Test Bank For Little and Falace's Dental Management
d d d d d d d
d of the Medically Compromised Patient,
d d d d
10th Edition by Craig Miller,
d d d d d
Chapters 1 - 30 d d d
,Little: dDental dManagement dof dthe dMedically dCompromised dPatient, d10th dEdition dTest
dBank
Table dof dContents
PART dONE: dPATIENT dEVALUATION dAND dRISK dASSESSMENT
Chapter d1: dPatient dEvaluation dand dRisk dAssessment
PART dTWO: dCARDIOVASCULAR dDISEASE
Chapter d2: dInfective dEndocarditis
Chapter d3: dHypertension
Chapter d4: dIschemic dHeart dDisease
Chapter d5: dCardiac dArrhythmias
Chapter d6: dHeart dFailure d(or dCongestive dHeart dFailure)
PART dTHREE: dPULMONARY dDISEASE
Chapter d7: dPulmonary dDisease
Chapter d8: dSmoking dand dTobacco dUse dCessation
Chapter d9: dSleep-Related dBreathing dDisorders
PART dFOUR: dGASTROINTESTIAL dDISEASE
Chapter d10: dLiver dDisease
Chapter d11: dGastrointestinal dDisease
PART dFIVE: dGENITOURINARY dDISEASE
Chapter d12: dChronic dKidney dDisease dand dDialysis
Chapter d13: dSexually dTransmitted dDiseases
PART dSIX: dENDOCRINE dAND dMETABOLIC dDISEASE
Chapter d14: dDiabetes dMellitus
Chapter d15: dAdrenal dInsufficiency
Chapter d16: dThyroid dDiseases
Chapter d17: dPregnancy dand dBreast dFeeding
PART dSEVEN: dIMMUNOLOGIC dDISEASE
Chapter d18: dAIDS, dHIV dInfection, dand dRelated dConditions
Chapter d19: dAllergy
Chapter d20: dRheumatologic dand dConnective dTissue dDisorders
Chapter d21: dOrgan dand dBone dMarrow dTransplantation
PART dEIGHT: dHEMATOLOGIC dAND dONCOLOGIC dDISEASE
Chapter d22: dDisorders dof dRed dBlood dCells
Chapter d23: dDisorders dof dWhite dBlood dCells
Chapter d24: dAcquired dBleeding dand dHypercoagulable dDisorders
Chapter d25: dCongenital dBleeding dand dHypercoagulable dDisorders
Chapter d26: dCancer dand dOral dCare dof dthe dPatient
PART dNINE: dNEUROLOGIC, dBEHAVIORAL, dAND dPSYCHIATRIC dDISORDERS
Chapter d27: dNeurologic dDisorders
Chapter d28: dAnxiety, dEating dDisorders, dand dBehavioral dReactions dto dIllness
Chapter d29: dPsychiatric dDisorders
Chapter d30: dDrug dand dAlcohol dAbuse
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dMaterial
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Chapter d01: dPatient dEvaluation dand dRisk dAssessment
Little: dDental dManagement dof dthe dMedically dCompromised dPatient, d10th dEdition
MULTIPLE dCHOICE
1. Elective ddental dcare dshould dbe ddeferred dfor dpatients dwith dsevere, duncontrolled
hypertension, dmeaning dthat dthe dblood dpressure dis dgreater dthan dor dequal dto
d mm dHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: d C
Elective ddental dcare dshould dbe ddeferred dfor dpatients dwith dsevere, duncontrolled
dhypertension, dwhich dis dblood dpressure dgreater dthan dor dequal dto d180/110 dmm dHg, duntil
dthe dcondition dcan dbe dbrought dunder dcontrol.
2. The dAmerican dHeart dAssociation dcurrently drecommends dantibiotic dprophylaxis dfor da
dpatient dwith dwhich dof dthe dfollowing dcardiac dconditions?
a. Mitral dvalve dprolapse
b. Prosthetic dheart dvalve
c. Rheumatic dheart ddisease
d. Pacemakers dfor dcardiac darrhythmias
ANSWER: d B
Previously, dthe dAmerican dHeart dAssociation d(AHA) drecommended dantibiotic dprophylaxis
dfor dmany dpatients dwith dheart dmurmurs dcaused dby dvalvular ddisease d(e.g., dmitral dvalve
dprolapse, drheumatic dheart ddisease) din dan deffort dto dprevent dinfective dendocarditis; dhowever,
dcurrent dguidelines domit dthis drecommendation don dthe dbasis dof daccumulated dscientific
devidence. dIf da dmurmur dis ddue dto dcertain dspecific dcardiac dconditions d(e.g., dprevious
dendocarditis, dprosthetic dheart dvalve, dcomplex dcongenital dcyanotic dheart ddisease), dthe dAHA
dcontinues dto drecommend dantibiotic dprophylaxis dfor dmost ddental dprocedures.
