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