Test Bank For Little and Falace's Dental Management of the Medically Compromised Patient, 10thEdition by Craig Miller, Chapters 1 - 30

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Test BankForLittleandFalace's DentalManagement of
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g the Medically Compromised Patient,
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10thEditionbyCraigMiller,Chapters 1
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g - 30 g




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Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank Table
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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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Chapter2: InfectiveEndocarditis
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Chapter 3: Hypertension
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Chapter4: IschemicHeart 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 PART
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FOUR:GASTROINTESTIALDISEASE
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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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Chapter12: Chronic KidneyDisease 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 Chapter
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15:Adrenal Insufficiency Chapter 16:
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Thyroid Diseases
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Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter18: AIDS, HIV Infection, and Related Conditions Chapter
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19: Allergy
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Chapter20: 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 Chapter
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23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
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Chapter25: Congenital Bleeding and HypercoagulableDisorders
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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 Chapter
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29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74 g g g


Chapter01:Patient Evaluationand RiskAssessment
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Little:DentalManagementoftheMedically CompromisedPatient,10thEdition
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MULTIPLE CHOICE g




1. Electivedental care should bedeferred for patients with severe, uncontrolled hypertension,
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gmeaning that the blood pressure is greater than or equal to
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C g




Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
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which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be
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brought under control.
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2. The American Heart Association currentlyrecommends antibiotic prophylaxis for a patient
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with which of the following cardiac conditions?
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a. Mitral valve prolapse g g




b. Prosthetic heart valve g g




c. Rheumatic heart disease g g




d. Pacemakers for cardiac arrhythmias g g g




ANSWER: B g




Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
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many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
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rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
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guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
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murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart
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valve, complex congenital cyanotic heart disease), the AHA continues to recommend antibiotic
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prophylaxis for most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased abilityof the
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body to
g g certain drugs, including local anesthetics and analgesics. g g g g g g




a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C g




Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
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function. This deficit may result in prolonged bleeding and less efficient metabolism of
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certain drugs, including local anesthetics and analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations g




b. Itching
c. Vomiting
d. Fainting




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Page 1 of 74 g g g




ANSWER: B g




Symptoms and signs consistent with allergy include itching, urticaria g g g g g g g g




g(hives), rash, swelling, wheezing, angioedema, runny nose, and tearing eyes.
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gIsolated signs and symptoms such as nausea, vomiting, heart palpitations,
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gand fainting generally are not of an allergic origin but rather are
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gmanifestations of drug intolerance, adverse side effects, or psychogenic g g g g g g g g




greactions.

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.
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b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) have a g g g g g g g




high incidence of tuberculosis.
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d. A diagnosis of active TB is made by a purified protein derivative
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(PPD) skin test.
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ANSWER: C
The potential coexistence of tuberculosis and acquired immunodeficiency
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syndrome (AIDS) should be explored because patients with AIDS have
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a high incidence of tuberculosis. A positive result on skin testing means
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specifically that the person has at some time been infected with TB,
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gnot necessarily that active disease is present. Most patients who become
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gpositive skin testers do not develop active disease. A diagnosis of
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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 g g g g g g g g




methamphetamine users because these agents may precipitate
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a. severe hypotension g g




b. severe hypertension g g




c. respiratory depression g




d. cessation of intestinal peristalsis g g g g g g




ANSWER: B
Vasoconstrictors should be avoided in patients who are cocaine or g g g g g g g g g




methamphetamine users because the combination may precipitate arrhythmias,
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MI, or severe hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative
cardiovascular
g event (e.g., MI, heart failure) is increased in patients who are
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unable to meet a -MET (metabolic equivalent of task) demand during
normal daily
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a. 4
b. 6
c. 8
d. 10
ANSWER: A
Daily activities requiring 4 METs include level walking at 4 miles/hour or
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climbing a flight of stairs. Activities requiring greater than 10 METs include
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swimming and singles tennis. An exercise capacity of 10 to 13 METs
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indicates
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excellent physical conditioning. g g g g




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