Test Bank For Dental Management of the Medically Compromised Patient 9th Edition by James Little; Craig Miller; Nelson Rhodus 9780323443555 Chapter 1-30 Complete Guide.

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LITTLE AND FALACE'S DENTAL MANAGEMENT
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OF THE MEDICALLY COMPROMISEDPATIENT
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9TH EDITION2p




TESTBANK 2
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,Little: Dental Management of the Medically Compromised Patient, 9th 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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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis Chapt
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er 3: Hypertension
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Chapter 4: Ischemic Heart Disease Cha
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pter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease
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Chapter 8: Smoking and Tobacco Use Cessation Chap
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ter 9: Sleep-
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Related Breathing Disorders PART FOUR: GASTROI
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NTESTIAL DISEASE 2p


Chapter 10: Liver Disease
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Chapter 11: Gastrointestinal Disease
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PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis Chap
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ter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapter
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15: Adrenal Insufficiency Chapter 16: T
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hyroid Diseases 2p


Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19:
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Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Ch
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apter 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 2
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3: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
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er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 2
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6: Cancer 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
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Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29:
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Psychiatric Disorders 2p


Chapter 30: Drug and Alcohol Abuse
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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 2p




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, mean
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ing 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
ANS: C 2p


Elective dental care should be deferred for patients with severe, uncontrolled hypertension, whic
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h is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought
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under control. 2p




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


b. Prosthetic heart valve 2p 2p


c. Rheumatic heart disease 2p 2p


d. Pacemakers for cardiac arrhythmias 2p 2p 2p




ANS: B 2p


Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many p
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atients 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 recom
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mendation on the basis of accumulated scientific evidence. If a murmur is due to certain specific c
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ardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic h
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eart disease), the AHA 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 b
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ody to 2p certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C 2p


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver functi
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on. This deficit may result in prolonged bleeding and less efficient metabolism of certain dru
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gs, including 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 2p


b. Itching
c. Vomiting
d. Fainting




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ANS: B 2p


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezi
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ng, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vo
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miting, heart palpitations, and fainting generally are not of an allergic origin but rather are manifest
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ations of drug intolerance, adverse side effects, or psychogenic reactions.
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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 tub
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erculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANS: C 2p2 p


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should
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be explored because patients with AIDS have a high incidence of tuberculosis. A positive result on
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pskin testing means specifically that the person has at some time been infected with TB, not necess
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arily that active disease is present. Most patients who become positive skin testers do not develop
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active disease. A diagnosis of active TB is made by chest x-
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ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
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ause these agents may precipitate
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a. severe hypotension 2p


b. severe hypertension 2p


c. respiratory depression 2p


d. cessation of intestinal peristalsis 2p 2p 2p




ANS: B 2p


Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
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use 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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., MI, 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 2p


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. A
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ctivities 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. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration 2p


d. Splinter hemorrhages 2p




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