Dental Management of the Medically Compromised Patient 9th Edition Little Test Bank

Test Bank For Little and Falace's Dental Management of
m m m m m m m m




m the Medically Compromised Patient,
m m m




10th Edition by Craig Miller,
m m m m m




Chapters 1 - 30 m m m

,Little:mDentalmManagementmofmthemMedicallymCompromisedmPatient,m10thmEditionmTestmBa
nk
TablemofmContents
PARTmONE:mPATIENTmEVALUATIONmANDmRISKmASSESSMENT
Chapterm1:mPatientmEvaluationmandmRiskmAssessment
PARTmTWO:mCARDIOVASCULARmDISEASE
Chapterm2:mInfectivemEndocarditis
Chapterm3:mHypertension
Chapterm4:mIschemicmHeartmDisease
Chapterm5:mCardiacmArrhythmias
Chapterm6:mHeartmFailurem(ormCongestivemHeartmFailure)
PARTmTHREE:mPULMONARYmDISEASE
Chapterm7:mPulmonarymDisease
Chapterm8:mSmokingmandmTobaccomUsemCessation
Chapterm9:mSleep-RelatedmBreathingmDisorders
PARTmFOUR:mGASTROINTESTIALmDISEASE
Chapterm10:mLivermDisease
Chapterm11:mGastrointestinalmDisease
PARTmFIVE:mGENITOURINARYmDISEASE
Chapterm12:mChronicmKidneymDiseasemandmDialysis
Chapterm13:mSexuallymTransmittedmDiseases
PARTmSIX:mENDOCRINEmANDmMETABOLICmDISEASE
Chapterm14:mDiabetesmMellitus
Chapterm15:mAdrenalmInsufficiency
Chapterm16:mThyroidmDiseases
Chapterm17:mPregnancymandmBreastmFeeding
PARTmSEVEN:mIMMUNOLOGICmDISEASE
Chapterm18:mAIDS,mHIVmInfection,mandmRelatedmConditions
Chapterm19:mAllergy
Chapterm20:mRheumatologicmandmConnectivemTissuemDisorders
Chapterm21:mOrganmandmBonemMarrowmTransplantation
PARTmEIGHT:mHEMATOLOGICmANDmONCOLOGICmDISEASE
Chapterm22:mDisordersmofmRedmBloodmCells
Chapterm23:mDisordersmofmWhitemBloodmCells
Chapterm24:mAcquiredmBleedingmandmHypercoagulablemDisorders
Chapterm25:mCongenitalmBleedingmandmHypercoagulablemDisorders
Chapterm26:mCancermandmOralmCaremofmthemPatient
PARTmNINE:mNEUROLOGIC,mBEHAVIORAL,mANDmPSYCHIATRICmDISORDERS
Chapterm27:mNeurologicmDisorders
Chapterm28:mAnxiety,mEatingmDisorders,mandmBehavioralmReactionsmtomIllness
Chapterm29:mPsychiatricmDisorders
Chapterm30:mDrugmandmAlcoholmAbuse

, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
m m m m m m

Little: Dental Management of the Medically Compromised Patient, 10th Edition
m m m m m m m m m




MULTIPLEmCHOICE

1. Electivemdentalmcaremshouldmbemdeferredmformpatientsmwithmsevere,muncontrolledmhypertensio
n,mmeaningmthatmthembloodmpressuremismgreatermthanmormequalmto mmmHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:m C
Electivemdentalmcaremshouldmbemdeferredmformpatientsmwithmsevere,muncontrolledmhypertensio
n,mwhichmismbloodmpressuremgreatermthanmormequalmtom180/110mmmmHg,muntilmthemconditionmc
anmbembroughtmundermcontrol.

2. ThemAmericanmHeartmAssociationmcurrentlymrecommendsmantibioticmprophylaxismformampatie
ntmwithmwhichmofmthemfollowingmcardiacmconditions?
a. Mitralmvalvemprolapse
b. Prostheticmheartmvalve
c. Rheumaticmheartmdisease
d. Pacemakersmformcardiacmarrhythmias
ANSWER:m B
Previously,mthemAmericanmHeartmAssociationm(AHA)mrecommendedmantibioticmprophylaxismfor
mmanympatientsmwithmheartmmurmursmcausedmbymvalvularmdiseasem(e.g.,mmitralmvalvemprolapse,m

rheumaticmheartmdisease)minmanmeffortmtompreventminfectivemendocarditis;mhowever,mcurrentmgui
delinesmomitmthismrecommendationmonmthembasismofmaccumulatedmscientificmevidence.mIfmammur
murmismduemtomcertainmspecificmcardiacmconditionsm(e.g.,mpreviousmendocarditis,mprostheticmhear
tmvalve,mcomplexmcongenitalmcyanoticmheartmdisease),mthemAHAmcontinuesmtomrecommendmanti
bioticmprophylaxismformmostmdentalmprocedures.

