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Exam (elaborations)

Test Bank for Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition

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This document is the official test bank for Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition. It contains multiple-choice questions and detailed answer rationales covering all 30 chapters of the textbook. The content is organized into nine major parts, providing a comprehensive assessment tool for the management of patients with systemic diseases in a dental setting. Topics include Patient Evaluation and Risk Assessment ; management protocols for cardiovascular disease (e.g., Infective Endocarditis, Hypertension, Ischemic Heart Disease) ; pulmonary, gastrointestinal, genitourinary, endocrine (e.g., Diabetes Mellitus), and immunologic disorders (e.g., AIDS, Allergy) ; hematologic and oncologic diseases ; and neurologic, behavioral, and psychiatric disorders, including Drug and Alcohol Abuse.

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Dental Management
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Dental Management











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Institution
Dental Management
Course
Dental Management

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Uploaded on
October 22, 2025
Number of pages
125
Written in
2025/2026
Type
Exam (elaborations)
Contains
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Test Bank For Little and Falace's Dental Management of
II II II II II II II II I




the Medically Compromised Patient,
I II II II




10th Edition by Craig Miller,
II II II II II




Chapters 1 - 30 II II II

,Little:IIDentalIIManagementIIofIItheIIMedicallyIICompromisedIIPatient,II10thIIEdition
TestIIBank
TableIIofIIContents
PARTIIONE:IIPATIENTIIEVALUATIONIIANDIIRISKIIASSESSMENT
ChapterII1:IIPatientIIEvaluationIIandIIRiskIIAssessment
PARTIITWO:IICARDIOVASCULARIIDISEASE
ChapterII2:IIInfectiveIIEndocarditis
ChapterII3:IIHypertension
ChapterII4:IIIschemicIIHeartIIDisease
ChapterII5:IICardiacIIArrhythmias
ChapterII6:IIHeartIIFailureII(orIICongestiveIIHeartIIFailure)
PARTIITHREE:IIPULMONARYIIDISEASE
ChapterII7:IIPulmonaryIIDisease
ChapterII8:IISmokingIIandIITobaccoIIUseIICessation
ChapterII9:IISleep-RelatedIIBreathingIIDisorders
PARTIIFOUR:IIGASTROINTESTIALIIDISEASE
ChapterII10:IILiverIIDisease
ChapterII11:IIGastrointestinalIIDisease
PARTIIFIVE:IIGENITOURINARYIIDISEASE
ChapterII12:IIChronicIIKidneyIIDiseaseIIandIIDialysis
ChapterII13:IISexuallyIITransmittedIIDiseases
PARTIISIX:IIENDOCRINEIIANDIIMETABOLICIIDISEASE
ChapterII14:IIDiabetesIIMellitus
ChapterII15:IIAdrenalIIInsufficiency
ChapterII16:IIThyroidIIDiseases
ChapterII17:IIPregnancyIIandIIBreastIIFeeding
PARTIISEVEN:IIIMMUNOLOGICIIDISEASE
ChapterII18:IIAIDS,IIHIVIIInfection,IIandIIRelatedIIConditions
ChapterII19:IIAllergy
ChapterII20:IIRheumatologicIIandIIConnectiveIITissueIIDisorders
ChapterII21:IIOrganIIandIIBoneIIMarrowIITransplantation
PARTIIEIGHT:IIHEMATOLOGICIIANDIIONCOLOGICIIDISEASE
ChapterII22:IIDisordersIIofIIRedIIBloodIICells
ChapterII23:IIDisordersIIofIIWhiteIIBloodIICells
ChapterII24:IIAcquiredIIBleedingIIandIIHypercoagulableIIDisorders
ChapterII25:IICongenitalIIBleedingIIandIIHypercoagulableIIDisorders
ChapterII26:IICancerIIandIIOralIICareIIofIItheIIPatient
PARTIININE:IINEUROLOGIC,IIBEHAVIORAL,IIANDIIPSYCHIATRICIIDISORDERS
ChapterII27:IINeurologicIIDisorders
ChapterII28:IIAnxiety,IIEatingIIDisorders,IIandIIBehavioralIIReactionsIItoIIIllness
ChapterII29:IIPsychiatricIIDisorders
ChapterII30:IIDrugIIandIIAlcoholIIAbuse

