TESTBANK w
#
LITTLE AND FALACE'S DENTAL MANAGEMENT
w# w# w# w#
OF THE MEDICALLY COMPROMISEDPATIENT
w# w# w# w# w
#
9TH EDITION
w#
TESTBANK w
#
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
w# w# w# w# w# w# w# w# w# w# w#
Table of Contents w# w#
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
w# w# w# w# w# w#
Chapter 1: Patient Evaluation and Risk Assessment
w# w# w# w# w# w#
PART TWO: CARDIOVASCULAR DISEASE
w# w# w#
Chapter 2: Infective Endocarditis Chapt
w# w# w# w #
er 3: Hypertension
w# w#
Chapter 4: Ischemic Heart Disease Ch
w# w# w# w# w #
apter 5: Cardiac Arrhythmias
w# w# w#
Chapter 6: Heart Failure (or Congestive Heart Failure)
w# w# w# w# w# w# w#
PART THREE: PULMONARY DISEASE
w# w# w#
Chapter 7: Pulmonary Disease
w# w# w#
Chapter 8: Smoking and Tobacco Use Cessation Cha
w# w# w# w# w# w# w #
pter 9: Sleep-
w# w#
Related Breathing Disorders PART FOUR: GASTROI
w# w# w # w# w#
NTESTIAL DISEASE w#
Chapter 10: Liver Disease w# w# w#
Chapter 11: Gastrointestinal Disease
w# w# w#
PART FIVE: GENITOURINARY DISEASE
w# w# w#
Chapter 12: Chronic Kidney Disease and Dialysis Cha
w# w# w# w# w# w# w #
pter 13: Sexually Transmitted Diseases
w# w# w# w#
PART SIX: ENDOCRINE AND METABOLIC DISEASE
w# w# w# w# w#
Chapter 14: Diabetes Mellitus Chapter
w# w# w# w # w#
15: Adrenal Insufficiency Chapter 16:
w# w# w # w# w#
Thyroid Diseases w#
Chapter 17: Pregnancy and Breast Feeding
w# w# w# w# w#
PART SEVEN: IMMUNOLOGIC DISEASE
w# w# w#
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19
w# w# w# w# w# w# w# w # w#
: Allergy
w#
Chapter 20: Rheumatologic and Connective Tissue Disorders C
w# w# w# w# w# w# w #
hapter 21: Organ and Bone Marrow Transplantation
w# w# w# w# w# w#
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
w# w# w# w# w#
Chapter 22: Disorders of Red Blood Cells Chapter
w# w# w# w# w# w# w # w#
23: Disorders of White Blood Cells
w# w# w# w# w#
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Cha
w# w# w# w# w# w# w #
pter 25: Congenital Bleeding and Hypercoagulable Disorders Chapte
w# w# w# w# w# w# w #
r 26: Cancer and Oral Care of the Patient
w# w# w# w# w# w# w# w#
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
w# w# w# w# w# w#
Chapter 27: Neurologic Disorders
w# w# w#
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29
w# w# w# w# w# w# w# w# w# w # w#
: Psychiatric Disorders
w# w#
Chapter 30: Drug and Alcohol Abuse
w# w# w# w# w#
, WWW.GRADESMORE.COM
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Page 1 of 74 w# w# w#
Chapter 01: Patient Evaluation and Risk Assessment
w# w# w# w# w# w#
Little: Dental Management of the Medically Compromised Patient, 9th Edition
w# w# w# w# w# w# w# w# w#
MULTIPLE CHOICE w#
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, me
w# w# w# w# w# w# w# w# w# w# w# w #
aning that the blood pressure is greater than or equal to
w# w# w# w# w# w# w# w# w# w# mm Hg. w#
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C w#
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, whi
w# w# w# w# w# w# w# w# w# w# w# w #
ch is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be broug
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w #
ht under control.
w# w#
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with
w# w# w# w# w# w# w# w# w# w# w # w#
which of the following cardiac conditions?
