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