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 fconsequence fof fchronic fhepatitis f(B for fC) for fcirrhosis fof fthe fliver fis fdecreased
fability fof fthe fbody fto certain fdrugs, fincluding flocal fanesthetics fand fanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: f C
Patients falso fmay fhave fchronic fhepatitis f(B for fC) for fcirrhosis, fwith fimpairment fof
fliver ffunction. fThis fdeficit fmay fresult fin fprolonged fbleeding fand fless fefficient
fmetabolism fof fcertain fdrugs, fincluding flocal fanesthetics fand fanalgesics.
4. Which fof fthe ffollowing fsymptoms fand fsigns fis fmost fconsistent fwith fallergy?
a. Heart fpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: f B
Symptoms fand fsigns fconsistent fwith fallergy finclude fitching, furticaria f(hives), frash,
fswelling, fwheezing, fangioedema, frunny fnose, fand ftearing feyes. fIsolated fsigns fand
fsymptoms fsuch fas fnausea, fvomiting, fheart fpalpitations, fand ffainting fgenerally fare fnot fof
fan fallergic forigin fbut frather fare fmanifestations fof fdrug fintolerance, fadverse fside feffects,
for fpsychogenic freactions.
5. Which fof fthe ffollowing fis ftrue fof fthe fpatient fwith fa fhistory fof ftuberculosis?
a. A fpositive fresult fon fskin ftesting fmeans fthat fthe fperson fhas factive fTB.
b. Most fpatients fwho fbecome fpositive fskin ftesters fdevelop factive fdisease.
c. Patients fwith facquired fimmunodeficiency fsyndrome f(AIDS) fhave fa fhigh
fincidence fof ftuberculosis.
d. A fdiagnosis fof factive fTB fis fmade fby fa fpurified fprotein fderivative f(PPD) fskin ftest.
ANSWER: f C
The fpotential fcoexistence fof ftuberculosis fand facquired fimmunodeficiency fsyndrome
f(AIDS) fshould fbe fexplored fbecause fpatients fwith fAIDS fhave fa fhigh fincidence fof
ftuberculosis. fA fpositive fresult fon fskin ftesting fmeans fspecifically fthat fthe fperson fhas fat
fsome ftime fbeen finfected fwith fTB, fnot fnecessarily fthat factive fdisease fis fpresent. fMost
fpatients fwho fbecome fpositive fskin ftesters fdo fnot fdevelop factive fdisease. fA fdiagnosis fof
factive fTB fis fmade fby fchest fx-ray, fimaging, fsputum fculture, fand fclinical fexamination.
6. Vasoconstrictors fshould fbe favoided fin fpatients fwho fcocaine for fmethamphetamine
fusers fbecause fthese fagents fmay fprecipitate .
a. severe fhypotension
b. severe fhypertension
c. respiratory fdepression
d. cessation fof fintestinal fperistalsis
ANSWER: f B
Vasoconstrictors fshould fbe favoided fin fpatients fwho fare fcocaine for fmethamphetamine
fusers fbecause fthe fcombination fmay fprecipitate farrhythmias, fMI, for fsevere fhypertension.
7. It fhas fbeen fshown fthat fthe frisk ffor foccurrence fof fa fserious fperioperative fcardiovascular
fevent f(e.g., fMI, fheart ffailure) fis fincreased fin fpatients fwho fare funable fto fmeet fa f-MET
f(metabolic fequivalent fof ftask) fdemand fduring fnormal fdaily factivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: f A
Daily factivities frequiring f4 fMETs finclude flevel fwalking fat f4 fmiles/hour for fclimbing fa fflight
fof fstairs. fActivities frequiring fgreater fthan f10 fMETs finclude fswimming fand fsingles ftennis.
fAn fexercise fcapacity fof f10 fto f13 fMETs findicates fexcellent fphysical fconditioning.
