Test Bank for Dental Management
3f 3f 3f 3f 3f3f
of the Medically Compromised Pat
3f 3f 3f 3f3f
ient 9th Edition Little & Falace’s
3f 3f 3f 3f 3f3f 3f
/3fAll3fChapters3f1-303f/3fFull3fComplete3fRevised
TEST BANK 3f
,Little:3fDental3fManagement3fof3fthe3fMedically3fCompromised3fPatient,3f9th3fEdition3fTest3fBan
k
Table3fof3fContents
PART3fONE:3fPATIENT3fEVALUATION3fAND3fRISK3fASSESSMENT
Chapter3f1:3fPatient3fEvaluation3fand3fRisk3fAssessment
PART3fTWO:3fCARDIOVASCULAR3fDISEASE
Chapter3f2:3fInfective3fEndocarditis3fC
hapter3f3:3fHypertension
Chapter3f4:3fIschemic3fHeart3fDisease3f
Chapter3f5:3fCardiac3fArrhythmias
Chapter3f6:3fHeart3fFailure3f(or3fCongestive3fHeart3fFailure)
PART3fTHREE:3fPULMONARY3fDISEASE
Chapter3f7:3fPulmonary3fDisease
Chapter3f8:3fSmoking3fand3fTobacco3fUse3fCessation
3fChapter3f9:3fSleep-
Related3fBreathing3fDisorders3fPART3fFOUR:3fGAS
TROINTESTIAL3fDISEASE
Chapter3f10:3fLiver3fDisease
Chapter3f11:3fGastrointestinal3fDisease
PART3fFIVE:3fGENITOURINARY3fDISEASE
Chapter3f12:3fChronic3fKidney3fDisease3fand3fDialysis
3fChapter3f13:3fSexually3fTransmitted3fDiseases
PART3fSIX:3fENDOCRINE3fAND3fMETABOLIC3fDISEASE
Chapter3f14:3fDiabetes3fMellitus3fCha
pter3f15:3fAdrenal3fInsufficiency3fChap
ter3f16:3fThyroid3fDiseases
Chapter3f17:3fPregnancy3fand3fBreast3fFeeding
PART3fSEVEN:3fIMMUNOLOGIC3fDISEASE
Chapter3f18:3fAIDS,3fHIV3fInfection,3fand3fRelated3fConditions3fC
hapter3f19:3fAllergy
Chapter3f20:3fRheumatologic3fand3fConnective3fTissue3fDisorders3f
Chapter3f21:3fOrgan3fand3fBone3fMarrow3fTransplantation
PART3fEIGHT:3fHEMATOLOGIC3fAND3fONCOLOGIC3fDISEASE
Chapter3f22:3fDisorders3fof3fRed3fBlood3fCells3fCh
apter3f23:3fDisorders3fof3fWhite3fBlood3fCells
Chapter3f24:3fAcquired3fBleeding3fand3fHypercoagulable3fDisorde
rs3fChapter3f25:3fCongenital3fBleeding3fand3fHypercoagulable3fDis
orders3fChapter3f26:3fCancer3fand3fOral3fCare3fof3fthe3fPatient
PART3fNINE:3fNEUROLOGIC,3fBEHAVIORAL,3fAND3fPSYCHIATRIC3fDISORDERS
Chapter3f27:3fNeurologic3fDisorders
Chapter3f28:3fAnxiety,3fEating3fDisorders,3fand3fBehavioral3fReactions3fto3fIllness3fC
hapter3f29:3fPsychiatric3fDisorders
Chapter3f30:3fDrug3fand3fAlcohol3fAbuse
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Page3f13fof3f74
Chapter3f01:3fPatient3fEvaluation3fand3fRisk3fAssessment
Little:3fDental3fManagement3fof3fthe3fMedically3fCompromised3fPatient,3f9th3fEdition
MULTIPLE3fCHOICE
1. Elective3fdental3fcare3fshould3fbe3fdeferred3ffor3fpatients3fwith3fsevere,3funcontrolled3fhyperte
nsion,3fmeaning3fthat3fthe3fblood3fpressure3fis3fgreater3fthan3for3fequal3fto mm3fHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS:3 f C
Elective3fdental3fcare3fshould3fbe3fdeferred3ffor3fpatients3fwith3fsevere,3funcontrolled3fhyperte
nsion,3fwhich3fis3fblood3fpressure3fgreater3fthan3for3fequal3fto3f180/1103fmm3fHg,3funtil3fthe3fc
ondition3fcan3fbe3fbrought3funder3fcontrol.
