Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little:LDentalLManagementLofLtheLMedicallyLCompromisedLPatient,L10thLEditionL
TestLBank
TableLofLContents
PARTLONE:LPATIENTLEVALUATIONLANDLRISKLASSESSMENT
ChapterL1:LPatientLEvaluationLandLRiskLAssessment
PARTLTWO:LCARDIOVASCULARLDISEASE
ChapterL2:LInfectiveLEndocarditis
ChapterL3:LHypertension
ChapterL4:LIschemicLHeartLDisease
ChapterL5:LCardiacLArrhythmias
ChapterL6:LHeartLFailureL(orLCongestiveLHeartLFailure)
PARTLTHREE:LPULMONARYLDISEASE
ChapterL7:LPulmonaryLDisease
ChapterL8:LSmokingLandLTobaccoLUseLCessation
ChapterL9:LSleep-RelatedLBreathingLDisorders
PARTLFOUR:LGASTROINTESTIALLDISEASE
ChapterL10:LLiverLDisease
ChapterL11:LGastrointestinalLDisease
PARTLFIVE:LGENITOURINARYLDISEASE
ChapterL12:LChronicLKidneyLDiseaseLandLDialysis
ChapterL13:LSexuallyLTransmittedLDiseases
PARTLSIX:LENDOCRINELANDLMETABOLICLDISEASE
ChapterL14:LDiabetesLMellitus
ChapterL15:LAdrenalLInsufficiency
ChapterL16:LThyroidLDiseases
ChapterL17:LPregnancyLandLBreastLFeeding
PARTLSEVEN:LIMMUNOLOGICLDISEASE
ChapterL18:LAIDS,LHIVLInfection,LandLRelatedLConditions
ChapterL19:LAllergy
ChapterL20:LRheumatologicLandLConnectiveLTissueLDisorders
ChapterL21:LOrganLandLBoneLMarrowLTransplantation
PARTLEIGHT:LHEMATOLOGICLANDLONCOLOGICLDISEASE
ChapterL22:LDisordersLofLRedLBloodLCells
ChapterL23:LDisordersLofLWhiteLBloodLCells
ChapterL24:LAcquiredLBleedingLandLHypercoagulableLDisorders
ChapterL25:LCongenitalLBleedingLandLHypercoagulableLDisorders
ChapterL26:LCancerLandLOralLCareLofLtheLPatient
PARTLNINE:LNEUROLOGIC,LBEHAVIORAL,LANDLPSYCHIATRICLDISORDER
S
ChapterL27:LNeurologicLDisorders
ChapterL28:LAnxiety,LEatingLDisorders,LandLBehavioralLReactionsLtoLIllness
ChapterL29:LPsychiatricLDisorders
ChapterL30:LDrugLandLAlcoholLAbuse
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ChapterL01:LPatientLEvaluationLandLRiskLAssessment
Little:LDentalLManagementLofLtheLMedicallyLCompromisedLPatient,L10thLEdition
MULTIPLELCHOICE
1. ElectiveLdentalLcareLshouldLbeLdeferredLforLpatientsLwithLsevere,LuncontrolledLhyp
ertension,LmeaningLthatLtheLbloodLpressureLisLgreaterLthanLorLequalLto
mmLHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:L C
ElectiveLdentalLcareLshouldLbeLdeferredLforLpatientsLwithLsevere,LuncontrolledLhyp
ertension,LwhichLisLbloodLpressureLgreaterLthanLorLequalLtoL180/110LmmLHg,Lunt
ilLtheLconditionLcanLbeLbroughtLunderLcontrol.
2. TheLAmericanLHeartLAssociationLcurrentlyLrecommendsLantibioticLprophylaxisLforL
aLpatientLwithLwhichLofLtheLfollowingLcardiacLconditions?
a. MitralLvalveLprolapse
b. ProstheticLheartLvalve
c. RheumaticLheartLdisease
d. PacemakersLforLcardiacLarrhythmias
ANSWER:L B
Previously,LtheLAmericanLHeartLAssociationL(AHA)LrecommendedLantibioticLprophyla
xisLforLmanyLpatientsLwithLheartLmurmursLcausedLbyLvalvularLdiseaseL(e.g.,LmitralL
valveLprolapse,LrheumaticLheartLdisease)LinLanLeffortLtoLpreventLinfectiveLendocarditi
s;Lhowever,LcurrentLguidelinesLomitLthisLrecommendationLonLtheLbasisLofLaccumulate
dLscientificLevidence.LIfLaLmurmurLisLdueLtoLcertainLspecificLcardiacLconditionsL(e.g
.,LpreviousLendocarditis,LprostheticLheartLvalve,LcomplexLcongenitalLcyanoticLheartLdi
sease),LtheLAHALcontinuesLtoLrecommendLantibioticLprophylaxisLforLmostLdentalLpro
cedures.
