Test Bank For ttle and Falace's Dental Management of
@ @ @x @ @ @ @ @ @
the Medically Compromised Patient,
@ @ @
10th Edition by Craig Miller, C
@ @ @ @ @@
hapters 1 - 30
@ @ @
,ttle: Dental Management of the Medically Compromised Patient, 10th Edition Test B
x x x x x x x x x x x x
ank
Table of Contents x x
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
x x x x x x
Chapter 1: Patient Evaluation and Risk Assessment
x x x x x x
PART TWO: CARDIOVASCULAR DISEASEx x x
Chapter 2: Infective Endocarditis Chap x x x x
ter 3: Hypertension
x x
Chapter 4: Ischemic Heart Disease Ch x x x x x
apter 5: Cardiac Arrhythmias
x x x
Chapter 6: Heart Failure (or Congestive Heart Failure)
x x x x x x x
PART THREE: PULMONARY DISEASE x x x
Chapter 7: Pulmonary Disease x x x
Chapter 8: Smoking and Tobacco Use Cessation C
x x x x x x x
hapter 9: Sleep- x x
Related Breathing Disorders PART FOUR: GAST
x x x x x
ROINTESTIAL DISEASE x
Chapter 10: ver Disease x xx x
Chapter 11: Gastrointestinal Disease x x x
PART FIVE: GENITOURINARY DISEASEx x x
Chapter 12: Chronic Kidney Disease and Dialysis
x x x x x x x
Chapter 13: Sexually Transmitted Diseases x x x x
PART SIX: ENDOCRINE AND METABO C DISEASE
x x x x x x
Chapter 14: Diabetes Mel tus Chapter x x x x x x
15: Adrenal Insufficiency Chapter 16: T
x x x x x
hyroid Diseases x
Chapter 17: Pregnancy and Breast Feeding x x x x x
PART SEVEN: IMMUNOLOGIC DISEASE x x x
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter
x x x x x x x x x
19: Allergy x
Chapter 20: Rheumatologic and Connective Tissue Disorders Chapter
x x x x x x x x
21: Organ and Bone Marrow Transplantation
x x x x x
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
x x x x x
Chapter 22: Disorders of Red Blood Cells Chapter
x x x x x x x x
23: Disorders of White Blood Cells
x x x x x
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
x x x x x x x
er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26
x x x x x x x x
: Cancer and Oral Care of the Patient
x x x x x x x
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
x x x x x x
Chapter 27: Neurologic Disorders x x x
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 2
x x x x x x x x x x x
9: Psychiatric Disorders
x x
Chapter 30: Drug and Alcohol Abuse x x x x x
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Page 1 of 74 x x x
Chapter 01: Patient Evaluation and Risk Assessment
x x x x x x
ttle: Dental Management of the Medically Compromised Patient, 10th Edition
x x x x x x x x x x
MULTIPLE CHOICE x
1. Elective dental care should be deferred for patients with severe, uncontrolled hyperte
x x x x x x x x x x x
nsion, meaning that the blood pressure is greater than or equal to mm Hg.
x x x x x x x x x x x x
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C x
Elective dental care should be deferred for patients with severe, uncontrolled hyperte
x x x x x x x x x x x
nsion, which is blood pressure greater than or equal to 180/110 mm Hg, until the condi
x x x x x x x x x x x x x x x
tion can be brought under control.
x x x x x
2. The American Heart Association currently recommends antibiotic prophylaxis for a p
x x x x x x x x x x
atient with which of the following cardiac conditions?
x x x x x x x
a. Mitral valve prolapse x x
b. Prosthetic heart valve x x
c. Rheumatic heart disease x x
d. Pacemakers for cardiac arrhythmias x x x
ANSWER: B x
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxi
x x x x x x x x
s for many patients with heart murmurs caused by valvular disease (e.g., mitral valve pr
x x x x x x x x x x x x x x
olapse, rheumatic heart disease) in an effort to prevent infective endocarditis; however,
x x x x x x x x x x x
xcurrent guide nes omit this recommendation on the basis of accumulated scientific evid
x x x x x x x x x x x x
ence. If a murmur is due to certain specific cardiac conditions (e.g., previous endocardit
x x x x x x x x x x x x x
is, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA continu
x x x x x x x x x x x
es to recommend antibiotic prophylaxis for most dental procedures.
x x x x x x x x
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the ver is decreased abi t
x x x x x x x x x x x xx x x x x
y of the body to certain drugs, including local anesthetics and analgesics.
x x x x x x x x x x
a. absorb
b. distribute
c. metabo ze x
d. excrete
ANSWER: C x
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of v
x x x x x x x x x x x x x xx
er function. This deficit may result in prolonged bleeding and less efficient metabo
x x x x x x x x x x x x x
sm of certain drugs, including local anesthetics and analgesics.