2. The3fAmerican3fHeart3fAssociation3fcurrently3frecommends3fantibiotic3fprophylaxis3ffor3fa3fp
atient3fwith3fwhich3fof3fthe3ffollowing3fcardiac3fconditions?
a. Mitral3fvalve3fprolapse
b. Prosthetic3fheart3fvalve
c. Rheumatic3fheart3fdisease
d. Pacemakers3ffor3fcardiac3farrhythmias
ANS:3 f B
Previously,3fthe3fAmerican3fHeart3fAssociation3f(AHA)3frecommended3fantibiotic3fprophylaxis
3ffor3fmany3fpatients3fwith3fheart3fmurmurs3fcaused3fby3fvalvular3fdisease3f(e.g.,3fmitral3fvalve3f
prolapse,3frheumatic3fheart3fdisease)3fin3fan3feffort3fto3fprevent3finfective3fendocarditis;3fhowe
ver,3fcurrent3fguidelines3fomit3fthis3frecommendation3fon3fthe3fbasis3fof3faccumulated3fscientifi
c3fevidence.3fIf3fa3fmurmur3fis3fdue3fto3fcertain3fspecific3fcardiac3fconditions3f(e.g.,3fprevious3fe
ndocarditis,3fprosthetic3fheart3fvalve,3fcomplex3fcongenital3fcyanotic3fheart3fdisease),3fthe3fAH
A3fcontinues3fto3frecommend3fantibiotic3fprophylaxis3ffor3fmost3fdental3fprocedures.
3. One3fconsequence3fof3fchronic3fhepatitis3f(B3for3fC)3for3fcirrhosis3fof3fthe3fliver3fis3fdecreased3fa
bility3fof3fthe3fbody3fto certain3fdrugs,3fincluding3flocal3fanesthetics3fand3fanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS:3 f C
Patients3falso3fmay3fhave3fchronic3fhepatitis3f(B3for3fC)3for3fcirrhosis,3fwith3fimpairment3f
of3fliver3ffunction.3fThis3fdeficit3fmay3fresult3fin3fprolonged3fbleeding3fand3fless3fefficient3
fmetabolism3fof3fcertain3fdrugs,3fincluding3flocal3fanesthetics3fand3fanalgesics.
4. Which3fof3fthe3ffollowing3fsymptoms3fand3fsigns3fis3fmost3fconsistent3fwith3fallergy?
a. Heart3fpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANS:3 f B
Symptoms3fand3fsigns3fconsistent3fwith3fallergy3finclude3fitching,3furticaria3f(hives),3frash,3fswe
lling,3fwheezing,3fangioedema,3frunny3fnose,3fand3ftearing3feyes.3fIsolated3fsigns3fand3fsympto
ms3fsuch3fas3fnausea,3fvomiting,3fheart3fpalpitations,3fand3ffainting3fgenerally3fare3fnot3fof3fan3f
allergic3forigin3fbut3frather3fare3fmanifestations3fof3fdrug3fintolerance,3fadverse3fside3feffects,3fo
r3fpsychogenic3freactions.
5. Which3fof3fthe3ffollowing3fis3ftrue3fof3fthe3fpatient3fwith3fa3fhistory3fof3ftuberculosis?
a. A3fpositive3fresult3fon3fskin3ftesting3fmeans3fthat3fthe3fperson3fhas3factive3fTB.
b. Most3fpatients3fwho3fbecome3fpositive3fskin3ftesters3fdevelop3factive3fdisease.
c. Patients3fwith3facquired3fimmunodeficiency3fsyndrome3f(AIDS)3fhave3fa3fhigh3fincid
ence3fof3ftuberculosis.
d. A3fdiagnosis3fof3factive3fTB3fis3fmade3fby3fa3fpurified3fprotein3fderivative3f(PPD)3fskin3ftest.
ANS:3 f C
The3fpotential3fcoexistence3fof3ftuberculosis3fand3facquired3fimmunodeficiency3fsyndrome3f(A
IDS)3fshould3fbe3fexplored3fbecause3fpatients3fwith3fAIDS3fhave3fa3fhigh3fincidence3fof3ftuberc
ulosis.3fA3fpositive3fresult3fon3fskin3ftesting3fmeans3fspecifically3fthat3fthe3fperson3fhas3fat3fsom
e3ftime3fbeen3finfected3fwith3fTB,3fnot3fnecessarily3fthat3factive3fdisease3fis3fpresent.3fMost3fpat
ients3fwho3fbecome3fpositive3fskin3ftesters3fdo3fnot3fdevelop3factive3fdisease.3fA3fdiagnosis3fof3f
active3fTB3fis3fmade3fby3fchest3fx-ray,3fimaging,3fsputum3fculture,3fand3fclinical3fexamination.
