Test Bank For Dental Management of the Medically Compromised Patient 9th Edition by Little.

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LITTLE AND FALACE'S DENTAL MANAGEMENT
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OF THE MEDICALLY COMPROMISEDPATIENT
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9TH EDITIONr




TESTBANK r

,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
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Table of Contents rr rr


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 rr rr rr


Chapter 2: Infective Endocarditis Chapter rr rr rr r r


3: Hypertension
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Chapter 4: Ischemic Heart Disease Chap rr rr rr rr r r


ter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE rr rr rr


Chapter 7: Pulmonary Disease rr rr rr


Chapter 8: Smoking and Tobacco Use Cessation Chapter
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9: Sleep-
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Related Breathing Disorders PART FOUR: GASTROINT
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ESTIAL DISEASE rr


Chapter 10: Liver Disease rr rr rr


Chapter 11: Gastrointestinal Disease rr rr rr


PART FIVE: GENITOURINARY DISEASE rr rr rr


Chapter 12: Chronic Kidney Disease and Dialysis Chapte
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r 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapter 15 rr rr rr rr rr


: Adrenal Insufficiency Chapter 16: Thyro
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id Diseases
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Chapter 17: Pregnancy and Breast Feeding rr rr rr rr rr


PART SEVEN: IMMUNOLOGIC DISEASE rr rr rr


Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19: All
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ergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Chap
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ter 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 Chapter 23:
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Disorders of White Blood Cells rr rr rr rr


Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapter
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25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26: Ca
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ncer 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 rr rr rr


Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29: Psy
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chiatric Disorders rr


Chapter 30: Drug and Alcohol Abuse rr rr rr rr rr

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Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 9th Edition
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MULTIPLE CHOICE rr




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning t
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hat 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
ANS: C rr


Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is
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blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought under cont
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rol.

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


b. Prosthetic heart valve rr rr


c. Rheumatic heart disease rr rr


d. Pacemakers for cardiac arrhythmias rr rr rr




ANS: B rr


Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many patie
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nts with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease)
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in an effort to prevent infective endocarditis; however, current guidelines omit this recommendation on
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the basis of accumulated scientific evidence. If a murmur is due to certain specific cardiac conditions (e
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.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA
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continues to recommend antibiotic prophylaxis for most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body to
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certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C rr


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver function. T
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his deficit may result in prolonged bleeding and less efficient metabolism of certain drugs, includi
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ng 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 rr


b. Itching
c. Vomiting
d. Fainting




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ANS: B rr


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing,
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angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, h
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eart palpitations, and fainting generally are not of an allergic origin but rather are manifestations of drug
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intolerance, adverse side effects, or psychogenic reactions. rr rr rr rr rr rr




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 tubercu
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losis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANS: C rrr r


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should be e
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xplored because patients with AIDS have a high incidence of tuberculosis. A positive result on skin testi
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ng means specifically that the person has at some time been infected with TB, not necessarily that active
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disease is present. Most patients who become positive skin testers do not develop active disease. A di
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agnosis of active TB is made by chest x-ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users rr rr rr rr rr rr rr rr rr rr r r becaus
e these agents may precipitate
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a. severe hypotension rr


b. severe hypertension rr


c. respiratory depression r


d. cessation of intestinal peristalsis rr rr rr




ANS: B rr


Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users rr rr rr rr rr rr rr rr rr rr rr r r because rr


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
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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
ANS: A rr


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. Activiti
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es requiring greater than 10 METs include swimming and singles tennis. An exercise capacity of 10 to 13
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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 rr


d. Splinter hemorrhages rr




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