x x x x x x x x
4. Which of the following symptoms and signs is most consistent with allergy?
x x x x x x x x x x x
a. Heart palpitations x
b. Itching
c. Vomiting
d. Fainting
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ANSWER: B x
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swel
x x x x x x x x x x x x
ng, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptom
x x x x x x x x x x x
s such as nausea, vomiting, heart palpitations, and fainting generally are not of an allerg
x x x x x x x x x x x x x x
ic origin but rather are manifestations of drug intolerance, adverse side effects, or psych
x x x x x x x x x x x x x
ogenic reactions. x
5. Which of the following is true of the patient with a history of tuberculosis?
x x x x x x x x x x x x x
a. A positive result on skin testing means that the person has active TB.
x x x x x x x x x x x x
b. Most patients who become positive skin testers develop active disease.
x x x x x x x x x
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high inx x x x x x x x x
cidence of tuberculosis. x x
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
x x x x x x x x x x x x x x
ANSWER: C x
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (A
x x x x x x x x x
IDS) should be explored because patients with AIDS have a high incidence of tuberculo
x x x x x x x x x x x x x
sis. A positive result on skin testing means specifically that the person has at some time
x x x x x x x x x x x x x x x x
been infected with TB, not necessarily that active disease is present. Most patients who
x x x x x x x x x x x x x x
become positive skin testers do not develop active disease. A diagnosis of active TB is
x x x x x x x x x x x x x x x
made by chest x-ray, imaging, sputum culture, and c nical examination.
x x x x x x x x x x
6. Vasoconstrictors should be avoided in patients who cocaine or metha x x x x x x x x x
mphetamine users because these agents may precipitate x x x x x x .
a.severe hypotension x
b.severe hypertension x
c.respiratory depression x
d.cessation of intestinal peristalsis x x x
ANSWER: B x
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine x x x x x x x x x x x
users because the combination may precipitate arrhythmias, MI, or severe hypertensio
x x x x x x x x x x
n.
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular
x x x x x x x x x x x x x x
event (e.g., MI, heart failure) is increased in patients who are unable to meet a -
x x x x x x x x x x x x x x x
MET (metabo c equivalent of task) demand during normal daily activity.
x x x x x x x x x x
a. 4
b. 6
c. 8
d. 10
ANSWER: A x
Daily activities requiring 4 METs include level walking at 4 miles/hour or c mbing a f ght of s
x x x x x x x x x x x x x x x x x x
tairs. Activities requiring greater than 10 METs include swimming and singles tennis. An e
x x x x x x x x x x x x x
xercise capacity of 10 to 13 METs indicates excellent physical conditioning.
x x x x x x x x x x
8. Which of the following alterations in the fingernails is associated with cirrhosis?
x x x x x x x x x x x
a. Yellowing
b. Clubbing
c. White discoloration x
WWW.NURSYLAB.COM
GRADESMORE.COM
@ @ @x @ @ @ @ @ @
the Medically Compromised Patient,
@ @ @
10th Edition by Craig Miller, C
@ @ @ @ @@
hapters 1 - 30
@ @ @
,ttle: Dental Management of the Medically Compromised Patient, 10th Edition Test B
x x x x x x x x x x x x
ank
Table of Contents x x
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
x x x x x x
Chapter 1: Patient Evaluation and Risk Assessment
x x x x x x
PART TWO: CARDIOVASCULAR DISEASEx x x
Chapter 2: Infective Endocarditis Chap x x x x
ter 3: Hypertension
x x
Chapter 4: Ischemic Heart Disease Ch x x x x x
apter 5: Cardiac Arrhythmias
x x x
Chapter 6: Heart Failure (or Congestive Heart Failure)
x x x x x x x
PART THREE: PULMONARY DISEASE x x x
Chapter 7: Pulmonary Disease x x x
Chapter 8: Smoking and Tobacco Use Cessation C
x x x x x x x
hapter 9: Sleep- x x
Related Breathing Disorders PART FOUR: GAST
x x x x x
ROINTESTIAL DISEASE x
Chapter 10: ver Disease x xx x
Chapter 11: Gastrointestinal Disease x x x
PART FIVE: GENITOURINARY DISEASEx x x
Chapter 12: Chronic Kidney Disease and Dialysis
x x x x x x x
Chapter 13: Sexually Transmitted Diseases x x x x
PART SIX: ENDOCRINE AND METABO C DISEASE
x x x x x x
Chapter 14: Diabetes Mel tus Chapter x x x x x x
15: Adrenal Insufficiency Chapter 16: T
x x x x x
hyroid Diseases x
Chapter 17: Pregnancy and Breast Feeding x x x x x
PART SEVEN: IMMUNOLOGIC DISEASE x x x
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter
x x x x x x x x x
19: Allergy x
Chapter 20: Rheumatologic and Connective Tissue Disorders Chapter
x x x x x x x x
21: Organ and Bone Marrow Transplantation
x x x x x
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
x x x x x
Chapter 22: Disorders of Red Blood Cells Chapter
x x x x x x x x
23: Disorders of White Blood Cells
x x x x x
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
x x x x x x x
er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26
x x x x x x x x
: Cancer and Oral Care of the Patient
x x x x x x x
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
x x x x x x
Chapter 27: Neurologic Disorders x x x
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 2
x x x x x x x x x x x
9: Psychiatric Disorders
x x
Chapter 30: Drug and Alcohol Abuse x x x x x
, WWW.GRADESMORE.COM
Stuvia.comx-xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
Page 1 of 74 x x x
Chapter 01: Patient Evaluation and Risk Assessment
x x x x x x
ttle: Dental Management of the Medically Compromised Patient, 10th Edition
x x x x x x x x x x
MULTIPLE CHOICE x
1. Elective dental care should be deferred for patients with severe, uncontrolled hyperte
x x x x x x x x x x x
nsion, meaning that the blood pressure is greater than or equal to mm Hg.