6. Vasoconstrictors3fshould3fbe3favoided3fin3fpatients3fwho3fcocaine3for3fmethamphetamine3f
users3fbecause3fthese3fagents3fmay3fprecipitate .
a. severe3fhypotension
b. severe3fhypertension
c. respiratory3fdepression
d. cessation3fof3fintestinal3fperistalsis
ANS:3 f B
Vasoconstrictors3fshould3fbe3favoided3fin3fpatients3fwho3fare3fcocaine3for3fmethamphetamine3fu
sers3fbecause3fthe3fcombination3fmay3fprecipitate3farrhythmias,3fMI,3for3fsevere3fhypertension.
7. It3fhas3fbeen3fshown3fthat3fthe3frisk3ffor3foccurrence3fof3fa3fserious3fperioperative3fcardiovascul
ar3fevent3f(e.g.,3fMI,3fheart3ffailure)3fis3fincreased3fin3fpatients3fwho3fare3funable3fto3fmeet3fa3f-
MET3f(metabolic3fequivalent3fof3ftask)3fdemand3fduring3fnormal3fdaily3factivity.
a. 4
b. 6
c. 8
d. 10
ANS:3 f A
Daily3factivities3frequiring3f43fMETs3finclude3flevel3fwalking3fat3f43fmiles/hour3for3fclimbing3fa3f
flight3fof3fstairs.3fActivities3frequiring3fgreater3fthan3f103fMETs3finclude3fswimming3fand3fsingl
es3ftennis.3fAn3fexercise3fcapacity3fof3f103fto3f133fMETs3findicates3fexcellent3fphysical3fconditio
ning.
8. Which3fof3fthe3ffollowing3falterations3fin3fthe3ffingernails3fis3fassociated3fwith3fcirrhosis?
a. Yellowing
b. Clubbing
c. White3fdiscoloration
d. Splinter3fhemorrhages
GRADESMORE.COM
3f 3f 3f 3f 3f3f
of the Medically Compromised Pat
3f 3f 3f 3f3f
ient 9th Edition Little & Falace’s
3f 3f 3f 3f 3f3f 3f
/3fAll3fChapters3f1-303f/3fFull3fComplete3fRevised
TEST BANK 3f
,Little:3fDental3fManagement3fof3fthe3fMedically3fCompromised3fPatient,3f9th3fEdition3fTest3fBan
k
Table3fof3fContents
PART3fONE:3fPATIENT3fEVALUATION3fAND3fRISK3fASSESSMENT
Chapter3f1:3fPatient3fEvaluation3fand3fRisk3fAssessment
PART3fTWO:3fCARDIOVASCULAR3fDISEASE
Chapter3f2:3fInfective3fEndocarditis3fC
hapter3f3:3fHypertension
Chapter3f4:3fIschemic3fHeart3fDisease3f
Chapter3f5:3fCardiac3fArrhythmias
Chapter3f6:3fHeart3fFailure3f(or3fCongestive3fHeart3fFailure)
PART3fTHREE:3fPULMONARY3fDISEASE
Chapter3f7:3fPulmonary3fDisease
Chapter3f8:3fSmoking3fand3fTobacco3fUse3fCessation
3fChapter3f9:3fSleep-
Related3fBreathing3fDisorders3fPART3fFOUR:3fGAS
TROINTESTIAL3fDISEASE
Chapter3f10:3fLiver3fDisease
Chapter3f11:3fGastrointestinal3fDisease
PART3fFIVE:3fGENITOURINARY3fDISEASE
Chapter3f12:3fChronic3fKidney3fDisease3fand3fDialysis
3fChapter3f13:3fSexually3fTransmitted3fDiseases
PART3fSIX:3fENDOCRINE3fAND3fMETABOLIC3fDISEASE
Chapter3f14:3fDiabetes3fMellitus3fCha
pter3f15:3fAdrenal3fInsufficiency3fChap
ter3f16:3fThyroid3fDiseases
Chapter3f17:3fPregnancy3fand3fBreast3fFeeding
PART3fSEVEN:3fIMMUNOLOGIC3fDISEASE
Chapter3f18:3fAIDS,3fHIV3fInfection,3fand3fRelated3fConditions3fC
hapter3f19:3fAllergy
Chapter3f20:3fRheumatologic3fand3fConnective3fTissue3fDisorders3f
Chapter3f21:3fOrgan3fand3fBone3fMarrow3fTransplantation
