Test,Bank,For,Little,and,Falace's,Dental,Management,of,t
he,Medically,Compromised,Patient,
10th,Edition,by,Craig,Miller,,
Chapters,1,-,30
,Little:,Dental,Management,of,the,Medically,Compromised,Patient,,10th,Edition,Test,Bank
Table,of,Contents
PART,ONE:,PATIENT,EVALUATION,AND,RISK,ASSESSMENT
Chapter,1:,Patient,Evaluation,and,Risk,Assessment
PART,TWO:,CARDIOVASCULAR,DISEASE
Chapter,2:,Infective,Endocarditis
Chapter,3:,Hypertension
Chapter,4:,Ischemic,Heart,Disease
Chapter,5:,Cardiac,Arrhythmias
Chapter,6:,Heart,Failure,(or,Congestive,Heart,Failure)
PART,THREE:,PULMONARY,DISEASE
Chapter,7:,Pulmonary,Disease
Chapter,8:,Smoking,and,Tobacco,Use,Cessation
Chapter,9:,Sleep-Related,Breathing,Disorders
PART,FOUR:,GASTROINTESTIAL,DISEASE
Chapter,10:,Liver,Disease
Chapter,11:,Gastrointestinal,Disease
PART,FIVE:,GENITOURINARY,DISEASE
Chapter,12:,Chronic,Kidney,Disease,and,Dialysis
Chapter,13:,Sexually,Transmitted,Diseases
PART,SIX:,ENDOCRINE,AND,METABOLIC,DISEASE
Chapter,14:,Diabetes,Mellitus
Chapter,15:,Adrenal,Insufficiency
Chapter,16:,Thyroid,Diseases
Chapter,17:,Pregnancy,and,Breast,Feeding
PART,SEVEN:,IMMUNOLOGIC,DISEASE
Chapter,18:,AIDS,,HIV,Infection,,and,Related,Conditions
Chapter,19:,Allergy
Chapter,20:,Rheumatologic,and,Connective,Tissue,Disorders
Chapter,21:,Organ,and,Bone,Marrow,Transplantation
PART,EIGHT:,HEMATOLOGIC,AND,ONCOLOGIC,DISEASE
Chapter,22:,Disorders,of,Red,Blood,Cells
Chapter,23:,Disorders,of,White,Blood,Cells
Chapter,24:,Acquired,Bleeding,and,Hypercoagulable,Disorders
Chapter,25:,Congenital,Bleeding,and,Hypercoagulable,Disorders
Chapter,26:,Cancer,and,Oral,Care,of,the,Patient
PART,NINE:,NEUROLOGIC,,BEHAVIORAL,,AND,PSYCHIATRIC,DISORDERS
Chapter,27:,Neurologic,Disorders
Chapter,28:,Anxiety,,Eating,Disorders,,and,Behavioral,Reactions,to,Illness
Chapter,29:,Psychiatric,Disorders
Chapter,30:,Drug,and,Alcohol,Abuse
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Chapter,01:,Patient,Evaluation,and,Risk,Assessment
Little:,Dental,Management,of,the,Medically,Compromised,Patient,,10th,Edition
MULTIPLE,CHOICE
1. Elective,dental,care,should,be,deferred,for,patients,with,severe,,uncontrolled,hypertension,
,meaning,that,the,blood,pressure,is,greater,than,or,equal,to mm,Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:, C
Elective,dental,care,should,be,deferred,for,patients,with,severe,,uncontrolled,hypertension,
,which,is,blood,pressure,greater,than,or,equal,to,180/110,mm,Hg,,until,the,condition,can,b
e,brought,under,control.
2. The,American,Heart,Association,currently,recommends,antibiotic,prophylaxis,for,a,patient
,with,which,of,the,following,cardiac,conditions?
a. Mitral,valve,prolapse
b. Prosthetic,heart,valve
c. Rheumatic,heart,disease
d. Pacemakers,for,cardiac,arrhythmias
ANSWER:, B
Previously,,the,American,Heart,Association,(AHA),recommended,antibiotic,prophylaxis,for,
many,patients,with,heart,murmurs,caused,by,valvular,disease,(e.g.,,mitral,valve,prolapse,,rhe
umatic,heart,disease),in,an,effort,to,prevent,infective,endocarditis;,however,,current,guideline
s,omit,this,recommendation,on,the,basis,of,accumulated,scientific,evidence.,If,a,murmur,is,d
ue,to,certain,specific,cardiac,conditions,(e.g.,,previous,endocarditis,,prosthetic,heart,valve,,co
mplex,congenital,cyanotic,heart,disease),,the,AHA,continues,to,recommend,antibiotic,prophy
laxis,for,most,dental,procedures.