3. One dconsequence dof dchronic dhepatitis d(B dor dC) dor dcirrhosis dof dthe dliver dis ddecreased
dability dof dthe dbody dto certain ddrugs, dincluding dlocal danesthetics dand danalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: d C
Patients dalso dmay dhave dchronic dhepatitis d(B dor dC) dor dcirrhosis, dwith dimpairment dof
dliver dfunction. dThis ddeficit dmay dresult din dprolonged dbleeding dand dless defficient
dmetabolism dof dcertain ddrugs, dincluding dlocal danesthetics dand danalgesics.
4. Which dof dthe dfollowing dsymptoms dand dsigns dis dmost dconsistent dwith dallergy?
a. Heart dpalpitations
b. Itching
c. Vomiting
d. Fainting
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dMaterial
Page d1 dof d74
ANSWER: d B
Symptoms dand dsigns dconsistent dwith dallergy dinclude ditching, durticaria d(hives), drash,
dswelling, dwheezing, dangioedema, drunny dnose, dand dtearing deyes. dIsolated dsigns dand
dsymptoms dsuch das dnausea, dvomiting, dheart dpalpitations, dand dfainting dgenerally dare dnot dof
dan dallergic dorigin dbut drather dare dmanifestations dof ddrug dintolerance, dadverse dside deffects,
dor dpsychogenic dreactions.
5. Which dof dthe dfollowing dis dtrue dof dthe dpatient dwith da dhistory dof dtuberculosis?
a. A dpositive dresult don dskin dtesting dmeans dthat dthe dperson dhas dactive dTB.
b. Most dpatients dwho dbecome dpositive dskin dtesters ddevelop dactive ddisease.
c. Patients dwith dacquired dimmunodeficiency dsyndrome d(AIDS) dhave da dhigh
incidence dof dtuberculosis.
d
d. A ddiagnosis dof dactive dTB dis dmade dby da dpurified dprotein dderivative d(PPD) dskin dtest.
ANSWER: d C
The dpotential dcoexistence dof dtuberculosis dand dacquired dimmunodeficiency dsyndrome
d(AIDS) dshould dbe dexplored dbecause dpatients dwith dAIDS dhave da dhigh dincidence dof
dtuberculosis. dA dpositive dresult don dskin dtesting dmeans dspecifically dthat dthe dperson dhas dat
dsome dtime dbeen dinfected dwith dTB, dnot dnecessarily dthat dactive ddisease dis dpresent. dMost
dpatients dwho dbecome dpositive dskin dtesters ddo dnot ddevelop dactive ddisease. dA ddiagnosis dof
dactive dTB dis dmade dby dchest dx-ray, dimaging, dsputum dculture, dand dclinical dexamination.
6. Vasoconstrictors dshould dbe davoided din dpatients dwho dcocaine dor dmethamphetamine
users dbecause dthese dagents dmay dprecipitate
d .
a. severe dhypotension
b. severe dhypertension
c. respiratory ddepression
d. cessation dof dintestinal dperistalsis
ANSWER: d B
Vasoconstrictors dshould dbe davoided din dpatients dwho dare dcocaine dor dmethamphetamine
dusers dbecause dthe dcombination dmay dprecipitate darrhythmias, dMI, dor dsevere dhypertension.
7. It dhas dbeen dshown dthat dthe drisk dfor doccurrence dof da dserious dperioperative dcardiovascular
devent d(e.g., dMI, dheart dfailure) dis dincreased din dpatients dwho dare dunable dto dmeet da d-MET
d(metabolic dequivalent dof dtask) ddemand dduring dnormal ddaily dactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: d A
Daily dactivities drequiring d4 dMETs dinclude dlevel dwalking dat d4 dmiles/hour dor dclimbing da dflight
dof dstairs. dActivities drequiring dgreater dthan d10 dMETs dinclude dswimming dand dsingles dtennis.
dAn dexercise dcapacity dof d10 dto d13 dMETs dindicates dexcellent dphysical dconditioning.
