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
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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
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Chapter 3: Hypertension
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Chapter 4: Ischemic Heart Disease
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Chapter 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
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Chapter 9: Sleep-Related Breathing Disorders
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PART FOUR: GASTROINTESTIAL DISEASE
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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
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Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus
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Chapter 15: Adrenal Insufficiency
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Chapter 16: Thyroid Diseases
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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
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Chapter 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders
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Chapter 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
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Chapter 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
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Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
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Chapter 26: 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
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Chapter 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Qg Qg Qg Qg Qg Qg
Little: Dental Management of the Medically Compromised Patient, 10th Edition
Qg Qg Qg Qg Qg Qg Qg Qg Qg
MULTIPLE CHOICE Qg
1. Elective dental care should be deferred for patients with severe, uncontrolled
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hypertension, meaning that the blood pressure is greater than or equal to mm Hg.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C Qg
Elective dental care should be deferred for patients with severe, uncontrolled
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hypertension, which is blood pressure greater than or equal to 180/110 mm Hg,
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until the condition can be brought under control.
Qg Qg Qg Qg Qg Qg Qg Qg
2. The American Heart Association currently recommends antibiotic prophylaxis for a
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patient with which of the following cardiac conditions?
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a. Mitral valve prolapse Qg Qg
b. Prosthetic heart valve Qg Qg
c. Rheumatic heart disease Qg Qg
d. Pacemakers for cardiac arrhythmias Qg Qg Qg
ANSWER: B Qg
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis
Qg Qg Qg Qg Qg Qg Qg Qg
for many patients with heart murmurs caused by valvular disease (e.g., mitral valve
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
prolapse, rheumatic heart disease) in an effort to prevent infective endocarditis;
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
however, current guidelines omit this recommendation on the basis of accumulated
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
scientific evidence. If a murmur is due to certain specific cardiac conditions (e.g.,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart
Qg Qg Qg Qg Qg Qg Qg Qg Qg
disease), the AHA continues to recommend antibiotic prophylaxis for most dental
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
procedures.
Qg
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased
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Qg ability of the body to
Qg Qg Qg Qg certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C Qg
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment
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of liver function. This deficit may result in prolonged bleeding and less
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
efficient metabolism of certain drugs, including local anesthetics and analgesics.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
4. Which of the following symptoms and signs is most consistent with allergy?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Heart palpitations Qg
b. Itching
c. Vomiting
d. Fainting
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Page 1 of 74
ANSWER: B Qg
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
swelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
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symptoms such as nausea, vomiting, heart palpitations, and fainting generally are not
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of an allergic origin but rather are manifestations of drug intolerance, adverse side
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
effects, or psychogenic reactions.
Qg Qg Qg Qg
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.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
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
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incidence of tuberculosis.
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d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANSWER: Q g C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome
Qg Qg Qg Qg Qg Qg Qg Qg
(AIDS) should be explored because patients with AIDS have a high incidence of
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
tuberculosis. A positive result on skin testing means specifically that the person has
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
at some time been infected with TB, not necessarily that active disease is present.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Most patients who become positive skin testers do not develop active disease. A
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
diagnosis of active TB is made by chest x-ray, imaging, sputum culture, and clinical
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examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine
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users because these agents may precipitate .
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a. severe hypotension Qg
b. severe hypertension Qg
c. respiratory depression Qg
d. cessation of intestinal peristalsis Qg Qg Qg
ANSWER: B Qg
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
users because the combination may precipitate arrhythmias, MI, or severe
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
cardiovascular event (e.g., MI, heart failure) is increased in patients who are unable
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
to meet a -MET (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANSWER: A Qg
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
flight of stairs. Activities requiring greater than 10 METs include swimming and
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
singles tennis. An exercise capacity of 10 to 13 METs indicates excellent physical
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
conditioning.
Qg
8. Which of the following alterations in the fingernails is associated with cirrhosis?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Yellowing
b. Clubbing
WWW.NURSYLAB.COM
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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
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Bank
Qg
Table of Contents
Qg Qg
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Qg Qg Qg Qg Qg Qg
Chapter 1: Patient Evaluation and Risk Assessment
Qg Qg Qg Qg Qg Qg
PART TWO: CARDIOVASCULAR DISEASE
Qg Qg Qg
Chapter 2: Infective Endocarditis