3. One,consequence,of,chronic,hepatitis,(B,or,C),or,cirrhosis,of,the,liver,is,decreased,ability,of
,the,body,to certain,drugs,,including,local,anesthetics,and,analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:, C
Patients,also,may,have,chronic,hepatitis,(B,or,C),or,cirrhosis,,with,impairment,of,liver,
function.,This,deficit,may,result,in,prolonged,bleeding,and,less,efficient,metabolism,of
,certain,drugs,,including,local,anesthetics,and,analgesics.
4. Which,of,the,following,symptoms,and,signs,is,most,consistent,with,allergy?
a. Heart,palpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:, B
Symptoms,and,signs,consistent,with,allergy,include,itching,,urticaria,(hives),,rash,,swelling,,
wheezing,,angioedema,,runny,nose,,and,tearing,eyes.,Isolated,signs,and,symptoms,such,as,na
usea,,vomiting,,heart,palpitations,,and,fainting,generally,are,not,of,an,allergic,origin,but,rathe
r,are,manifestations,of,drug,intolerance,,adverse,side,effects,,or,psychogenic,reactions.
5. Which,of,the,following,is,true,of,the,patient,with,a,history,of,tuberculosis?
a. A,positive,result,on,skin,testing,means,that,the,person,has,active,TB.
b. Most,patients,who,become,positive,skin,testers,develop,active,disease.
c. Patients,with,acquired,immunodeficiency,syndrome,(AIDS),have,a,high,incidence
,of,tuberculosis.
d. A,diagnosis,of,active,TB,is,made,by,a,purified,protein,derivative,(PPD),skin,test.
ANSWER:, C
The,potential,coexistence,of,tuberculosis,and,acquired,immunodeficiency,syndrome,(AIDS),
should,be,explored,because,patients,with,AIDS,have,a,high,incidence,of,tuberculosis.,A,posi
tive,result,on,skin,testing,means,specifically,that,the,person,has,at,some,time,been,infected,
with,TB,,not,necessarily,that,active,disease,is,present.,Most,patients,who,become,positive,sk
in,testers,do,not,develop,active,disease.,A,diagnosis,of,active,TB,is,made,by,chest,x-
ray,,imaging,,sputum,culture,,and,clinical,examination.
6. Vasoconstrictors,should,be,avoided,in,patients,who,cocaine,or,methamphetamine,users
,because,these,agents,may,precipitate .
a. severe,hypotension
b. severe,hypertension
c. respiratory,depression
d. cessation,of,intestinal,peristalsis
ANSWER:, B
Vasoconstrictors,should,be,avoided,in,patients,who,are,cocaine,or,methamphetamine,users,b
ecause,the,combination,may,precipitate,arrhythmias,,MI,,or,severe,hypertension.
7. It,has,been,shown,that,the,risk,for,occurrence,of,a,serious,perioperative,cardiovascular,event
,(e.g.,,MI,,heart,failure),is,increased,in,patients,who,are,unable,to,meet,a,-
MET,(metabolic,equivalent,of,task),demand,during,normal,daily,activity.
a. 4
b. 6
c. 8
d. 10
ANSWER:, A
Daily,activities,requiring,4,METs,include,level,walking,at,4,miles/hour,or,climbing,a,flight,of,st
airs.,Activities,requiring,greater,than,10,METs,include,swimming,and,singles,tennis.,An,exerci
se,capacity,of,10,to,13,METs,indicates,excellent,physical,conditioning.
