Test Bank For Dental Management of the Medically Compromised Patient 9th Edition by Little.

TESTBANK n
w




LITTLE AND FALACE'S DENTAL MANAGEMENT
nw nw nw nw




OF THE MEDICALLY COMPROMISEDPATIENT
nw nw nw nw n
w




9TH EDITION
nw




TESTBANK 2
p

,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
nw nw nw nw nw nw nw nw nw nw nw




Table of Contents nw nw


PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
nw nw nw nw nw nw


Chapter 1: Patient Evaluation and Risk Assessment
nw nw nw nw nw nw


PART TWO: CARDIOVASCULAR DISEASE
nw nw nw


Chapter 2: Infective Endocarditis Chapt
nw nw nw n w


er 3: Hypertension
nw nw


Chapter 4: Ischemic Heart Disease Ch
nw nw nw nw n w


apter 5: Cardiac Arrhythmias
nw nw nw


Chapter 6: Heart Failure (or Congestive Heart Failure)
nw nw nw nw nw nw nw


PART THREE: PULMONARY DISEASE
nw nw nw


Chapter 7: Pulmonary Disease
nw nw nw


Chapter 8: Smoking and Tobacco Use Cessation Cha
nw nw nw nw nw nw n w


pter 9: Sleep-
nw nw


Related Breathing Disorders PART FOUR: GASTROI
nw nw n w nw nw


NTESTIAL DISEASE nw


Chapter 10: Liver Disease nw nw nw


Chapter 11: Gastrointestinal Disease
nw nw nw


PART FIVE: GENITOURINARY DISEASE
nw nw nw


Chapter 12: Chronic Kidney Disease and Dialysis Cha
nw nw nw nw nw nw n w


pter 13: Sexually Transmitted Diseases
nw nw nw nw


PART SIX: ENDOCRINE AND METABOLIC DISEASE
nw nw nw nw nw


Chapter 14: Diabetes Mellitus Chapter
nw nw nw nw nw


15: Adrenal Insufficiency Chapter 16:
nw nw n w nw nw


Thyroid Diseases nw


Chapter 17: Pregnancy and Breast Feeding
nw nw nw nw nw


PART SEVEN: IMMUNOLOGIC DISEASE
nw nw nw


Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19
nw nw nw nw nw nw nw n w nw


: Allergy
nw


Chapter 20: Rheumatologic and Connective Tissue Disorders C
nw nw nw nw nw nw n w


hapter 21: Organ and Bone Marrow Transplantation
nw nw nw nw nw nw



PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
nw nw nw nw nw


Chapter 22: Disorders of Red Blood Cells Chapter
nw nw nw nw nw nw n w nw


23: Disorders of White Blood Cells
nw nw nw nw nw


Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Cha
nw nw nw nw nw nw n w


pter 25: Congenital Bleeding and Hypercoagulable Disorders Chapte
nw nw nw nw nw nw n w


r 26: Cancer and Oral Care of the Patient
nw nw nw nw nw nw nw nw


PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
nw nw nw nw nw nw


Chapter 27: Neurologic Disorders
nw nw nw


Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29
nw nw nw nw nw nw nw nw nw n w nw


: Psychiatric Disorders
nw nw


Chapter 30: Drug and Alcohol Abuse
nw nw nw nw nw

, WWW.GRADESMORE.COM
Stuvia.com2p-2pThe2pMarketplace2pto2pBuy2pand2pSell2pyour2pStudy2pMaterial
Page 1 of 74 2p 2p 2p



Chapter 01: Patient Evaluation and Risk Assessment
nw nw nw nw nw nw


Little: Dental Management of the Medically Compromised Patient, 9th Edition
nw nw nw nw nw nw nw nw nw




MULTIPLE CHOICE nw




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, me
nw nw nw nw nw nw nw nw nw nw nw n w


aning that the blood pressure is greater than or equal to
nw nw nw nw nw nw nw nw nw nw mm Hg. nw


a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C nw


Elective dental care should be deferred for patients with severe, uncontrolled hypertension, whi
nw nw nw nw nw nw nw nw nw nw nw n w


ch is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be broug
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw n w


ht under control.
nw nw




2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with
nw nw nw nw nw nw nw nw nw nw n w nw


which of the following cardiac conditions?
nw nw nw nw nw


a. Mitral valve prolapse nw nw


b. Prosthetic heart valve nw nw


c. Rheumatic heart disease nw nw


d. Pacemakers for cardiac arrhythmias nw nw nw




ANS: B nw


Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many
nw nw nw nw nw nw nw nw nw n w nw


patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic he
nw nw nw nw nw nw nw nw nw nw nw n w nw


art disease) in an effort to prevent infective endocarditis; however, current guidelines omit this re
nw nw nw nw nw nw nw nw nw nw n w nw nw nw


commendation on the basis of accumulated scientific evidence. If a murmur is due to certain spe
nw nw nw nw nw nw nw nw nw n w nw nw nw nw nw


cific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cya
nw nw nw nw nw nw n w nw nw nw nw


notic heart disease), the AHA continues to recommend antibiotic prophylaxis for most dental proc
nw nw nw nw nw nw nw n w nw nw nw nw nw


edures.

