10th Edition
g 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
g
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
g Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with
g severe, uncontrolled hypertension, meaning that the g blood
g 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,
g g g g g g g g g
uncontrolled
g hypertension, which is blood pressure greater g g g g g g g g g g g g g
than or
g equal to 180/110
g mm Hg, until the
g condition g g g g g g g g g g g g g g g g
can be brought
g under g control. g g g g g g
2. The American Heart Association currently recommends antibiotic
prophylaxis for a
g patient with which of the following g
cardiac conditions?
g
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 g
antibiotic prophylaxis for many patients with heart murmurs
g
caused by valvulardisease
g (e.g., mitral valve prolapse, g g
rheumatic
g heart disease) in an effort to prevent infective
endocarditis; however, current guidelines omit
g this g g g
recommendation
g on the basis of accumulated scientific g g g g g g g g g g g g
evidence.
g If a murmur is due to certain specific
g g g g g g g g g g g g g g g g g
cardiac conditions (e.g., previous endocarditis, prosthetic
g g g g g g g g g g
heart
g valve, complex congenital cyanotic
g gheart disease), g g g g g g g g g
the
g AHA continues g to recommend
g antibiotic prophylaxis g g g g g g g g g g
for
g most dentalg procedures.
g g g g
3. One consequence of chronic hepatitis (B or C) or cirrhosis of
the liver
g is
decreased ability of the body tocertain g drugs, including local
anesthetics and analgesics.
g
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C
Patients also may have chronic
g hepatitis
g (B or C) or g g g g g g g g g g g g g g g g
cirrhosis,
g with impairment of liver function. This gdeficit g g g g g g g g g g g g g
may result
g g in prolonged bleeding and
g less efficient g g g g g g g g g g g g g
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