8. Which,of,the,following,alterations,in,the,fingernails,is,associated,with,cirrhosis?
a. Yellowing
b. Clubbing
c. White,discoloration
d. Splinter,hemorrhages
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he,Medically,Compromised,Patient,
10th,Edition,by,Craig,Miller,,
Chapters,1,-,30
,Little:,Dental,Management,of,the,Medically,Compromised,Patient,,10th,Edition,Test,Bank
Table,of,Contents
PART,ONE:,PATIENT,EVALUATION,AND,RISK,ASSESSMENT
Chapter,1:,Patient,Evaluation,and,Risk,Assessment
PART,TWO:,CARDIOVASCULAR,DISEASE
Chapter,2:,Infective,Endocarditis
Chapter,3:,Hypertension
Chapter,4:,Ischemic,Heart,Disease
Chapter,5:,Cardiac,Arrhythmias
Chapter,6:,Heart,Failure,(or,Congestive,Heart,Failure)
PART,THREE:,PULMONARY,DISEASE
Chapter,7:,Pulmonary,Disease
Chapter,8:,Smoking,and,Tobacco,Use,Cessation
Chapter,9:,Sleep-Related,Breathing,Disorders
PART,FOUR:,GASTROINTESTIAL,DISEASE
Chapter,10:,Liver,Disease
Chapter,11:,Gastrointestinal,Disease
PART,FIVE:,GENITOURINARY,DISEASE
Chapter,12:,Chronic,Kidney,Disease,and,Dialysis
Chapter,13:,Sexually,Transmitted,Diseases
PART,SIX:,ENDOCRINE,AND,METABOLIC,DISEASE
Chapter,14:,Diabetes,Mellitus
Chapter,15:,Adrenal,Insufficiency
Chapter,16:,Thyroid,Diseases
Chapter,17:,Pregnancy,and,Breast,Feeding
PART,SEVEN:,IMMUNOLOGIC,DISEASE
Chapter,18:,AIDS,,HIV,Infection,,and,Related,Conditions
Chapter,19:,Allergy
Chapter,20:,Rheumatologic,and,Connective,Tissue,Disorders
Chapter,21:,Organ,and,Bone,Marrow,Transplantation
PART,EIGHT:,HEMATOLOGIC,AND,ONCOLOGIC,DISEASE
Chapter,22:,Disorders,of,Red,Blood,Cells
Chapter,23:,Disorders,of,White,Blood,Cells
Chapter,24:,Acquired,Bleeding,and,Hypercoagulable,Disorders
Chapter,25:,Congenital,Bleeding,and,Hypercoagulable,Disorders
Chapter,26:,Cancer,and,Oral,Care,of,the,Patient
PART,NINE:,NEUROLOGIC,,BEHAVIORAL,,AND,PSYCHIATRIC,DISORDERS
Chapter,27:,Neurologic,Disorders
Chapter,28:,Anxiety,,Eating,Disorders,,and,Behavioral,Reactions,to,Illness
Chapter,29:,Psychiatric,Disorders
Chapter,30:,Drug,and,Alcohol,Abuse
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,The,Marketplace,to,Buy,and,Sell,your,Study,Material
Page,1,of,74
Chapter,01:,Patient,Evaluation,and,Risk,Assessment
Little:,Dental,Management,of,the,Medically,Compromised,Patient,,10th,Edition
MULTIPLE,CHOICE
1. Elective,dental,care,should,be,deferred,for,patients,with,severe,,uncontrolled,hypertension,
,meaning,that,the,blood,pressure,is,greater,than,or,equal,to mm,Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:, C
Elective,dental,care,should,be,deferred,for,patients,with,severe,,uncontrolled,hypertension,
,which,is,blood,pressure,greater,than,or,equal,to,180/110,mm,Hg,,until,the,condition,can,b
e,brought,under,control.
2. The,American,Heart,Association,currently,recommends,antibiotic,prophylaxis,for,a,patient
,with,which,of,the,following,cardiac,conditions?
a. Mitral,valve,prolapse
b. Prosthetic,heart,valve
c. Rheumatic,heart,disease
d. Pacemakers,for,cardiac,arrhythmias
ANSWER:, B
Previously,,the,American,Heart,Association,(AHA),recommended,antibiotic,prophylaxis,for,
many,patients,with,heart,murmurs,caused,by,valvular,disease,(e.g.,,mitral,valve,prolapse,,rhe
umatic,heart,disease),in,an,effort,to,prevent,infective,endocarditis;,however,,current,guideline
s,omit,this,recommendation,on,the,basis,of,accumulated,scientific,evidence.,If,a,murmur,is,d
ue,to,certain,specific,cardiac,conditions,(e.g.,,previous,endocarditis,,prosthetic,heart,valve,,co
mplex,congenital,cyanotic,heart,disease),,the,AHA,continues,to,recommend,antibiotic,prophy
laxis,for,most,dental,procedures.
