Test Bank For Little and Falace's Dental Management of
t t t t t t t t
t the Medically Compromised Patient,
t t t
10th Edition by Craig Miller,
t t t t t
Chapters 1 - 30 t t t
,Little: tDental tManagement tof tthe tMedically tCompromised tPatient, t10th tEdition tTest tBank
Table tof tContents
PART tONE: tPATIENT tEVALUATION tAND tRISK tASSESSMENT
Chapter t1: tPatient tEvaluation tand tRisk tAssessment
PART tTWO: tCARDIOVASCULAR tDISEASE
Chapter t2: tInfective tEndocarditis
Chapter t3: tHypertension
Chapter t4: tIschemic tHeart tDisease
Chapter t5: tCardiac tArrhythmias
Chapter t6: tHeart tFailure t(or tCongestive tHeart tFailure)
PART tTHREE: tPULMONARY tDISEASE
Chapter t7: tPulmonary tDisease
Chapter t8: tSmoking tand tTobacco tUse tCessation
Chapter t9: tSleep-Related tBreathing tDisorders
PART tFOUR: tGASTROINTESTIAL tDISEASE
Chapter t10: tLiver tDisease
Chapter t11: tGastrointestinal tDisease
PART tFIVE: tGENITOURINARY tDISEASE
Chapter t12: tChronic tKidney tDisease tand tDialysis
Chapter t13: tSexually tTransmitted tDiseases
PART tSIX: tENDOCRINE tAND tMETABOLIC tDISEASE
Chapter t14: tDiabetes tMellitus
Chapter t15: tAdrenal tInsufficiency
Chapter t16: tThyroid tDiseases
Chapter t17: tPregnancy tand tBreast tFeeding
PART tSEVEN: tIMMUNOLOGIC tDISEASE
Chapter t18: tAIDS, tHIV tInfection, tand tRelated tConditions
Chapter t19: tAllergy
Chapter t20: tRheumatologic tand tConnective tTissue tDisorders
Chapter t21: tOrgan tand tBone tMarrow tTransplantation
PART tEIGHT: tHEMATOLOGIC tAND tONCOLOGIC tDISEASE
Chapter t22: tDisorders tof tRed tBlood tCells
Chapter t23: tDisorders tof tWhite tBlood tCells
Chapter t24: tAcquired tBleeding tand tHypercoagulable tDisorders
Chapter t25: tCongenital tBleeding tand tHypercoagulable tDisorders
Chapter t26: tCancer tand tOral tCare tof tthe tPatient
PART tNINE: tNEUROLOGIC, tBEHAVIORAL, tAND tPSYCHIATRIC tDISORDERS
Chapter t27: tNeurologic tDisorders
Chapter t28: tAnxiety, tEating tDisorders, tand tBehavioral tReactions tto tIllness
Chapter t29: tPsychiatric tDisorders
Chapter t30: tDrug tand tAlcohol tAbuse
, WWW.GRADESMORE.COM
Stuvia.com t- tThe tMarketplace tto tBuy tand tSell tyour tStudy
tMaterial
Page t1 tof t74
Chapter t01: tPatient tEvaluation tand tRisk tAssessment
Little: tDental tManagement tof tthe tMedically tCompromised tPatient, t10th tEdition
MULTIPLE tCHOICE
1. Elective tdental tcare tshould tbe tdeferred tfor tpatients twith tsevere, tuncontrolled thypertension, tmeaning tthat tthe
tblood tpressure tis tgreater tthan tor tequal tto mm tHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: tC
Elective tdental tcare tshould tbe tdeferred tfor tpatients twith tsevere, tuncontrolled thypertension, twhich tis tblood
tpressure tgreater tthan tor tequal tto t180/110 tmm tHg, tuntil tthe tcondition tcan tbe tbrought tunder tcontrol.
2. The tAmerican tHeart tAssociation tcurrently trecommends tantibiotic tprophylaxis tfor ta tpatient twith twhich tof tthe
tfollowing tcardiac tconditions?
a. Mitral tvalve tprolapse
b. Prosthetic theart tvalve
c. Rheumatic theart tdisease
d. Pacemakers tfor tcardiac tarrhythmias
ANSWER: tB
Previously, tthe tAmerican tHeart tAssociation t(AHA) trecommended tantibiotic tprophylaxis tfor tmany tpatients twith theart
tmurmurs tcaused tby tvalvular tdisease t(e.g., tmitral tvalve tprolapse, trheumatic theart tdisease) tin tan teffort tto tprevent
tinfective tendocarditis; thowever, tcurrent tguidelines tomit tthis trecommendation ton tthe tbasis tof taccumulated tscientific
tevidence. tIf ta tmurmur tis tdue tto tcertain tspecific tcardiac tconditions t(e.g., tprevious tendocarditis, tprosthetic theart
tvalve, tcomplex tcongenital tcyanotic theart tdisease), tthe tAHA tcontinues tto trecommend tantibiotic tprophylaxis tfor
tmost tdental tprocedures.