x x x x x x x x x x x x
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C x
Elective dental care should be deferred for patients with severe, uncontrolled hyperte
x x x x x x x x x x x
nsion, which is blood pressure greater than or equal to 180/110 mm Hg, until the condi
x x x x x x x x x x x x x x x
tion can be brought under control.
x x x x x
2. The American Heart Association currently recommends antibiotic prophylaxis for a p
x x x x x x x x x x
atient with which of the following cardiac conditions?
x x x x x x x
a. Mitral valve prolapse x x
b. Prosthetic heart valve x x
c. Rheumatic heart disease x x
d. Pacemakers for cardiac arrhythmias x x x
ANSWER: B x
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxi
x x x x x x x x
s for many patients with heart murmurs caused by valvular disease (e.g., mitral valve pr
x x x x x x x x x x x x x x
olapse, rheumatic heart disease) in an effort to prevent infective endocarditis; however,
x x x x x x x x x x x
xcurrent guide nes omit this recommendation on the basis of accumulated scientific evid
x x x x x x x x x x x x
ence. If a murmur is due to certain specific cardiac conditions (e.g., previous endocardit
x x x x x x x x x x x x x
is, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA continu
x x x x x x x x x x x
es to recommend antibiotic prophylaxis for most dental procedures.
x x x x x x x x
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the ver is decreased abi t
x x x x x x x x x x x xx x x x x
y of the body to certain drugs, including local anesthetics and analgesics.
x x x x x x x x x x
a. absorb
b. distribute
c. metabo ze x
d. excrete
ANSWER: C x
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of v
x x x x x x x x x x x x x xx
er function. This deficit may result in prolonged bleeding and less efficient metabo
x x x x x x x x x x x x x
sm of certain drugs, including local anesthetics and analgesics.
x x x x x x x x
4. Which of the following symptoms and signs is most consistent with allergy?
x x x x x x x x x x x
a. Heart palpitations x
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comx-xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
Page 1 of 74 x x x
ANSWER: B x
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swel
x x x x x x x x x x x x
ng, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptom
x x x x x x x x x x x
s such as nausea, vomiting, heart palpitations, and fainting generally are not of an allerg
x x x x x x x x x x x x x x
ic origin but rather are manifestations of drug intolerance, adverse side effects, or psych
x x x x x x x x x x x x x
ogenic reactions. x
5. Which of the following is true of the patient with a history of tuberculosis?
x x x x x x x x x x x x x
a. A positive result on skin testing means that the person has active TB.
x x x x x x x x x x x x
b. Most patients who become positive skin testers develop active disease.
x x x x x x x x x
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high inx x x x x x x x x
cidence of tuberculosis. x x
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
x x x x x x x x x x x x x x
ANSWER: C x
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (A
x x x x x x x x x
IDS) should be explored because patients with AIDS have a high incidence of tuberculo
x x x x x x x x x x x x x
sis. A positive result on skin testing means specifically that the person has at some time
x x x x x x x x x x x x x x x x
been infected with TB, not necessarily that active disease is present. Most patients who
x x x x x x x x x x x x x x
become positive skin testers do not develop active disease. A diagnosis of active TB is
x x x x x x x x x x x x x x x
made by chest x-ray, imaging, sputum culture, and c nical examination.
x x x x x x x x x x
6. Vasoconstrictors should be avoided in patients who cocaine or metha x x x x x x x x x
mphetamine users because these agents may precipitate x x x x x x .
a.severe hypotension x
b.severe hypertension x
c.respiratory depression x
d.cessation of intestinal peristalsis x x x
ANSWER: B x
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine x x x x x x x x x x x
users because the combination may precipitate arrhythmias, MI, or severe hypertensio
x x x x x x x x x x
n.
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular
x x x x x x x x x x x x x x
event (e.g., MI, heart failure) is increased in patients who are unable to meet a -
x x x x x x x x x x x x x x x
MET (metabo c equivalent of task) demand during normal daily activity.
x x x x x x x x x x
a. 4
b. 6
c. 8
d. 10
ANSWER: A x
Daily activities requiring 4 METs include level walking at 4 miles/hour or c mbing a f ght of s
x x x x x x x x x x x x x x x x x x
tairs. Activities requiring greater than 10 METs include swimming and singles tennis. An e
x x x x x x x x x x x x x
xercise capacity of 10 to 13 METs indicates excellent physical conditioning.
x x x x x x x x x x
8. Which of the following alterations in the fingernails is associated with cirrhosis?
x x x x x x x x x x x
a. Yellowing
b. Clubbing
c. White discoloration x
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