3. One,consequence,of,chronic,hepatitis,(B,or,C),or,cirrhosis,of,the,liver,is,decreased,ability,of
,the,body,to certain,drugs,,including,local,anesthetics,and,analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:, C
Patients,also,may,have,chronic,hepatitis,(B,or,C),or,cirrhosis,,with,impairment,of,liver,
function.,This,deficit,may,result,in,prolonged,bleeding,and,less,efficient,metabolism,of
,certain,drugs,,including,local,anesthetics,and,analgesics.
4. Which,of,the,following,symptoms,and,signs,is,most,consistent,with,allergy?
a. Heart,palpitations
b. Itching
c. Vomiting
d. Fainting
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Page,1,of,74
ANSWER:, B
Symptoms,and,signs,consistent,with,allergy,include,itching,,urticaria,(hives),,rash,,swelling,,
wheezing,,angioedema,,runny,nose,,and,tearing,eyes.,Isolated,signs,and,symptoms,such,as,na
usea,,vomiting,,heart,palpitations,,and,fainting,generally,are,not,of,an,allergic,origin,but,rathe
r,are,manifestations,of,drug,intolerance,,adverse,side,effects,,or,psychogenic,reactions.
5. Which,of,the,following,is,true,of,the,patient,with,a,history,of,tuberculosis?
a. A,positive,result,on,skin,testing,means,that,the,person,has,active,TB.
b. Most,patients,who,become,positive,skin,testers,develop,active,disease.
c. Patients,with,acquired,immunodeficiency,syndrome,(AIDS),have,a,high,incidence
,of,tuberculosis.
d. A,diagnosis,of,active,TB,is,made,by,a,purified,protein,derivative,(PPD),skin,test.
ANSWER:, C
The,potential,coexistence,of,tuberculosis,and,acquired,immunodeficiency,syndrome,(AIDS),
should,be,explored,because,patients,with,AIDS,have,a,high,incidence,of,tuberculosis.,A,posi
tive,result,on,skin,testing,means,specifically,that,the,person,has,at,some,time,been,infected,
with,TB,,not,necessarily,that,active,disease,is,present.,Most,patients,who,become,positive,sk
in,testers,do,not,develop,active,disease.,A,diagnosis,of,active,TB,is,made,by,chest,x-
ray,,imaging,,sputum,culture,,and,clinical,examination.
6. Vasoconstrictors,should,be,avoided,in,patients,who,cocaine,or,methamphetamine,users
,because,these,agents,may,precipitate .
a. severe,hypotension
b. severe,hypertension
c. respiratory,depression
d. cessation,of,intestinal,peristalsis
ANSWER:, B
Vasoconstrictors,should,be,avoided,in,patients,who,are,cocaine,or,methamphetamine,users,b
ecause,the,combination,may,precipitate,arrhythmias,,MI,,or,severe,hypertension.
7. It,has,been,shown,that,the,risk,for,occurrence,of,a,serious,perioperative,cardiovascular,event
,(e.g.,,MI,,heart,failure),is,increased,in,patients,who,are,unable,to,meet,a,-
MET,(metabolic,equivalent,of,task),demand,during,normal,daily,activity.
a. 4
b. 6
c. 8
d. 10
ANSWER:, A
Daily,activities,requiring,4,METs,include,level,walking,at,4,miles/hour,or,climbing,a,flight,of,st
airs.,Activities,requiring,greater,than,10,METs,include,swimming,and,singles,tennis.,An,exerci
se,capacity,of,10,to,13,METs,indicates,excellent,physical,conditioning.
8. Which,of,the,following,alterations,in,the,fingernails,is,associated,with,cirrhosis?
a. Yellowing
b. Clubbing
c. White,discoloration
d. Splinter,hemorrhages
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