w# w# w# w# w#
a. Mitral valve prolapse w# w#
b. Prosthetic heart valve w# w#
c. Rheumatic heart disease w# w#
d. Pacemakers for cardiac arrhythmias w# w# w#
ANS: B w#
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many
w# w# w# w# w# w# w# w# w# w # w#
patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic he
w# w# w# w# w# w# w# w# w# w# w# w # w#
art disease) in an effort to prevent infective endocarditis; however, current guidelines omit this re
w# w# w# w# w# w# w# w# w# w# w # w# w# w#
commendation on the basis of accumulated scientific evidence. If a murmur is due to certain spe
w# w# w# w# w# w# w# w# w# w # w# w# w# w# w#
cific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cya
w# w# w# w# w# w# w # w# w# w# w#
notic heart disease), the AHA continues to recommend antibiotic prophylaxis for most dental proc
w# w# w# w# w# w# w# w # w# w# w# w# w#
edures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w # the
body to
w# w# certain drugs, including local anesthetics and analgesics.
w# w# w# w# w# w#
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C w#
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver fun
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w #
ction. This deficit may result in prolonged bleeding and less efficient metabolism of certain
w# w# w# w# w# w# w# w# w# w# w# w# w # w#
drugs, including local anesthetics and analgesics.
w# w# w# w# w#
4. Which of the following symptoms and signs is most consistent with allergy?
w# w# w# w# w# w# w# w# w# w# w#
a. Heart palpitations w#
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
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Page 1 of 74 w# w# w#
ANS: B w#
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, whee
w# w# w# w# w# w# w# w# w# w# w# w #
zing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea,
w# w# w# w# w# w# w# w# w# w# w# w# w # w
vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are ma
# w# w# w# w# w# w# w# w# w# w# w# w# w # w# w#
nifestations of drug intolerance, adverse side effects, or psychogenic reactions.
w# w# w# w# w# w# w# w# w#
5. Which of the following is true of the patient with a history of tuberculosis?
w# w# w# w# w# w# w# w# w# w# w# w# w#
a. A positive result on skin testing means that the person has active TB.
w# w# w# w# w# w# w# w# w# w# w# w#
b. Most patients who become positive skin testers develop active disease.
w# w# w# w# w# w# w# w# w#
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tu
w# w# w# w# w# w# w# w# w# w # w#
berculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
ANS: C w#w #
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should
w# w# w# w# w# w# w# w# w# w #
be explored because patients with AIDS have a high incidence of tuberculosis. A positive result
w# w# w# w# w# w# w# w# w# w# w# w# w# w # w# w#
on skin testing means specifically that the person has at some time been infected with TB, not n
w# w# w# w# w# w# w# w# w# w# w# w# w # w# w# w# w#
ecessarily that active disease is present. Most patients who become positive skin testers do not
w# w# w# w# w# w# w# w# w# w # w# w# w# w# w#
develop active disease. A diagnosis of active TB is made by chest x-
w# w# w# w# w# w# w# w# w# w# w# w #
ray, imaging, sputum culture, and clinical examination.
w# w# w# w# w# w#
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
w# w# w# w# w# w# w# w# w# w# w # be
cause these agents may precipitate
w# w# w# w# .
a. severe hypotension w#
b. severe hypertension w#
c. respiratory depression w#
d. cessation of intestinal peristalsis w# w# w#
ANS: B w#
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
w# w# w# w# w# w# w# w# w# w# w# w # bec
ause the combination may precipitate arrhythmias, MI, or severe hypertension.
w# w# w# w# w# w# w# w# w#
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w # (e
.g., MI, heart failure) is increased in patients who are unable to meet a -
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
MET (metabolic equivalent of task) demand during normal daily activity.
w# w # w# w# w# w# w# w# w#
a. 4
b. 6
c. 8
d. 10
ANS: A w#
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs.
