FULL TEST BANK: For Little and Falace's Dental Management of the Medically Compromised Patient 10th Edition by Craig Miller DMD, MS (Author) All Chapters | Complete Guide

FULL TEST BANK:
For Little and Falace's Dental Management of the Medically Compromised Patient 10th
Edition by Craig Miller DMD, MS (Author)
All Chapters | Complete Guide

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10th edition




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,Little: Dental Management Of The Medically Compromised Patient, 10th Edition Test
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table of contents
part one: patient evaluation and risk assessment
chapter 1: patient evaluation and risk assessment
part two: cardiovascular disease
chapter 2: infective endocarditis
chapter 3: hypertension
chapter 4: ischemic heart disease
chapter 5: cardiac arrhythmias
chapter 6: heart failure (or congestive heart failure)
part three: pulmonary disease
chapter 7: pulmonary disease
chapter 8: smoking and tobacco use cessation
chapter 9: sleep-related breathing disorders part
four: gastrointestial disease
chapter 10: liver disease
chapter 11: gastrointestinal disease
part five: genitourinary disease
chapter 12: chronic kidney disease and dialysis
chapter 13: sexually transmitted diseases
part six: endocrine and metabolic disease
chapter 14: diabetes mellitus chapter
15: adrenal insufficiency chapter 16:
thyroid diseases
chapter 17: pregnancy and breast feeding
part seven: immunologic disease
chapter 18: aids, hiv infection, and related conditions chapter 19:
allergy
chapter 20: rheumatologic and connective tissue disorders
chapter 21: organ and bone marrow transplantation
part eight: hematologic and oncologic disease
chapter 22: disorders of red blood cells chapter
23: disorders of white blood cells
chapter 24: acquired bleeding and hypercoagulable disorders
chapter 25: congenital bleeding and hypercoagulable disorders
chapter 26: cancer and oral care of the patient
part nine: neurologic, behavioral, and psychiatric disorders
chapter 27: neurologic disorders
chapter 28: anxiety, eating disorders, and behavioral reactions to illness chapter
29: psychiatric disorders
chapter 30: drug and alcohol abuse

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Page 1 of 74
chapter 01: patient evaluation and risk assessment
little: dental management of the medically compromised patient, 10th edition


multiple choice

1. elective dental care should be deferred for patients with severe, uncontrolled hypertension,
q q q q q q q q q q q q



meaning that the blood pressure is greater than or equal to
q q q q q q q q q q mm hg. q



a. 200/140
b. 180/140
c. 180/110
d. 160/110
ans: c q



elective dental care should be deferred for patients with severe, uncontrolled hypertension,
q q q q q q q q q q q q



which is blood pressure greater than or equal to 180/110 mm hg, until the condition can be
q q q q q q q q q q q q q q q q q



brought under control. q q




2. the american heart association currently recommends antibiotic prophylaxis for a patient
q q q q q q q q q q q



with which of the following cardiac conditions?
q q q q q q



a. mitral valve prolapse q q



b. prosthetic heart valve q q



c. rheumatic heart disease q q



d. pacemakers for cardiac arrhythmias q q q




ans: b q



previously, the american heart association (aha) recommended antibiotic prophylaxis for
q q q q q q q q q q



many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
q q q q q q q q q q q q q



rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
q q q q q q q q q q q q



guidelines omit this recommendation on the basis of accumulated scientific evidence. if a
q q q q q q q q q q q q q



murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic
q q q q q q q q q q q q



heart valve, complex congenital cyanotic heart disease), the aha continues to recommend
q q q q q q q q q q q q



antibiotic prophylaxis for most dental procedures.
q q q q q




3. one consequence of chronic hepatitis (b or c) or cirrhosis of the liver is decreased ability of
q q q q q q q q q q q q q q q q q



the body to
q q certain drugs, including local anesthetics and analgesics.
q q q q q q



a. absorb
b. distribute
c. metabolize
d. excrete
ans: c q



patients also may have chronic hepatitis (b or c) or cirrhosis, with impairment of liver
q q q q q q q q q q q q q q q



function. this deficit may result in prolonged bleeding and less efficient metabolism of
q q q q q q q q q q q q q



certain drugs, including local anesthetics and analgesics.
q q q q q q




4. which of the following symptoms and signs is most consistent with allergy?
q q q q q q q q q q q



a. heart palpitations q



b. itching
c. vomiting
d. fainting

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ans: b q



symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling,
q q q q q q q q q q q q



wheezing, angioedema, runny nose, and tearing eyes. isolated signs and symptoms such as
q q q q q q q q q q q q q



nausea, vomiting, heart palpitations, and fainting generally are not of an allergic origin but
q q q q q q q q q q q q q q



rather are manifestations of drug intolerance, adverse side effects, or psychogenic reactions.
q q q q q q q q q q q




5. which of the following is true of the patient with a history of tuberculosis?
q q q q q q q q q q q q q



a. a positive result on skin testing means that the person has active tb.
q q q q q q q q q q q q



b. most patients who become positive skin testers develop active disease.
q q q q q q q q q



c. patients with acquired immunodeficiency syndrome (aids) have a high incidence
q q q q q q q q q q



of tuberculosis. q



d. a diagnosis of active tb is made by a purified protein derivative (ppd) skin test.
q q q q q q q q q q q q q q




ans: q c
the potential coexistence of tuberculosis and acquired immunodeficiency syndrome (aids)
q q q q q q q q q q



should be explored because patients with aids have a high incidence of tuberculosis. a
q q q q q q q q q q q q q q



positive result on skin testing means specifically that the person has at some time been
q q q q q q q q q q q q q q q



infected with tb, not necessarily that active disease is present. most patients who become
q q q q q q q q q q q q q q



positive skin testers do not develop active disease. a diagnosis of active tb is made by chest
q q q q q q q q q q q q q q q q q



x-ray, imaging, sputum culture, and clinical examination.
q q q q q q




6. vasoconstrictors should be avoided in patients who cocaine or methamphetamine users q q q q q q q q q q q



because these agents may precipitate q q q q .
a. severe hypotension q



b. severe hypertension q



c. respiratory depression q



d. cessation of intestinal peristalsis q q q




ans: b q



vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users q q q q q q q q q q q q



because the combination may precipitate arrhythmias, mi, or severe hypertension.
q q q q q q q q q




7. it has been shown that the risk for occurrence of a serious perioperative cardiovascular event
q q q q q q q q q q q q q q q



(e.g., mi, heart failure) is increased in patients who are unable to meet a -met (metabolic
q q q q q q q q q q q q q q q q



equivalent of task) demand during normal daily activity.
q q q q q q q



a. 4
b. 6
c. 8
d. 10
ans: a q



daily activities requiring 4 mets include level walking at 4 miles/hour or climbing a flight of
q q q q q q q q q q q q q q q q



stairs. activities requiring greater than 10 mets include swimming and singles tennis. an
q q q q q q q q q q q q q



exercise capacity of 10 to 13 mets indicates excellent physical conditioning.
q q q q q q q q q q




8. which of the following alterations in the fingernails is associated with cirrhosis?
q q q q q q q q q q q



a. yellowing
b. clubbing
c. white discoloration q



d. splinter hemorrhages q