3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw n w the
body to
nw nw certain drugs, including local anesthetics and analgesics.
nw nw nw nw nw nw


a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C nw


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver fun
nw nw nw nw nw nw nw nw nw nw nw nw nw nw n w


ction. This deficit may result in prolonged bleeding and less efficient metabolism of certain
nw nw nw nw nw nw nw nw nw nw nw nw n w nw


drugs, including local anesthetics and analgesics.
nw nw nw nw nw




4. Which of the following symptoms and signs is most consistent with allergy?
nw nw nw nw nw nw nw nw nw nw nw


a. Heart palpitations nw


b. Itching
c. Vomiting
d. Fainting




WWW.NURSYLAB.COM
GRADESMORE.COM

, WWW.GRADESMORE.COM
Stuvia.com2p-2pThe2pMarketplace2pto2pBuy2pand2pSell2pyour2pStudy2pMaterial
Page 1 of 74 2p 2p 2p




ANS: B nw


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, whee
nw nw nw nw nw nw nw nw nw nw nw n w


zing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea,
nw nw nw nw nw nw nw nw nw nw nw nw n w n


vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are ma
w nw nw nw nw nw nw nw nw nw nw nw nw n w nw nw


nifestations of drug intolerance, adverse side effects, or psychogenic reactions.
nw nw nw nw nw nw nw nw nw




5. Which of the following is true of the patient with a history of tuberculosis?
nw nw nw nw nw nw nw nw nw nw nw nw nw


a. A positive result on skin testing means that the person has active TB.
nw nw nw nw nw nw nw nw nw nw nw nw


b. Most patients who become positive skin testers develop active disease.
nw nw nw nw nw nw nw nw nw


c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tu
nw nw nw nw nw nw nw nw nw nw nw


berculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
nw nw nw nw nw nw nw nw nw nw nw nw nw nw




ANS: C nwn w


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should
nw nw nw nw nw nw nw nw nw n w


be explored because patients with AIDS have a high incidence of tuberculosis. A positive result
nw nw nw nw nw nw nw nw nw nw nw nw nw n w nw nw


on skin testing means specifically that the person has at some time been infected with TB, not n
nw nw nw nw nw nw nw nw nw nw nw nw n w nw nw nw nw


ecessarily that active disease is present. Most patients who become positive skin testers do not
nw nw nw nw nw nw nw nw nw n w nw nw nw nw nw


develop active disease. A diagnosis of active TB is made by chest x-
nw nw nw nw nw nw nw nw nw nw nw n w


ray, imaging, sputum culture, and clinical examination.
nw nw nw nw nw nw




6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
nw nw nw nw nw nw nw nw nw nw n w be
cause these agents may precipitate
nw nw nw nw .
a. severe hypotension nw


b. severe hypertension nw


c. respiratory depression nw


d. cessation of intestinal peristalsis nw nw nw




ANS: B nw


Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
nw nw nw nw nw nw nw nw nw nw nw n w bec
ause the combination may precipitate arrhythmias, MI, or severe hypertension.
nw nw nw nw nw nw nw nw nw




7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
nw nw nw nw nw nw nw nw nw nw nw nw nw nw n w (e
.g., MI, heart failure) is increased in patients who are unable to meet a -
nw nw nw nw nw nw nw nw nw nw nw nw nw nw


MET (metabolic equivalent of task) demand during normal daily activity.
nw n w nw nw nw nw nw nw nw


a. 4
b. 6
c. 8
d. 10
ANS: A nw


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs.
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw n w n


wActivities requiring greater than 10 METs include swimming and singles tennis. An exercise capac
nw nw nw nw nw nw nw nw nw nw nw n w nw


ity of 10 to 13 METs indicates excellent physical conditioning.
nw nw nw nw nw nw nw nw nw




8. Which of the following alterations in the fingernails is associated with cirrhosis?
nw nw nw nw nw nw nw nw nw nw nw


a. Yellowing
b. Clubbing
c. White discoloration nw


d. Splinter hemorrhages nw




WWW.NURSYLAB.COM
GRADESMORE.COM