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w # w
#Activities requiring greater than 10 METs include swimming and singles tennis. An exercise capac
w# w# w# w# w# w# w# w# w# w# w# w # w#
ity of 10 to 13 METs indicates excellent physical conditioning.
w# w# w# w# w# w# w# w# w#
8. Which of the following alterations in the fingernails is associated with cirrhosis?
w# w# w# w# w# w# w# w# w# w# w#
a. Yellowing
b. Clubbing
c. White discoloration w#
d. Splinter hemorrhages w#
WWW.NURSYLAB.COM
GRADESMORE.COM
#
LITTLE AND FALACE'S DENTAL MANAGEMENT
w# w# w# w#
OF THE MEDICALLY COMPROMISEDPATIENT
w# w# w# w# w
#
9TH EDITION
w#
TESTBANK w
#
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
w# w# w# w# w# w# w# w# w# w# w#
Table of Contents w# w#
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
w# w# w# w# w# w#
Chapter 1: Patient Evaluation and Risk Assessment
w# w# w# w# w# w#
PART TWO: CARDIOVASCULAR DISEASE
w# w# w#
Chapter 2: Infective Endocarditis Chapt
w# w# w# w #
er 3: Hypertension
w# w#
Chapter 4: Ischemic Heart Disease Ch
w# w# w# w# w #
apter 5: Cardiac Arrhythmias
w# w# w#
Chapter 6: Heart Failure (or Congestive Heart Failure)
w# w# w# w# w# w# w#
PART THREE: PULMONARY DISEASE
w# w# w#
Chapter 7: Pulmonary Disease
w# w# w#
Chapter 8: Smoking and Tobacco Use Cessation Cha
w# w# w# w# w# w# w #
pter 9: Sleep-
w# w#
Related Breathing Disorders PART FOUR: GASTROI
w# w# w # w# w#
NTESTIAL DISEASE w#
Chapter 10: Liver Disease w# w# w#
Chapter 11: Gastrointestinal Disease
w# w# w#
PART FIVE: GENITOURINARY DISEASE
w# w# w#
Chapter 12: Chronic Kidney Disease and Dialysis Cha
w# w# w# w# w# w# w #
pter 13: Sexually Transmitted Diseases
w# w# w# w#
PART SIX: ENDOCRINE AND METABOLIC DISEASE
w# w# w# w# w#
Chapter 14: Diabetes Mellitus Chapter
w# w# w# w # w#
15: Adrenal Insufficiency Chapter 16:
w# w# w # w# w#
Thyroid Diseases w#
Chapter 17: Pregnancy and Breast Feeding
w# w# w# w# w#
PART SEVEN: IMMUNOLOGIC DISEASE
w# w# w#
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19
w# w# w# w# w# w# w# w # w#
: Allergy
w#
Chapter 20: Rheumatologic and Connective Tissue Disorders C
w# w# w# w# w# w# w #
hapter 21: Organ and Bone Marrow Transplantation
w# w# w# w# w# w#
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
w# w# w# w# w#
Chapter 22: Disorders of Red Blood Cells Chapter
w# w# w# w# w# w# w # w#
23: Disorders of White Blood Cells
w# w# w# w# w#
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Cha
w# w# w# w# w# w# w #
pter 25: Congenital Bleeding and Hypercoagulable Disorders Chapte
w# w# w# w# w# w# w #
r 26: Cancer and Oral Care of the Patient
w# w# w# w# w# w# w# w#
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
w# w# w# w# w# w#
Chapter 27: Neurologic Disorders
w# w# w#
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29
w# w# w# w# w# w# w# w# w# w # w#
: Psychiatric Disorders
w# w#
Chapter 30: Drug and Alcohol Abuse
w# w# w# w# w#
, WWW.GRADESMORE.COM
Stuvia.comw#-w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
Page 1 of 74 w# w# w#
Chapter 01: Patient Evaluation and Risk Assessment
w# w# w# w# w# w#
Little: Dental Management of the Medically Compromised Patient, 9th Edition
w# w# w# w# w# w# w# w# w#
MULTIPLE CHOICE w#
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, me
w# w# w# w# w# w# w# w# w# w# w# w #
aning that the blood pressure is greater than or equal to
w# w# w# w# w# w# w# w# w# w# mm Hg. w#
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C w#
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, whi
w# w# w# w# w# w# w# w# w# w# w# w #
ch is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be broug
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w #
ht under control.
w# w#
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with
w# w# w# w# w# w# w# w# w# w# w # w#
which of the following cardiac conditions?