8. Which dof dthe dfollowing dalterations din dthe dfingernails dis dassociated dwith dcirrhosis?
a. Yellowing
b. Clubbing
c. White ddiscoloration
d. Splinter dhemorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
d d d d d d d
d of the Medically Compromised Patient,
d d d d
10th Edition by Craig Miller,
d d d d d
Chapters 1 - 30 d d d
,Little: dDental dManagement dof dthe dMedically dCompromised dPatient, d10th dEdition dTest
dBank
Table dof dContents
PART dONE: dPATIENT dEVALUATION dAND dRISK dASSESSMENT
Chapter d1: dPatient dEvaluation dand dRisk dAssessment
PART dTWO: dCARDIOVASCULAR dDISEASE
Chapter d2: dInfective dEndocarditis
Chapter d3: dHypertension
Chapter d4: dIschemic dHeart dDisease
Chapter d5: dCardiac dArrhythmias
Chapter d6: dHeart dFailure d(or dCongestive dHeart dFailure)
PART dTHREE: dPULMONARY dDISEASE
Chapter d7: dPulmonary dDisease
Chapter d8: dSmoking dand dTobacco dUse dCessation
Chapter d9: dSleep-Related dBreathing dDisorders
PART dFOUR: dGASTROINTESTIAL dDISEASE
Chapter d10: dLiver dDisease
Chapter d11: dGastrointestinal dDisease
PART dFIVE: dGENITOURINARY dDISEASE
Chapter d12: dChronic dKidney dDisease dand dDialysis
Chapter d13: dSexually dTransmitted dDiseases
PART dSIX: dENDOCRINE dAND dMETABOLIC dDISEASE
Chapter d14: dDiabetes dMellitus
Chapter d15: dAdrenal dInsufficiency
Chapter d16: dThyroid dDiseases
Chapter d17: dPregnancy dand dBreast dFeeding
PART dSEVEN: dIMMUNOLOGIC dDISEASE
Chapter d18: dAIDS, dHIV dInfection, dand dRelated dConditions
Chapter d19: dAllergy
Chapter d20: dRheumatologic dand dConnective dTissue dDisorders
Chapter d21: dOrgan dand dBone dMarrow dTransplantation
PART dEIGHT: dHEMATOLOGIC dAND dONCOLOGIC dDISEASE
Chapter d22: dDisorders dof dRed dBlood dCells
Chapter d23: dDisorders dof dWhite dBlood dCells
Chapter d24: dAcquired dBleeding dand dHypercoagulable dDisorders
Chapter d25: dCongenital dBleeding dand dHypercoagulable dDisorders
Chapter d26: dCancer dand dOral dCare dof dthe dPatient
PART dNINE: dNEUROLOGIC, dBEHAVIORAL, dAND dPSYCHIATRIC dDISORDERS
Chapter d27: dNeurologic dDisorders
Chapter d28: dAnxiety, dEating dDisorders, dand dBehavioral dReactions dto dIllness
Chapter d29: dPsychiatric dDisorders
Chapter d30: dDrug dand dAlcohol dAbuse
, WWW.GRADESMORE.COM
Stuvia.com d- dThe dMarketplace dto dBuy dand dSell dyour dStudy
dMaterial
Page d1 dof d74
Chapter d01: dPatient dEvaluation dand dRisk dAssessment
Little: dDental dManagement dof dthe dMedically dCompromised dPatient, d10th dEdition
MULTIPLE dCHOICE
1. Elective ddental dcare dshould dbe ddeferred dfor dpatients dwith dsevere, duncontrolled
hypertension, dmeaning dthat dthe dblood dpressure dis dgreater dthan dor dequal dto
d mm dHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: d C
Elective ddental dcare dshould dbe ddeferred dfor dpatients dwith dsevere, duncontrolled
dhypertension, dwhich dis dblood dpressure dgreater dthan dor dequal dto d180/110 dmm dHg, duntil
dthe dcondition dcan dbe dbrought dunder dcontrol.
2. The dAmerican dHeart dAssociation dcurrently drecommends dantibiotic dprophylaxis dfor da
dpatient dwith dwhich dof dthe dfollowing dcardiac dconditions?
a. Mitral dvalve dprolapse
b. Prosthetic dheart dvalve
c. Rheumatic dheart ddisease
d. Pacemakers dfor dcardiac darrhythmias
ANSWER: d B
Previously, dthe dAmerican dHeart dAssociation d(AHA) drecommended dantibiotic dprophylaxis
dfor dmany dpatients dwith dheart dmurmurs dcaused dby dvalvular ddisease d(e.g., dmitral dvalve
dprolapse, drheumatic dheart ddisease) din dan deffort dto dprevent dinfective dendocarditis; dhowever,
dcurrent dguidelines domit dthis drecommendation don dthe dbasis dof daccumulated dscientific
devidence. dIf da dmurmur dis ddue dto dcertain dspecific dcardiac dconditions d(e.g., dprevious
dendocarditis, dprosthetic dheart dvalve, dcomplex dcongenital dcyanotic dheart ddisease), dthe dAHA
dcontinues dto drecommend dantibiotic dprophylaxis dfor dmost ddental dprocedures.