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

Little: Dental Management of the Medically Compromised Patient, 10th Edition
II II II II II II II II II




MULTIPLEIICHOICE

1. ElectiveIIdentalIIcareIIshouldIIbeIIdeferredIIforIIpatientsIIwithIIsevere,IIuncontrolledIIhypertension,
II meaningIIthatIItheIIbloodIIpressureIIisIIgreaterIIthanIIorIIequalIIto mmIIHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:I I C
ElectiveIIdentalIIcareIIshouldIIbeIIdeferredIIforIIpatientsIIwithIIsevere,IIuncontrolledIIhypertension
,IIwhichIIisIIbloodIIpressureIIgreaterIIthanIIorIIequalIItoII180/110IImmIIHg,IIuntilIItheIIconditionIIcanII
beIIbroughtIIunderIIcontrol.

2. TheIIAmericanIIHeartIIAssociationIIcurrentlyIIrecommendsIIantibioticIIprophylaxisIIforIIaIIpatient
withIIwhichIIofIItheIIfollowingIIcardiacIIconditions?
II

a. MitralIIvalveIIprolapse
b. ProstheticIIheartIIvalve
c. RheumaticIIheartIIdisease
d. PacemakersIIforIIcardiacIIarrhythmias
ANSWER:I I B
Previously,IItheIIAmericanIIHeartIIAssociationII(AHA)IIrecommendedIIantibioticIIprophylaxisIIforII
manyIIpatientsIIwithIIheartIImurmursIIcausedIIbyIIvalvularIIdiseaseII(e.g.,IImitralIIvalveIIprolapse,IIrh
eumaticIIheartIIdisease)IIinIIanIIeffortIItoIIpreventIIinfectiveIIendocarditis;IIhowever,IIcurrentIIguideli
nesIIomitIIthisIIrecommendationIIonIItheIIbasisIIofIIaccumulatedIIscientificIIevidence.IIIfIIaIImurmurIIi
sIIdueIItoIIcertainIIspecificIIcardiacIIconditionsII(e.g.,IIpreviousIIendocarditis,IIprostheticIIheartIIvalve
,IIcomplexIIcongenitalIIcyanoticIIheartIIdisease),IItheIIAHAIIcontinuesIItoIIrecommendIIantibioticIIpr
ophylaxisIIforIImostIIdentalIIprocedures.

3. OneIIconsequenceIIofIIchronicIIhepatitisII(BIIorIIC)IIorIIcirrhosisIIofIItheIIliverIIisIIdecreasedIIability
ofIItheIIbodyIIto certainIIdrugs,IIincludingIIlocalIIanestheticsIIandIIanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:I I C
PatientsIIalsoIImayIIhaveIIchronicIIhepatitisII(BIIorIIC)IIorIIcirrhosis,IIwithIIimpairmentIIof
liverIIfunction.IIThisIIdeficitIImayIIresultIIinIIprolongedIIbleedingIIandIIlessIIefficientII
metabolismIIofIIcertainIIdrugs,IIincludingIIlocalIIanestheticsIIandIIanalgesics.

4. WhichIIofIItheIIfollowingIIsymptomsIIandIIsignsIIisIImostIIconsistentIIwithIIallergy?
a. HeartIIpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANSWER:I I B
SymptomsIIandIIsignsIIconsistentIIwithIIallergyIIincludeIIitching,IIurticariaII(hives),IIrash,IIswelling,II
wheezing,IIangioedema,IIrunnyIInose,IIandIItearingIIeyes.IIIsolatedIIsignsIIandIIsymptomsIIsuchIIasIIn
ausea,IIvomiting,IIheartIIpalpitations,IIandIIfaintingIIgenerallyIIareIInotIIofIIanIIallergicIIoriginIIbutIIrat
herIIareIImanifestationsIIofIIdrugIIintolerance,IIadverseIIsideIIeffects,IIorIIpsychogenicIIreactions.