w# w# w# w# w#
a. Mitral valve prolapse w# w#
b. Prosthetic heart valve w# w#
c. Rheumatic heart disease w# w#
d. Pacemakers for cardiac arrhythmias w# w# w#
ANS: B w#
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many
w# w# w# w# w# w# w# w# w# w # w#
patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic he
w# w# w# w# w# w# w# w# w# w# w# w # w#
art disease) in an effort to prevent infective endocarditis; however, current guidelines omit this re
w# w# w# w# w# w# w# w# w# w# w # w# w# w#
commendation on the basis of accumulated scientific evidence. If a murmur is due to certain spe
w# w# w# w# w# w# w# w# w# w # w# w# w# w# w#
cific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cya
w# w# w# w# w# w# w # w# w# w# w#
notic heart disease), the AHA continues to recommend antibiotic prophylaxis for most dental proc
w# w# w# w# w# w# w# w # w# w# w# w# w#
edures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w # the
body to
w# w# certain drugs, including local anesthetics and analgesics.
w# w# w# w# w# w#
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C w#
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver fun
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w #
ction. This deficit may result in prolonged bleeding and less efficient metabolism of certain
w# w# w# w# w# w# w# w# w# w# w# w# w # w#
drugs, including local anesthetics and analgesics.
w# w# w# w# w#
4. Which of the following symptoms and signs is most consistent with allergy?
w# w# w# w# w# w# w# w# w# w# w#
a. Heart palpitations w#
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comw#-w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
Page 1 of 74 w# w# w#
ANS: B w#
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, whee
w# w# w# w# w# w# w# w# w# w# w# w #
zing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea,
w# w# w# w# w# w# w# w# w# w# w# w# w # w
vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are ma
# w# w# w# w# w# w# w# w# w# w# w# w# w # w# w#
nifestations of drug intolerance, adverse side effects, or psychogenic reactions.
w# w# w# w# w# w# w# w# w#
5. Which of the following is true of the patient with a history of tuberculosis?
w# w# w# w# w# w# w# w# w# w# w# w# w#
a. A positive result on skin testing means that the person has active TB.
w# w# w# w# w# w# w# w# w# w# w# w#
b. Most patients who become positive skin testers develop active disease.
w# w# w# w# w# w# w# w# w#
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tu
w# w# w# w# w# w# w# w# w# w # w#
berculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
ANS: C w#w #
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should
w# w# w# w# w# w# w# w# w# w #
be explored because patients with AIDS have a high incidence of tuberculosis. A positive result
w# w# w# w# w# w# w# w# w# w# w# w# w# w # w# w#
on skin testing means specifically that the person has at some time been infected with TB, not n
w# w# w# w# w# w# w# w# w# w# w# w# w # w# w# w# w#
ecessarily that active disease is present. Most patients who become positive skin testers do not
w# w# w# w# w# w# w# w# w# w # w# w# w# w# w#
develop active disease. A diagnosis of active TB is made by chest x-
w# w# w# w# w# w# w# w# w# w# w# w #
ray, imaging, sputum culture, and clinical examination.
w# w# w# w# w# w#
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
w# w# w# w# w# w# w# w# w# w# w # be
cause these agents may precipitate
w# w# w# w# .
a. severe hypotension w#
b. severe hypertension w#
c. respiratory depression w#
d. cessation of intestinal peristalsis w# w# w#
ANS: B w#
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
w# w# w# w# w# w# w# w# w# w# w# w # bec
ause the combination may precipitate arrhythmias, MI, or severe hypertension.
w# w# w# w# w# w# w# w# w#
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w # (e
.g., MI, heart failure) is increased in patients who are unable to meet a -
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
MET (metabolic equivalent of task) demand during normal daily activity.
w# w # w# w# w# w# w# w# w#
a. 4
b. 6
c. 8
d. 10
ANS: A w#
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs.
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w # w
#Activities requiring greater than 10 METs include swimming and singles tennis. An exercise capac
w# w# w# w# w# w# w# w# w# w# w# w # w#
ity of 10 to 13 METs indicates excellent physical conditioning.
w# w# w# w# w# w# w# w# w#
8. Which of the following alterations in the fingernails is associated with cirrhosis?
w# w# w# w# w# w# w# w# w# w# w#
a. Yellowing
b. Clubbing
c. White discoloration w#
d. Splinter hemorrhages w#
WWW.NURSYLAB.COM
GRADESMORE.COM
