TEST BANK - Little and Falace's Dental Management of the Medically Compromised Patient 9th Edition (2024) |COMPLETE GUIDE

Test Bank ForLittleand Falace's DentalManagement ofthe
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MedicallyCompromised Patient,
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10th Edition byCraig Miller,
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Chapters 1 - 30 s s s

,Little:Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
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Table of Contents
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PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter1: Patient Evaluation and Risk Assessment
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PARTTWO: CARDIOVASCULAR DISEASE
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Chapter2: Infective Endocarditis
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Chapter3: Hypertension
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Chapter4: IschemicHeart Disease
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Chapter5: Cardiac Arrhythmias
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Chapter6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: PulmonaryDisease
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Chapter8: Smoking and Tobacco Use Cessation
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Chapter9: Sleep-Related Breathing Disorders
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PART FOUR:GASTROINTESTIAL DISEASE
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Chapter10: Liver Disease
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Chapter11: Gastrointestinal Disease
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PARTFIVE: GENITOURINARY DISEASE
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Chapter12: ChronicKidney Disease and Dialysis
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Chapter13: SexuallyTransmitted Diseases
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PART SIX:ENDOCRINE AND METABOLIC DISEASE
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Chapter14: Diabetes Mellitus
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Chapter15: Adrenal Insufficiency
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Chapter16: Thyroid Diseases
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Chapter17: Pregnancy and Breast Feeding
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PART SEVEN:IMMUNOLOGIC DISEASE
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Chapter18: AIDS, HIV Infection, and Related Conditions
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Chapter19: Allergys s




Chapter20: Rheumatologic and Connective Tissue Disorders
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Chapter21: Organ and Bone Marrow Transplantation
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PARTEIGHT: HEMATOLOGIC ANDONCOLOGIC DISEASE
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Chapter22: Disorders of Red Blood Cells
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Chapter23: Disorders of WhiteBlood Cells
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Chapter24: Acquired Bleeding and Hypercoagulable Disorders
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Chapter25: Congenital Bleedingand Hypercoagulable Disorders
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Chapter26: Cancer and Oral Careof the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, ANDPSYCHIATRIC DISORDERS
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Chapter27: Neurologic Disorders
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Chapter28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
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Chapter29: Psychiatric Disorders
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Chapter30: Drugand Alcohol Abuse
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Chapter01:PatientEvaluationandRiskAssessment
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Little:DentalManagementoftheMedicallyCompromisedPatient,10thEdition
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MULTIPLECHOICE s




1. Electivedentalcareshouldbedeferred forpatientswithsevere,uncontrolledhypertension,
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meaning that 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
ANSWER: C s




Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
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which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought
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under control.
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2. TheAmerican Heart Association currentlyrecommends antibiotic prophylaxis forapatient with
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which of the following cardiac conditions?
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a. Mitralvalveprolapse s s




b. Prostheticheartvalve s s




c. Rheumaticheartdisease s s




d. Pacemakers forcardiacarrhythmias s s s




ANSWER: B s




Previously,theAmerican HeartAssociation(AHA)recommended antibioticprophylaxisfor many
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patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart
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disease) in an effort to prevent infective endocarditis; however, current guidelines omit this
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recommendation on the basis of accumulated scientific evidence. If a murmur is due to certain
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specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital
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cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis for most dental
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procedures.
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3. Oneconsequence of chronic hepatitis (BorC)or cirrhosis ofthe liver is decreased abilityof the body
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to
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C s




Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
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function. This deficit may result in prolonged bleeding and less efficient metabolism of
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certain drugs, including local anesthetics and analgesics.
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4. Whichofthe following symptoms and signs is most consistent with allergy?
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a. Heartpalpitations s




b. Itching
c. Vomiting
d. Fainting




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ANSWER: B s




Symptoms and signsconsistent with allergyincludeitching, urticaria(hives), rash, swelling, s s s s s s s s s s s




wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea,
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vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are
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manifestations of drugintolerance, adverseside effects, or psychogenic reactions.
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5. Which ofthe following is trueof the patient with ahistoryof tuberculosis?
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a. Apositive result on skintesting means that theperson has active TB.
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b. Mostpatients who becomepositive skin testers develop active disease.
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c. Patientswithacquiredimmunodeficiencysyndrome(AIDS)have ahighincidence of s s s s s s s s s s




s tuberculosis.
d. Adiagnosis of active TB is madebya purified protein derivative (PPD)skin test.
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ANSWER: C s




The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS)
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should be explored because patients with AIDS have a high incidence of tuberculosis. A positive
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result on skin testing means specifically that the person has at some time been infected with TB, not
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necessarily that active disease is present. Most patients who become positiveskin testers do not
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develop activedisease. Adiagnosis of activeTBis madebychest x-ray, imaging, sputum culture,
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and clinical examination.
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6. Vasoconstrictorsshould beavoidedinpatientswho cocaineormethamphetamineusers s s s s s s s s s s




because these agents may precipitate
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a. severehypotension s




b. severehypertension s




c. respiratory depression s




d. cessationofintestinal peristalsis s s s




ANSWER: B s




Vasoconstrictors should beavoidedin patients whoarecocaineormethamphetamine users because s s s s s s s s s s s s




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 (e.g.,
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MI, heart failure) is increased in patients who are unable to meet a -MET (metabolic equivalent of
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task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANSWER: A s




Dailyactivities requiring 4 METsincludelevel walkingat 4 miles/hour or climbingaflight of stairs.
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Activities requiring greater than 10 METs include swimming and singles tennis. An exercise capacity
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of 10 to 13 METs indicates excellent physical conditioning.
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8. Whichofthe following alterations in the fingernails isassociatedwith cirrhosis?
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a. Yellowing
b. Clubbing
c. Whitediscoloration s




d. Splinterhemorrhages s




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