3. One tconsequence tof tchronic thepatitis t(B tor tC) tor tcirrhosis tof tthe tliver tis tdecreased tability tof tthe tbody tto
certain tdrugs, tincluding tlocal tanesthetics tand tanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: tC
Patients talso tmay thave tchronic thepatitis t(B tor tC) tor tcirrhosis, twith timpairment tof tliver tfunction. tThis
tdeficit tmay tresult tin tprolonged tbleeding tand tless tefficient tmetabolism tof tcertain tdrugs, tincluding tlocal
tanesthetics tand tanalgesics.
4. Which tof tthe tfollowing tsymptoms tand tsigns tis tmost tconsistent twith tallergy?
a. Heart tpalpitations
b. Itching
c. Vomiting
d. Fainting
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GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com t- tThe tMarketplace tto tBuy tand tSell tyour tStudy
tMaterial
Page t1 tof t74
ANSWER: tB
Symptoms tand tsigns tconsistent twith tallergy tinclude titching, turticaria t(hives), trash, tswelling, twheezing, tangioedema,
trunny tnose, tand ttearing teyes. tIsolated tsigns tand tsymptoms tsuch tas tnausea, tvomiting, theart tpalpitations, tand
tfainting tgenerally tare tnot tof tan tallergic torigin tbut trather tare tmanifestations tof tdrug tintolerance, tadverse tside
teffects, tor tpsychogenic treactions.
5. Which tof tthe tfollowing tis ttrue tof tthe tpatient twith ta thistory tof ttuberculosis?
a. A tpositive tresult ton tskin ttesting tmeans tthat tthe tperson thas tactive tTB.
b. Most tpatients twho tbecome tpositive tskin ttesters tdevelop tactive tdisease.
c. Patients twith tacquired timmunodeficiency tsyndrome t(AIDS) thave ta thigh tincidence tof ttuberculosis.
d. A tdiagnosis tof tactive tTB tis tmade tby ta tpurified tprotein tderivative t(PPD) tskin ttest.
ANSWER: t C
The tpotential tcoexistence tof ttuberculosis tand tacquired timmunodeficiency tsyndrome t(AIDS) tshould tbe texplored
tbecause tpatients twith tAIDS thave ta thigh tincidence tof ttuberculosis. tA tpositive tresult ton tskin ttesting tmeans
tspecifically tthat tthe tperson thas tat tsome ttime tbeen tinfected twith tTB, tnot tnecessarily tthat tactive tdisease tis
tpresent. tMost tpatients twho tbecome tpositive tskin ttesters tdo tnot tdevelop tactive tdisease. tA tdiagnosis tof tactive tTB
tis tmade tby tchest tx-ray, timaging, tsputum tculture, tand tclinical texamination.
6. Vasoconstrictors tshould tbe tavoided tin tpatients twho tcocaine tor tmethamphetamine tusers tbecause tthese
tagents tmay tprecipitate .
a. severe thypotension
b. severe thypertension
c. respiratory tdepression
d. cessation tof tintestinal tperistalsis
ANSWER: tB
Vasoconstrictors tshould tbe tavoided tin tpatients twho tare tcocaine tor tmethamphetamine tusers tbecause tthe
tcombination tmay tprecipitate tarrhythmias, tMI, tor tsevere thypertension.
7. It thas tbeen tshown tthat tthe trisk tfor toccurrence tof ta tserious tperioperative tcardiovascular tevent t(e.g., tMI, theart
tfailure) tis tincreased tin tpatients twho tare tunable tto tmeet ta t-MET t(metabolic tequivalent tof ttask) tdemand tduring
tnormal tdaily tactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: tA
Daily tactivities trequiring t4 tMETs tinclude tlevel twalking tat t4 tmiles/hour tor tclimbing ta tflight tof tstairs. tActivities trequiring
tgreater tthan t10 tMETs tinclude tswimming tand tsingles ttennis. tAn texercise tcapacity tof t10 tto t13 tMETs tindicates
texcellent tphysical tconditioning.