8. Which fof fthe ffollowing falterations fin fthe ffingernails fis fassociated fwith fcirrhosis?
a. Yellowing
b. Clubbing
c. White fdiscoloration
d. Splinter fhemorrhages
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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 fconsequence fof fchronic fhepatitis f(B for fC) for fcirrhosis fof fthe fliver fis fdecreased
fability fof fthe fbody fto certain fdrugs, fincluding flocal fanesthetics fand fanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: f C
Patients falso fmay fhave fchronic fhepatitis f(B for fC) for fcirrhosis, fwith fimpairment fof
fliver ffunction. fThis fdeficit fmay fresult fin fprolonged fbleeding fand fless fefficient
fmetabolism fof fcertain fdrugs, fincluding flocal fanesthetics fand fanalgesics.
4. Which fof fthe ffollowing fsymptoms fand fsigns fis fmost fconsistent fwith fallergy?
a. Heart fpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: f B
Symptoms fand fsigns fconsistent fwith fallergy finclude fitching, furticaria f(hives), frash,
fswelling, fwheezing, fangioedema, frunny fnose, fand ftearing feyes. fIsolated fsigns fand
fsymptoms fsuch fas fnausea, fvomiting, fheart fpalpitations, fand ffainting fgenerally fare fnot fof
fan fallergic forigin fbut frather fare fmanifestations fof fdrug fintolerance, fadverse fside feffects,
for fpsychogenic freactions.
5. Which fof fthe ffollowing fis ftrue fof fthe fpatient fwith fa fhistory fof ftuberculosis?
a. A fpositive fresult fon fskin ftesting fmeans fthat fthe fperson fhas factive fTB.
b. Most fpatients fwho fbecome fpositive fskin ftesters fdevelop factive fdisease.
c. Patients fwith facquired fimmunodeficiency fsyndrome f(AIDS) fhave fa fhigh
fincidence fof ftuberculosis.
d. A fdiagnosis fof factive fTB fis fmade fby fa fpurified fprotein fderivative f(PPD) fskin ftest.
ANSWER: f C
The fpotential fcoexistence fof ftuberculosis fand facquired fimmunodeficiency fsyndrome
f(AIDS) fshould fbe fexplored fbecause fpatients fwith fAIDS fhave fa fhigh fincidence fof
ftuberculosis. fA fpositive fresult fon fskin ftesting fmeans fspecifically fthat fthe fperson fhas fat
fsome ftime fbeen finfected fwith fTB, fnot fnecessarily fthat factive fdisease fis fpresent. fMost
fpatients fwho fbecome fpositive fskin ftesters fdo fnot fdevelop factive fdisease. fA fdiagnosis fof
factive fTB fis fmade fby fchest fx-ray, fimaging, fsputum fculture, fand fclinical fexamination.
6. Vasoconstrictors fshould fbe favoided fin fpatients fwho fcocaine for fmethamphetamine
fusers fbecause fthese fagents fmay fprecipitate .
a. severe fhypotension
b. severe fhypertension
c. respiratory fdepression
d. cessation fof fintestinal fperistalsis
ANSWER: f B
Vasoconstrictors fshould fbe favoided fin fpatients fwho fare fcocaine for fmethamphetamine
fusers fbecause fthe fcombination fmay fprecipitate farrhythmias, fMI, for fsevere fhypertension.
7. It fhas fbeen fshown fthat fthe frisk ffor foccurrence fof fa fserious fperioperative fcardiovascular
fevent f(e.g., fMI, fheart ffailure) fis fincreased fin fpatients fwho fare funable fto fmeet fa f-MET
f(metabolic fequivalent fof ftask) fdemand fduring fnormal fdaily factivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: f A
Daily factivities frequiring f4 fMETs finclude flevel fwalking fat f4 fmiles/hour for fclimbing fa fflight
fof fstairs. fActivities frequiring fgreater fthan f10 fMETs finclude fswimming fand fsingles ftennis.
fAn fexercise fcapacity fof f10 fto f13 fMETs findicates fexcellent fphysical fconditioning.
8. Which fof fthe ffollowing falterations fin fthe ffingernails fis fassociated fwith fcirrhosis?
a. Yellowing
b. Clubbing
c. White fdiscoloration
d. Splinter fhemorrhages
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