3. Onemconsequencemofmchronicmhepatitism(BmormC)mormcirrhosismofmthemlivermismdecreasedmability
mofmthembodymto certainmdrugs,mincludingmlocalmanestheticsmandmanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:m C
Patientsmalsommaymhavemchronicmhepatitism(BmormC)mormcirrhosis,mwithmimpairmentmofmliv
ermfunction.mThismdeficitmmaymresultminmprolongedmbleedingmandmlessmefficientmmetabolis
mmofmcertainmdrugs,mincludingmlocalmanestheticsmandmanalgesics.

4. Whichmofmthemfollowingmsymptomsmandmsignsmismmostmconsistentmwithmallergy?
a. Heartmpalpitations
b. Itching
c. Vomiting
d. Fainting




WWW.NURSYLAB.COM
GRADESMORE.COM

, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74

ANSWER:m B
Symptomsmandmsignsmconsistentmwithmallergymincludemitching,murticariam(hives),mrash,mswelling,
mwheezing,mangioedema,m runnymnose,mandmtearingmeyes.mIsolatedmsignsmandmsymptomsmsuchmas

mnausea,mvomiting,mheartmpalpitations,mandmfaintingmgenerallymaremnotmofmanmallergicmoriginmbut

mrathermaremmanifestationsmofmdrugmintolerance,madversemsidemeffects,mormpsychogenicmreactions

.

5. Whichmofmthemfollowingmismtruemofmthempatientmwithmamhistorymofmtuberculosis?
a. AmpositivemresultmonmskinmtestingmmeansmthatmthempersonmhasmactivemTB.
b. Mostmpatientsmwhombecomempositivemskinmtestersmdevelopmactivemdisease.
c. Patientsmwithmacquiredmimmunodeficiencymsyndromem(AIDS)mhavemamhighminciden
cemofmtuberculosis.
d. AmdiagnosismofmactivemTBmismmadembymampurifiedmproteinmderivativem(PPD)mskinmtest.
ANSWER:m C
Thempotentialmcoexistencemofmtuberculosismandmacquiredmimmunodeficiencymsyndromem(AID
S)mshouldmbemexploredmbecausempatientsmwithmAIDSmhavemamhighmincidencemofmtuberculosis.m
Ampositivemresultmonmskinmtestingmmeansmspecificallymthatmthempersonmhasmatmsomemtimembeenm
infectedmwithmTB,mnotmnecessarilymthatmactivemdiseasemismpresent.mMostmpatientsmwhombecome
mpositivemskinmtestersmdomnotmdevelopmactivemdisease.mAmdiagnosismofmactivemTBmismmadembymc

hestmx-ray,mimaging,msputummculture,mandmclinicalmexamination.

6. Vasoconstrictorsmshouldmbemavoidedminmpatientsmwhomcocainemormmethamphetaminemuse
rsmbecausemthesemagentsmmaymprecipitate .
a. severemhypotension
b. severemhypertension
c. respiratorymdepression
d. cessationmofmintestinalmperistalsis
ANSWER:m B
Vasoconstrictorsmshouldmbemavoidedminmpatientsmwhomaremcocainemormmethamphetaminemusers
mbecausemthemcombinationmmaymprecipitatemarrhythmias,mMI,mormseveremhypertension.




7. Itmhasmbeenmshownmthatmthemriskmformoccurrencemofmamseriousmperioperativemcardiovascularmev
entm(e.g.,mMI,mheartmfailure)mismincreasedminmpatientsmwhomaremunablemtommeetmam-
METm(metabolicmequivalentmofmtask)mdemandmduringmnormalmdailymactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:m A
Dailymactivitiesmrequiringm4mMETsmincludemlevelmwalkingmatm4mmiles/hourmormclimbingmamflightmo
fmstairs.mActivitiesmrequiringmgreatermthanm10mMETsmincludemswimmingmandmsinglesmtennis.mAnme
xercisemcapacitymofm10mtom13mMETsmindicatesmexcellentmphysicalmconditioning.

8. Whichmofmthemfollowingmalterationsminmthemfingernailsmismassociatedmwithmcirrhosis?
a. Yellowing
b. Clubbing
c. Whitemdiscoloration
d. Splintermhemorrhages



WWW.NURSYLAB.COM
GRADESMORE.COM