8. Which tof tthe tfollowing talterations tin tthe tfingernails tis tassociated twith tcirrhosis?
a. Yellowing
b. Clubbing
c. White tdiscoloration
d. Splinter themorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
t t t t t t t t
t the Medically Compromised Patient,
t t t
10th Edition by Craig Miller,
t t t t t
Chapters 1 - 30 t t t
,Little: tDental tManagement tof tthe tMedically tCompromised tPatient, t10th tEdition tTest tBank
Table tof tContents
PART tONE: tPATIENT tEVALUATION tAND tRISK tASSESSMENT
Chapter t1: tPatient tEvaluation tand tRisk tAssessment
PART tTWO: tCARDIOVASCULAR tDISEASE
Chapter t2: tInfective tEndocarditis
Chapter t3: tHypertension
Chapter t4: tIschemic tHeart tDisease
Chapter t5: tCardiac tArrhythmias
Chapter t6: tHeart tFailure t(or tCongestive tHeart tFailure)
PART tTHREE: tPULMONARY tDISEASE
Chapter t7: tPulmonary tDisease
Chapter t8: tSmoking tand tTobacco tUse tCessation
Chapter t9: tSleep-Related tBreathing tDisorders
PART tFOUR: tGASTROINTESTIAL tDISEASE
Chapter t10: tLiver tDisease
Chapter t11: tGastrointestinal tDisease
PART tFIVE: tGENITOURINARY tDISEASE
Chapter t12: tChronic tKidney tDisease tand tDialysis
Chapter t13: tSexually tTransmitted tDiseases
PART tSIX: tENDOCRINE tAND tMETABOLIC tDISEASE
Chapter t14: tDiabetes tMellitus
Chapter t15: tAdrenal tInsufficiency
Chapter t16: tThyroid tDiseases
Chapter t17: tPregnancy tand tBreast tFeeding
PART tSEVEN: tIMMUNOLOGIC tDISEASE
Chapter t18: tAIDS, tHIV tInfection, tand tRelated tConditions
Chapter t19: tAllergy
Chapter t20: tRheumatologic tand tConnective tTissue tDisorders
Chapter t21: tOrgan tand tBone tMarrow tTransplantation
PART tEIGHT: tHEMATOLOGIC tAND tONCOLOGIC tDISEASE
Chapter t22: tDisorders tof tRed tBlood tCells
Chapter t23: tDisorders tof tWhite tBlood tCells
Chapter t24: tAcquired tBleeding tand tHypercoagulable tDisorders
Chapter t25: tCongenital tBleeding tand tHypercoagulable tDisorders
Chapter t26: tCancer tand tOral tCare tof tthe tPatient
PART tNINE: tNEUROLOGIC, tBEHAVIORAL, tAND tPSYCHIATRIC tDISORDERS
Chapter t27: tNeurologic tDisorders
Chapter t28: tAnxiety, tEating tDisorders, tand tBehavioral tReactions tto tIllness
Chapter t29: tPsychiatric tDisorders
Chapter t30: tDrug tand tAlcohol tAbuse
, WWW.GRADESMORE.COM
Stuvia.com t- tThe tMarketplace tto tBuy tand tSell tyour tStudy
tMaterial
Page t1 tof t74
Chapter t01: tPatient tEvaluation tand tRisk tAssessment
Little: tDental tManagement tof tthe tMedically tCompromised tPatient, t10th tEdition
MULTIPLE tCHOICE
1. Elective tdental tcare tshould tbe tdeferred tfor tpatients twith tsevere, tuncontrolled thypertension, tmeaning tthat tthe
tblood tpressure tis tgreater tthan tor tequal tto mm tHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: tC
Elective tdental tcare tshould tbe tdeferred tfor tpatients twith tsevere, tuncontrolled thypertension, twhich tis tblood
tpressure tgreater tthan tor tequal tto t180/110 tmm tHg, tuntil tthe tcondition tcan tbe tbrought tunder tcontrol.
2. The tAmerican tHeart tAssociation tcurrently trecommends tantibiotic tprophylaxis tfor ta tpatient twith twhich tof tthe
tfollowing tcardiac tconditions?
a. Mitral tvalve tprolapse
b. Prosthetic theart tvalve
c. Rheumatic theart tdisease
d. Pacemakers tfor tcardiac tarrhythmias
ANSWER: tB
Previously, tthe tAmerican tHeart tAssociation t(AHA) trecommended tantibiotic tprophylaxis tfor tmany tpatients twith theart
tmurmurs tcaused tby tvalvular tdisease t(e.g., tmitral tvalve tprolapse, trheumatic theart tdisease) tin tan teffort tto tprevent
tinfective tendocarditis; thowever, tcurrent tguidelines tomit tthis trecommendation ton tthe tbasis tof taccumulated tscientific
tevidence. tIf ta tmurmur tis tdue tto tcertain tspecific tcardiac tconditions t(e.g., tprevious tendocarditis, tprosthetic theart
tvalve, tcomplex tcongenital tcyanotic theart tdisease), tthe tAHA tcontinues tto trecommend tantibiotic tprophylaxis tfor
tmost tdental tprocedures.