5. WhichIIofIItheIIfollowingIIisIItrueIIofIItheIIpatientIIwithIIaIIhistoryIIofIItuberculosis?
a. AIIpositiveIIresultIIonIIskinIItestingIImeansIIthatIItheIIpersonIIhasIIactiveIITB.
b. MostIIpatientsIIwhoIIbecomeIIpositiveIIskinIItestersIIdevelopIIactiveIIdisease.
c. PatientsIIwithIIacquiredIIimmunodeficiencyIIsyndromeII(AIDS)IIhaveIIaIIhighIIincidence
II ofIItuberculosis.
d. AIIdiagnosisIIofIIactiveIITBIIisIImadeIIbyIIaIIpurifiedIIproteinIIderivativeII(PPD)IIskinIItest.
ANSWER:I I C
TheIIpotentialIIcoexistenceIIofIItuberculosisIIandIIacquiredIIimmunodeficiencyIIsyndromeII(AIDS)
IIshouldIIbeIIexploredIIbecauseIIpatientsIIwithIIAIDSIIhaveIIaIIhighIIincidenceIIofIItuberculosis.IIAIIpo

sitiveIIresultIIonIIskinIItestingIImeansIIspecificallyIIthatIItheIIpersonIIhasIIatIIsomeIItimeIIbeenIIinfecte
dIIwithIITB,IInotIInecessarilyIIthatIIactiveIIdiseaseIIisIIpresent.IIMostIIpatientsIIwhoIIbecomeIIpositive
IIskinIItestersIIdoIInotIIdevelopIIactiveIIdisease.IIAIIdiagnosisIIofIIactiveIITBIIisIImadeIIbyIIchestIIx-

ray,IIimaging,IIsputumIIculture,IIandIIclinicalIIexamination.

6. VasoconstrictorsIIshouldIIbeIIavoidedIIinIIpatientsIIwhoIIcocaineIIorIImethamphetamineIIusers
II becauseIItheseIIagentsIImayIIprecipitate .
a. severeIIhypotension
b. severeIIhypertension
c. respiratoryIIdepression
d. cessationIIofIIintestinalIIperistalsis
ANSWER:I I B
VasoconstrictorsIIshouldIIbeIIavoidedIIinIIpatientsIIwhoIIareIIcocaineIIorIImethamphetamineIIusersIIb
ecauseIItheIIcombinationIImayIIprecipitateIIarrhythmias,IIMI,IIorIIsevereIIhypertension.

7. ItIIhasIIbeenIIshownIIthatIItheIIriskIIforIIoccurrenceIIofIIaIIseriousIIperioperativeIIcardiovascularIIeven
tII(e.g.,IIMI,IIheartIIfailure)IIisIIincreasedIIinIIpatientsIIwhoIIareIIunableIItoIImeetIIaII-
METII(metabolicIIequivalentIIofIItask)IIdemandIIduringIInormalIIdailyIIactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:I I A
DailyIIactivitiesIIrequiringII4IIMETsIIincludeIIlevelIIwalkingIIatII4IImiles/hourIIorIIclimbingIIaIIflightIIofIIs
tairs.IIActivitiesIIrequiringIIgreaterIIthanII10IIMETsIIincludeIIswimmingIIandIIsinglesIItennis.IIAnIIexer
ciseIIcapacityIIofII10IItoII13IIMETsIIindicatesIIexcellentIIphysicalIIconditioning.

8. WhichIIofIItheIIfollowingIIalterationsIIinIItheIIfingernailsIIisIIassociatedIIwithIIcirrhosis?
a. Yellowing
b. Clubbing
c. WhiteIIdiscoloration
d. SplinterIIhemorrhages




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