Qg Qg Qg
Chapter 3: Hypertension
Qg Qg
Chapter 4: Ischemic Heart Disease
Qg Qg Qg Qg
Chapter 5: Cardiac Arrhythmias
Qg Qg Qg
Chapter 6: Heart Failure (or Congestive Heart Failure)
Qg Qg Qg Qg Qg Qg Qg
PART THREE: PULMONARY DISEASE
Qg Qg Qg
Chapter 7: Pulmonary Disease
Qg Qg Qg
Chapter 8: Smoking and Tobacco Use Cessation
Qg Qg Qg Qg Qg Qg
Chapter 9: Sleep-Related Breathing Disorders
Qg Qg Qg Qg
PART FOUR: GASTROINTESTIAL DISEASE
Qg Qg Qg
Chapter 10: Liver Disease
Qg Qg Qg
Chapter 11: Gastrointestinal Disease
Qg Qg Qg
PART FIVE: GENITOURINARY DISEASE
Qg Qg Qg
Chapter 12: Chronic Kidney Disease and Dialysis
Qg Qg Qg Qg Qg Qg
Chapter 13: Sexually Transmitted Diseases
Qg Qg Qg Qg
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Qg Qg Qg Qg Qg
Chapter 14: Diabetes Mellitus
Qg Qg Qg
Chapter 15: Adrenal Insufficiency
Qg Qg Qg
Chapter 16: Thyroid Diseases
Qg Qg Qg
Chapter 17: Pregnancy and Breast Feeding
Qg Qg Qg Qg Qg
PART SEVEN: IMMUNOLOGIC DISEASE
Qg Qg Qg
Chapter 18: AIDS, HIV Infection, and Related Conditions
Qg Qg Qg Qg Qg Qg Qg
Chapter 19: Allergy
Qg Qg
Chapter 20: Rheumatologic and Connective Tissue Disorders
Qg Qg Qg Qg Qg Qg
Chapter 21: Organ and Bone Marrow Transplantation
Qg Qg Qg Qg Qg Qg
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Qg Qg Qg Qg Qg
Chapter 22: Disorders of Red Blood Cells
Qg Qg Qg Qg Qg Qg
Chapter 23: Disorders of White Blood Cells
Qg Qg Qg Qg Qg Qg
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Qg Qg Qg Qg Qg Qg
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Qg Qg Qg Qg Qg Qg
Chapter 26: Cancer and Oral Care of the Patient
Qg Qg Qg Qg Qg Qg Qg Qg
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Qg Qg Qg Qg Qg Qg
Chapter 27: Neurologic Disorders
Qg Qg Qg
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Qg Qg Qg Qg Qg Qg Qg Qg Qg
Chapter 29: Psychiatric Disorders
Qg Qg Qg
Chapter 30: Drug and Alcohol Abuse
Qg Qg Qg Qg Qg
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Qg Qg Qg Qg Qg Qg
Little: Dental Management of the Medically Compromised Patient, 10th Edition
Qg Qg Qg Qg Qg Qg Qg Qg Qg
MULTIPLE CHOICE Qg
1. Elective dental care should be deferred for patients with severe, uncontrolled
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hypertension, meaning that the blood pressure is greater than or equal to mm Hg.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C Qg
Elective dental care should be deferred for patients with severe, uncontrolled
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hypertension, which is blood pressure greater than or equal to 180/110 mm Hg,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
until the condition can be brought under control.
Qg Qg Qg Qg Qg Qg Qg Qg
2. The American Heart Association currently recommends antibiotic prophylaxis for a
Qg Qg Qg Qg Qg Qg Qg Qg Qg
patient with which of the following cardiac conditions?
Qg Qg Qg Qg Qg Qg Qg Qg
a. Mitral valve prolapse Qg Qg
b. Prosthetic heart valve Qg Qg
c. Rheumatic heart disease Qg Qg
d. Pacemakers for cardiac arrhythmias Qg Qg Qg
ANSWER: B Qg
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis
Qg Qg Qg Qg Qg Qg Qg Qg
for many patients with heart murmurs caused by valvular disease (e.g., mitral valve
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
prolapse, rheumatic heart disease) in an effort to prevent infective endocarditis;
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
however, current guidelines omit this recommendation on the basis of accumulated
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
scientific evidence. If a murmur is due to certain specific cardiac conditions (e.g.,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart
Qg Qg Qg Qg Qg Qg Qg Qg Qg
disease), the AHA continues to recommend antibiotic prophylaxis for most dental
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
procedures.
Qg
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg ability of the body to
Qg Qg Qg Qg certain drugs, including local anesthetics and analgesics.
Qg Qg Qg Qg Qg Qg
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C Qg
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
of liver function. This deficit may result in prolonged bleeding and less
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
efficient metabolism of certain drugs, including local anesthetics and analgesics.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
4. Which of the following symptoms and signs is most consistent with allergy?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Heart palpitations Qg
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
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, WWW.GRADESMORE.COM
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Page 1 of 74
ANSWER: B Qg
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
swelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are not
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
of an allergic origin but rather are manifestations of drug intolerance, adverse side
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
effects, or psychogenic reactions.
Qg Qg Qg Qg
5. Which of the following is true of the patient with a history of tuberculosis?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. A positive result on skin testing means that the person has active TB.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. Most patients who become positive skin testers develop active disease.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high
Qg Qg Qg Qg Qg Qg Qg Qg
incidence of tuberculosis.
Qg Qg Qg
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANSWER: Q g C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome
Qg Qg Qg Qg Qg Qg Qg Qg
(AIDS) should be explored because patients with AIDS have a high incidence of
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
tuberculosis. A positive result on skin testing means specifically that the person has
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
at some time been infected with TB, not necessarily that active disease is present.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Most patients who become positive skin testers do not develop active disease. A
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
diagnosis of active TB is made by chest x-ray, imaging, sputum culture, and clinical
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
examination.
Qg
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine
Qg Qg Qg Qg Qg Qg Qg Qg Qg
users because these agents may precipitate .
Qg Qg Qg Qg Qg Qg
a. severe hypotension Qg
b. severe hypertension Qg
c. respiratory depression Qg
d. cessation of intestinal peristalsis Qg Qg Qg
ANSWER: B Qg
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
users because the combination may precipitate arrhythmias, MI, or severe
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hypertension.
Qg
7. It has been shown that the risk for occurrence of a serious perioperative
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
cardiovascular event (e.g., MI, heart failure) is increased in patients who are unable
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
to meet a -MET (metabolic equivalent of task) demand during normal daily activity.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. 4
b. 6
c. 8
d. 10
ANSWER: A Qg
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
flight of stairs. Activities requiring greater than 10 METs include swimming and
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
singles tennis. An exercise capacity of 10 to 13 METs indicates excellent physical
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
conditioning.
Qg
8. Which of the following alterations in the fingernails is associated with cirrhosis?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Yellowing
b. Clubbing
WWW.NURSYLAB.COM
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