3. One tconsequence tof tchronic thepatitis t(B tor tC) tor tcirrhosis tof tthe tliver tis tdecreased tability tof tthe tbody tto
certain tdrugs, tincluding tlocal tanesthetics tand tanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: tC
Patients talso tmay thave tchronic thepatitis t(B tor tC) tor tcirrhosis, twith timpairment tof tliver tfunction. tThis
tdeficit tmay tresult tin tprolonged tbleeding tand tless tefficient tmetabolism tof tcertain tdrugs, tincluding tlocal
tanesthetics tand tanalgesics.
4. Which tof tthe tfollowing tsymptoms tand tsigns tis tmost tconsistent twith tallergy?
a. Heart tpalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com t- tThe tMarketplace tto tBuy tand tSell tyour tStudy
tMaterial
Page t1 tof t74
ANSWER: tB
Symptoms tand tsigns tconsistent twith tallergy tinclude titching, turticaria t(hives), trash, tswelling, twheezing, tangioedema,
trunny tnose, tand ttearing teyes. tIsolated tsigns tand tsymptoms tsuch tas tnausea, tvomiting, theart tpalpitations, tand
tfainting tgenerally tare tnot tof tan tallergic torigin tbut trather tare tmanifestations tof tdrug tintolerance, tadverse tside
teffects, tor tpsychogenic treactions.
5. Which tof tthe tfollowing tis ttrue tof tthe tpatient twith ta thistory tof ttuberculosis?
a. A tpositive tresult ton tskin ttesting tmeans tthat tthe tperson thas tactive tTB.
b. Most tpatients twho tbecome tpositive tskin ttesters tdevelop tactive tdisease.
c. Patients twith tacquired timmunodeficiency tsyndrome t(AIDS) thave ta thigh tincidence tof ttuberculosis.
d. A tdiagnosis tof tactive tTB tis tmade tby ta tpurified tprotein tderivative t(PPD) tskin ttest.
ANSWER: t C
The tpotential tcoexistence tof ttuberculosis tand tacquired timmunodeficiency tsyndrome t(AIDS) tshould tbe texplored
tbecause tpatients twith tAIDS thave ta thigh tincidence tof ttuberculosis. tA tpositive tresult ton tskin ttesting tmeans
tspecifically tthat tthe tperson thas tat tsome ttime tbeen tinfected twith tTB, tnot tnecessarily tthat tactive tdisease tis
tpresent. tMost tpatients twho tbecome tpositive tskin ttesters tdo tnot tdevelop tactive tdisease. tA tdiagnosis tof tactive tTB
tis tmade tby tchest tx-ray, timaging, tsputum tculture, tand tclinical texamination.
6. Vasoconstrictors tshould tbe tavoided tin tpatients twho tcocaine tor tmethamphetamine tusers tbecause tthese
tagents tmay tprecipitate .
a. severe thypotension
b. severe thypertension
c. respiratory tdepression
d. cessation tof tintestinal tperistalsis
ANSWER: tB
Vasoconstrictors tshould tbe tavoided tin tpatients twho tare tcocaine tor tmethamphetamine tusers tbecause tthe
tcombination tmay tprecipitate tarrhythmias, tMI, tor tsevere thypertension.
7. It thas tbeen tshown tthat tthe trisk tfor toccurrence tof ta tserious tperioperative tcardiovascular tevent t(e.g., tMI, theart
tfailure) tis tincreased tin tpatients twho tare tunable tto tmeet ta t-MET t(metabolic tequivalent tof ttask) tdemand tduring
tnormal tdaily tactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: tA
Daily tactivities trequiring t4 tMETs tinclude tlevel twalking tat t4 tmiles/hour tor tclimbing ta tflight tof tstairs. tActivities trequiring
tgreater tthan t10 tMETs tinclude tswimming tand tsingles ttennis. tAn texercise tcapacity tof t10 tto t13 tMETs tindicates
texcellent tphysical tconditioning.
8. Which tof tthe tfollowing talterations tin tthe tfingernails tis tassociated twith tcirrhosis?
a. Yellowing
b. Clubbing
c. White tdiscoloration
d. Splinter themorrhages
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