Test Bank - Little And Falace's Dental Management
Of The Medically Compromised Patient 10th Edition.
,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
Ans: 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 Be 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
Ans: 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, Rheumatic Heart Disease) In An Effort To Prevent Infective Endocarditis;
However, Current Guidelines Omit This Recommendation On The Basis Of Accumulated
Scientific Evidence. If A Murmur Is Due To Certain Specific Cardiac Conditions (E.G.,
Previous Endocarditis, Prosthetic Heart Valve, Complex Congenital Cyanotic Heart
Disease), The Aha Continues To Recommend Antibiotic Prophylaxis 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
Ans: 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
, Ans: 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 Nausea, Vomiting, Heart Palpitations, And Fainting Generally Are
Not Of An Allergic Origin But Rather 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.
Ans: 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 Positive 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 Skin 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
Ans: B
Vasoconstrictors Should Be Avoided In Patients Who Are Cocaine Or Methamphetamine
Users Because 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
Ans: A
Daily Activities Requiring 4 Mets Include Level Walking At 4 Miles/Hour Or Climbing A
Flight Of Stairs. Activities Requiring Greater Than 10 Mets Include Swimming And Singles
Tennis. An Exercise 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
Of The Medically Compromised Patient 10th Edition.
,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
Ans: 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 Be 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
Ans: 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, Rheumatic Heart Disease) In An Effort To Prevent Infective Endocarditis;
However, Current Guidelines Omit This Recommendation On The Basis Of Accumulated
Scientific Evidence. If A Murmur Is Due To Certain Specific Cardiac Conditions (E.G.,
Previous Endocarditis, Prosthetic Heart Valve, Complex Congenital Cyanotic Heart
Disease), The Aha Continues To Recommend Antibiotic Prophylaxis 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
Ans: 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
, Ans: 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 Nausea, Vomiting, Heart Palpitations, And Fainting Generally Are
Not Of An Allergic Origin But Rather 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.
Ans: 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 Positive 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 Skin 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
Ans: B
Vasoconstrictors Should Be Avoided In Patients Who Are Cocaine Or Methamphetamine
Users Because 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
Ans: A
Daily Activities Requiring 4 Mets Include Level Walking At 4 Miles/Hour Or Climbing A
Flight Of Stairs. Activities Requiring Greater Than 10 Mets Include Swimming And Singles
Tennis. An Exercise 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
