Test bank Little and Falace's Dental Management of the Medically Compromised Patient 9th Edition - (2025) |COMPLETE GUIDE|ultimate guide 100% verified

Test Bank For Little and Falace's Dental Management of th
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e Medically Compromised Patient,
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10th Edition by Craig Miller,
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Chapters 1 - 30 ud ud ud

,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
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Table of Contents
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PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis
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Chapter 3: Hypertension
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Chapter 4: Ischemic Heart Disease
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Chapter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease
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Chapter 8: Smoking and Tobacco Use Cessation
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Chapter 9: Sleep-Related Breathing Disorders
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PART FOUR: GASTROINTESTIAL DISEASE
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Chapter 10: Liver Disease
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Chapter 11: Gastrointestinal Disease
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PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis
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Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus
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Chapter 15: Adrenal Insufficiency
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Chapter 16: Thyroid Diseases
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Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter 18: AIDS, HIV Infection, and Related Conditions
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Chapter 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders
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Chapter 21: Organ and Bone Marrow Transplantation
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PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
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Chapter 22: Disorders of Red Blood Cells
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Chapter 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
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Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
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Chapter 26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
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Chapter 27: Neurologic Disorders
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Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
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Chapter 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74 ud ud ud




Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 10th Edition
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MULTIPLE CHOICE ud




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, m
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eaning that the blood pressure is greater than or equal to
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C u d




Elective dental care should be deferred for patients with severe, uncontrolled hypertension, w
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hich is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brou
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ght under control. ud ud




2. The American Heart Association currently recommends antibiotic prophylaxis for a patient wi
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th which of the following cardiac conditions?
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a. Mitral valve prolapse ud ud




b. Prosthetic heart valve ud ud




c. Rheumatic heart disease ud ud




d. Pacemakers for cardiac arrhythmias ud ud ud




ANSWER: B u d




Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for ma
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ny patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumati
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c heart disease) in an effort to prevent infective endocarditis; however, current guidelines omit th
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is recommendation on the basis of accumulated scientific evidence. If a murmur is due to certain
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specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congeni
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tal cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis for most de
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ntal procedures. ud




3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the
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body to ud certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C u d




Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver fu
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nction. This deficit may result in prolonged bleeding and less efficient metabolism of certa
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in drugs, including local anesthetics and analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations ud




b. Itching
c. Vomiting
d. Fainting




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Page 1 of 74 ud ud ud




ANSWER: B u d




Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, whe
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ezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, v
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omiting, heart palpitations, and fainting generally are not of an allergic origin but rather are mani
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festations of drug intolerance, adverse side effects, or psychogenic reactions.
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5. Which of the following is true of the patient with a history of tuberculosis?
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a. A positive result on skin testing means that the person has active TB.
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b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of ud ud ud ud ud ud ud ud ud ud u




dtuberculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANSWER: C u d




The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) sh
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ould be explored because patients with AIDS have a high incidence of tuberculosis. A positive r
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esult on skin testing means specifically that the person has at some time been infected with TB,
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not necessarily that active disease is present. Most patients who become positive skin testers do
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not develop active disease. A diagnosis of active TB is made by chest x-
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ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users be ud ud ud ud ud ud ud ud ud ud ud




cause these agents may precipitate
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a. severe hypotension ud




b. severe hypertension ud




c. respiratory depression ud




d. cessation of intestinal peristalsis ud ud ud




ANSWER: B u d




Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users beca ud ud ud ud ud ud ud ud ud ud ud ud




use the combination may precipitate arrhythmias, MI, or severe hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event (e.
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g., MI, heart failure) is increased in patients who are unable to meet a -
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MET (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANSWER: A ud




Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs
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. Activities requiring greater than 10 METs include swimming and singles tennis. An exercise capa
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city of 10 to 13 METs indicates excellent physical conditioning.
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8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration ud




d. Splinter hemorrhages ud




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