PART3fEIGHT:3fHEMATOLOGIC3fAND3fONCOLOGIC3fDISEASE
Chapter3f22:3fDisorders3fof3fRed3fBlood3fCells3fCh
apter3f23:3fDisorders3fof3fWhite3fBlood3fCells
Chapter3f24:3fAcquired3fBleeding3fand3fHypercoagulable3fDisorde
rs3fChapter3f25:3fCongenital3fBleeding3fand3fHypercoagulable3fDis
orders3fChapter3f26:3fCancer3fand3fOral3fCare3fof3fthe3fPatient
PART3fNINE:3fNEUROLOGIC,3fBEHAVIORAL,3fAND3fPSYCHIATRIC3fDISORDERS
Chapter3f27:3fNeurologic3fDisorders
Chapter3f28:3fAnxiety,3fEating3fDisorders,3fand3fBehavioral3fReactions3fto3fIllness3fC
hapter3f29:3fPsychiatric3fDisorders
Chapter3f30:3fDrug3fand3fAlcohol3fAbuse
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Page3f13fof3f74
Chapter3f01:3fPatient3fEvaluation3fand3fRisk3fAssessment
Little:3fDental3fManagement3fof3fthe3fMedically3fCompromised3fPatient,3f9th3fEdition
MULTIPLE3fCHOICE
1. Elective3fdental3fcare3fshould3fbe3fdeferred3ffor3fpatients3fwith3fsevere,3funcontrolled3fhyperte
nsion,3fmeaning3fthat3fthe3fblood3fpressure3fis3fgreater3fthan3for3fequal3fto mm3fHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS:3 f C
Elective3fdental3fcare3fshould3fbe3fdeferred3ffor3fpatients3fwith3fsevere,3funcontrolled3fhyperte
nsion,3fwhich3fis3fblood3fpressure3fgreater3fthan3for3fequal3fto3f180/1103fmm3fHg,3funtil3fthe3fc
ondition3fcan3fbe3fbrought3funder3fcontrol.
2. The3fAmerican3fHeart3fAssociation3fcurrently3frecommends3fantibiotic3fprophylaxis3ffor3fa3fp
atient3fwith3fwhich3fof3fthe3ffollowing3fcardiac3fconditions?
a. Mitral3fvalve3fprolapse
b. Prosthetic3fheart3fvalve
c. Rheumatic3fheart3fdisease
d. Pacemakers3ffor3fcardiac3farrhythmias
ANS:3 f B
Previously,3fthe3fAmerican3fHeart3fAssociation3f(AHA)3frecommended3fantibiotic3fprophylaxis
3ffor3fmany3fpatients3fwith3fheart3fmurmurs3fcaused3fby3fvalvular3fdisease3f(e.g.,3fmitral3fvalve3f
prolapse,3frheumatic3fheart3fdisease)3fin3fan3feffort3fto3fprevent3finfective3fendocarditis;3fhowe
ver,3fcurrent3fguidelines3fomit3fthis3frecommendation3fon3fthe3fbasis3fof3faccumulated3fscientifi
c3fevidence.3fIf3fa3fmurmur3fis3fdue3fto3fcertain3fspecific3fcardiac3fconditions3f(e.g.,3fprevious3fe
ndocarditis,3fprosthetic3fheart3fvalve,3fcomplex3fcongenital3fcyanotic3fheart3fdisease),3fthe3fAH
A3fcontinues3fto3frecommend3fantibiotic3fprophylaxis3ffor3fmost3fdental3fprocedures.
3. One3fconsequence3fof3fchronic3fhepatitis3f(B3for3fC)3for3fcirrhosis3fof3fthe3fliver3fis3fdecreased3fa
bility3fof3fthe3fbody3fto certain3fdrugs,3fincluding3flocal3fanesthetics3fand3fanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS:3 f C
Patients3falso3fmay3fhave3fchronic3fhepatitis3f(B3for3fC)3for3fcirrhosis,3fwith3fimpairment3f
of3fliver3ffunction.3fThis3fdeficit3fmay3fresult3fin3fprolonged3fbleeding3fand3fless3fefficient3
fmetabolism3fof3fcertain3fdrugs,3fincluding3flocal3fanesthetics3fand3fanalgesics.
