingandsingleste i#nnis.




PTS: 1 REF: p.i#9

8. Whichofthefollowingalterationsin thefingernailsisassociated withcirrhosis? f f


A. yellowing