Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition 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
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74
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
ANSWER: 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
ANSWER: 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 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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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
dincidence dof dtuberculosis.
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
dusers dbecause dthese dagents dmay dprecipitate .
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
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of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition 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
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
, WWW.GRADESMORE.COM
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Page 1 of 74
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
ANSWER: 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
ANSWER: 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 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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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
dincidence dof dtuberculosis.
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
dusers dbecause dthese dagents dmay dprecipitate .
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
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