3. One dconsequence dof dchronic dhepatitis d(B dor dC) dor dcirrhosis dof dthe dliver dis ddecreased
dability dof dthe dbody dto certain ddrugs, dincluding dlocal danesthetics dand danalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: d C
Patients dalso dmay dhave dchronic dhepatitis d(B dor dC) dor dcirrhosis, dwith dimpairment dof
dliver dfunction. dThis ddeficit dmay dresult din dprolonged dbleeding dand dless defficient
dmetabolism dof dcertain ddrugs, dincluding dlocal danesthetics dand danalgesics.
4. Which dof dthe dfollowing dsymptoms dand dsigns dis dmost dconsistent dwith dallergy?
a. Heart dpalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com d- dThe dMarketplace dto dBuy dand dSell dyour dStudy
dMaterial
Page d1 dof d74
ANSWER: d B
Symptoms dand dsigns dconsistent dwith dallergy dinclude ditching, durticaria d(hives), drash,
dswelling, dwheezing, dangioedema, drunny dnose, dand dtearing deyes. dIsolated dsigns dand
dsymptoms dsuch das dnausea, dvomiting, dheart dpalpitations, dand dfainting dgenerally dare dnot dof
dan dallergic dorigin dbut drather dare dmanifestations dof ddrug dintolerance, dadverse dside deffects,
dor dpsychogenic dreactions.
5. Which dof dthe dfollowing dis dtrue dof dthe dpatient dwith da dhistory dof dtuberculosis?
a. A dpositive dresult don dskin dtesting dmeans dthat dthe dperson dhas dactive dTB.
b. Most dpatients dwho dbecome dpositive dskin dtesters ddevelop dactive ddisease.
c. Patients dwith dacquired dimmunodeficiency dsyndrome d(AIDS) dhave da dhigh
incidence dof dtuberculosis.
d
d. A ddiagnosis dof dactive dTB dis dmade dby da dpurified dprotein dderivative d(PPD) dskin dtest.
ANSWER: d C
The dpotential dcoexistence dof dtuberculosis dand dacquired dimmunodeficiency dsyndrome
d(AIDS) dshould dbe dexplored dbecause dpatients dwith dAIDS dhave da dhigh dincidence dof
dtuberculosis. dA dpositive dresult don dskin dtesting dmeans dspecifically dthat dthe dperson dhas dat
dsome dtime dbeen dinfected dwith dTB, dnot dnecessarily dthat dactive ddisease dis dpresent. dMost
dpatients dwho dbecome dpositive dskin dtesters ddo dnot ddevelop dactive ddisease. dA ddiagnosis dof
dactive dTB dis dmade dby dchest dx-ray, dimaging, dsputum dculture, dand dclinical dexamination.
6. Vasoconstrictors dshould dbe davoided din dpatients dwho dcocaine dor dmethamphetamine
users dbecause dthese dagents dmay dprecipitate
d .
a. severe dhypotension
b. severe dhypertension
c. respiratory ddepression
d. cessation dof dintestinal dperistalsis
ANSWER: d B
Vasoconstrictors dshould dbe davoided din dpatients dwho dare dcocaine dor dmethamphetamine
dusers dbecause dthe dcombination dmay dprecipitate darrhythmias, dMI, dor dsevere dhypertension.
7. It dhas dbeen dshown dthat dthe drisk dfor doccurrence dof da dserious dperioperative dcardiovascular
devent d(e.g., dMI, dheart dfailure) dis dincreased din dpatients dwho dare dunable dto dmeet da d-MET
d(metabolic dequivalent dof dtask) ddemand dduring dnormal ddaily dactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: d A
Daily dactivities drequiring d4 dMETs dinclude dlevel dwalking dat d4 dmiles/hour dor dclimbing da dflight
dof dstairs. dActivities drequiring dgreater dthan d10 dMETs dinclude dswimming dand dsingles dtennis.
dAn dexercise dcapacity dof d10 dto d13 dMETs dindicates dexcellent dphysical dconditioning.
8. Which dof dthe dfollowing dalterations din dthe dfingernails dis dassociated dwith dcirrhosis?
a. Yellowing
b. Clubbing
c. White ddiscoloration
d. Splinter dhemorrhages
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