3. OneLconsequenceLofLchronicLhepatitisL(BLorLC)LorLcirrhosisLofLtheLliverLisLdecrea
sedLabilityLofLtheLbodyLto certainLdrugs,LincludingLlocalLanestheticsLandLanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:L C
PatientsLalsoLmayLhaveLchronicLhepatitisL(BLorLC)LorLcirrhosis,LwithLimpairm
entLofLliverLfunction.LThisLdeficitLmayLresultLinLprolongedLbleedingLandLlessL
efficientLmetabolismLofLcertainLdrugs,LincludingLlocalLanestheticsLandLanalgesic
s.
4. WhichLofLtheLfollowingLsymptomsLandLsignsLisLmostLconsistentLwithLallergy?
a. HeartLpalpitations
b. Itching
c. Vomiting
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ANSWER:L B
SymptomsLandLsignsLconsistentLwithLallergyLincludeLitching,LurticariaL(hives),Lrash,Ls
welling,Lwheezing,Langioedema,LrunnyLnose,LandLtearingLeyes.LIsolatedLsignsLandLsy
mptomsLsuchLasLnausea,Lvomiting,LheartLpalpitations,LandLfaintingLgenerallyLareLnot
LofLanLallergicLoriginLbutLratherLareLmanifestationsLofLdrugLintolerance,LadverseLsid
eLeffects,LorLpsychogenicLreactions.
5. WhichLofLtheLfollowingLisLtrueLofLtheLpatientLwithLaLhistoryLofLtuberculosis?
a. ALpositiveLresultLonLskinLtestingLmeansLthatLtheLpersonLhasLactiveLTB.
b. MostLpatientsLwhoLbecomeLpositiveLskinLtestersLdevelopLactiveLdisease.
c. PatientsLwithLacquiredLimmunodeficiencyLsyndromeL(AIDS)LhaveLaLhighLin
cidenceLofLtuberculosis.
d. ALdiagnosisLofLactiveLTBLisLmadeLbyLaLpurifiedLproteinLderivativeL(PPD)LskinLtes
t.
ANSWER:L C
TheLpotentialLcoexistenceLofLtuberculosisLandLacquiredLimmunodeficiencyLsyndromeL
(AIDS)LshouldLbeLexploredLbecauseLpatientsLwithLAIDSLhaveLaLhighLincidenceLofL
tuberculosis.LALpositiveLresultLonLskinLtestingLmeansLspecificallyLthatLtheLpersonLh
asLatLsomeLtimeLbeenLinfectedLwithLTB,LnotLnecessarilyLthatLactiveLdiseaseLisLpres
ent.LMostLpatientsLwhoLbecomeLpositiveLskinLtestersLdoLnotLdevelopLactiveLdisease.
LALdiagnosisLofLactiveLTBLisLmadeLbyLchestLx-
ray,Limaging,LsputumLculture,LandLclinicalLexamination.
6. VasoconstrictorsLshouldLbeLavoidedLinLpatientsLwhoLcocaineLorLmethamphetami
neLusersLbecauseLtheseLagentsLmayLprecipitate .
a. severeLhypotension
b. severeLhypertension
c. respiratoryLdepression
d. cessationLofLintestinalLperistalsis
ANSWER:L B
VasoconstrictorsLshouldLbeLavoidedLinLpatientsLwhoLareLcocaineLorLmethamphetamin
eLusersLbecauseLtheLcombinationLmayLprecipitateLarrhythmias,LMI,LorLsevereLhypert
ension.
7. ItLhasLbeenLshownLthatLtheLriskLforLoccurrenceLofLaLseriousLperioperativeLcardiova
scularLeventL(e.g.,LMI,LheartLfailure)LisLincreasedLinLpatientsLwhoLareLunableLtoLm
eetLaL-METL(metabolicLequivalentLofLtask)LdemandLduringLnormalLdailyLactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:L A
DailyLactivitiesLrequiringL4LMETsLincludeLlevelLwalkingLatL4Lmiles/hourLorLclimbingL
aLflightLofLstairs.LActivitiesLrequiringLgreaterLthanL10LMETsLincludeLswimmingLandLs
inglesLtennis.LAnLexerciseLcapacityLofL10LtoL13LMETsLindicatesLexcellentLphysicalLco
nditioning.
8. WhichLofLtheLfollowingLalterationsLinLtheLfingernailsLisLassociatedLwithLcirrhosis?
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