4. Which3fof3fthe3ffollowing3fsymptoms3fand3fsigns3fis3fmost3fconsistent3fwith3fallergy?
a. Heart3fpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANS:3 f B
Symptoms3fand3fsigns3fconsistent3fwith3fallergy3finclude3fitching,3furticaria3f(hives),3frash,3fswe
lling,3fwheezing,3fangioedema,3frunny3fnose,3fand3ftearing3feyes.3fIsolated3fsigns3fand3fsympto
ms3fsuch3fas3fnausea,3fvomiting,3fheart3fpalpitations,3fand3ffainting3fgenerally3fare3fnot3fof3fan3f
allergic3forigin3fbut3frather3fare3fmanifestations3fof3fdrug3fintolerance,3fadverse3fside3feffects,3fo
r3fpsychogenic3freactions.
5. Which3fof3fthe3ffollowing3fis3ftrue3fof3fthe3fpatient3fwith3fa3fhistory3fof3ftuberculosis?
a. A3fpositive3fresult3fon3fskin3ftesting3fmeans3fthat3fthe3fperson3fhas3factive3fTB.
b. Most3fpatients3fwho3fbecome3fpositive3fskin3ftesters3fdevelop3factive3fdisease.
c. Patients3fwith3facquired3fimmunodeficiency3fsyndrome3f(AIDS)3fhave3fa3fhigh3fincid
ence3fof3ftuberculosis.
d. A3fdiagnosis3fof3factive3fTB3fis3fmade3fby3fa3fpurified3fprotein3fderivative3f(PPD)3fskin3ftest.
ANS:3 f C
The3fpotential3fcoexistence3fof3ftuberculosis3fand3facquired3fimmunodeficiency3fsyndrome3f(A
IDS)3fshould3fbe3fexplored3fbecause3fpatients3fwith3fAIDS3fhave3fa3fhigh3fincidence3fof3ftuberc
ulosis.3fA3fpositive3fresult3fon3fskin3ftesting3fmeans3fspecifically3fthat3fthe3fperson3fhas3fat3fsom
e3ftime3fbeen3finfected3fwith3fTB,3fnot3fnecessarily3fthat3factive3fdisease3fis3fpresent.3fMost3fpat
ients3fwho3fbecome3fpositive3fskin3ftesters3fdo3fnot3fdevelop3factive3fdisease.3fA3fdiagnosis3fof3f
active3fTB3fis3fmade3fby3fchest3fx-ray,3fimaging,3fsputum3fculture,3fand3fclinical3fexamination.
6. Vasoconstrictors3fshould3fbe3favoided3fin3fpatients3fwho3fcocaine3for3fmethamphetamine3f
users3fbecause3fthese3fagents3fmay3fprecipitate .
a. severe3fhypotension
b. severe3fhypertension
c. respiratory3fdepression
d. cessation3fof3fintestinal3fperistalsis
ANS:3 f B
Vasoconstrictors3fshould3fbe3favoided3fin3fpatients3fwho3fare3fcocaine3for3fmethamphetamine3fu
sers3fbecause3fthe3fcombination3fmay3fprecipitate3farrhythmias,3fMI,3for3fsevere3fhypertension.
7. It3fhas3fbeen3fshown3fthat3fthe3frisk3ffor3foccurrence3fof3fa3fserious3fperioperative3fcardiovascul
ar3fevent3f(e.g.,3fMI,3fheart3ffailure)3fis3fincreased3fin3fpatients3fwho3fare3funable3fto3fmeet3fa3f-
MET3f(metabolic3fequivalent3fof3ftask)3fdemand3fduring3fnormal3fdaily3factivity.
a. 4
b. 6
c. 8
d. 10
ANS:3 f A
Daily3factivities3frequiring3f43fMETs3finclude3flevel3fwalking3fat3f43fmiles/hour3for3fclimbing3fa3f
flight3fof3fstairs.3fActivities3frequiring3fgreater3fthan3f103fMETs3finclude3fswimming3fand3fsingl
es3ftennis.3fAn3fexercise3fcapacity3fof3f103fto3f133fMETs3findicates3fexcellent3fphysical3fconditio
ning.
8. Which3fof3fthe3ffollowing3falterations3fin3fthe3ffingernails3fis3fassociated3fwith3fcirrhosis?
a. Yellowing
b. Clubbing
c. White3fdiscoloration
d. Splinter3fhemorrhages
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