TESTBANK !X
LITTLE AND FALACE'S DENTAL MANAGEMENT
!X !X !X !X !X
OF THE MEDICALLY COMPROMISEDPATIENT
!X !X !X !X
9TH EDITION!X
TESTBANK X
!
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
!X !X !X !X !X !X !X !X !X !X !X
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 DISEASE
!X !X !X
Chapter 2: Infective Endocarditis Chapt
!X !X !X ! X
er 3: Hypertension
!X !X
Chapter 4: Ischemic Heart Disease Cha
!X !X !X !X ! X
pter 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 Chapt
!X !X !X !X !X !X ! X
er 9: Sleep-
!X !X
Related Breathing Disorders PART FOUR: GASTROIN
!X !X ! X !X !X
TESTIAL DISEASE !X
Chapter 10: Liver Disease
!X !X !X
Chapter 11: Gastrointestinal Disease
!X !X !X
PART FIVE: GENITOURINARY DISEASE
!X !X !X
Chapter 12: Chronic Kidney Disease and Dialysis Chapt
!X !X !X !X !X !X ! X
er 13: Sexually Transmitted Diseases
!X !X !X !X
PART SIX: ENDOCRINE AND METABOLIC DISEASE
!X !X !X !X !X
Chapter 14: Diabetes Mellitus Chapter 1
!X !X !X !X !X
5: Adrenal Insufficiency Chapter 16: Thy
!X !X ! X !X !X
roid 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 19:
!X !X !X !X !X !X !X ! X !X !X
Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Ch
!X !X !X !X !X !X ! X
apter 21: Organ and Bone Marrow Transplantation
!X !X !X !X !X !X
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
!X !X !X !X !X
Chapter 22: Disorders of Red Blood Cells Chapter 2
!X !X !X !X !X !X ! X !X
3: 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 2
!X !X !X !X !X !X ! X !X
6: 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 29: P
!X !X !X !X !X !X !X !X !X ! X !X !X
sychiatric Disorders !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
Little: Dental Management of the Medically Compromised Patient, 9th Edition
!X !X !X !X !X !X !X !X !X
MULTIPLE CHOICE !X
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meanin
!X !X !X !X !X !X !X !X !X !X !X ! X
g that the blood pressure is greater than or equal to
!X !X !X !X !X !X !X !X !X !X mm Hg. !X
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C !X
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which
!X !X !X !X !X !X !X !X !X !X !X ! X !X
is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought unde
!X !X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X !X
r control.
!X
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with whi
!X !X !X !X !X !X !X !X !X !X ! X !X
ch of the following cardiac conditions?
!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
ANS: B !X
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many pati
!X !X !X !X !X !X !X !X !X ! X !X
ents with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart dise
!X !X !X !X !X !X !X !X !X !X !X ! X !X !X
ase) in an effort to prevent infective endocarditis; however, current guidelines omit this recommenda
!X !X !X !X !X !X !X !X !X ! X !X !X !X
tion on the basis of accumulated scientific evidence. If a murmur is due to certain specific cardiac co
!X !X !X !X !X !X !X !X !X ! X !X !X !X !X !X !X !X
nditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disea
!X !X !X !X ! X !X !X !X !X !X !X
se), the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
!X !X !X !X !X ! X !X !X !X !X !X
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the bo
!X !X !X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X !X
dy to !X certain drugs, including local anesthetics and analgesics.
!X !X !X !X !X !X
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C !X
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver functio
!X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X
n. This deficit may result in prolonged bleeding and less efficient metabolism of certain drugs,
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X !X
including local anesthetics and analgesics. !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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ANS: B !X
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezin
!X !X !X !X !X !X !X !X !X !X !X ! X
g, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiti
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X
ng, heart palpitations, and fainting generally are not of an allergic origin but rather are manifestation
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X !X
s of drug intolerance, adverse side effects, or psychogenic reactions.
!X !X !X !X !X !X !X !X !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 incidence of tuber
!X !X !X !X !X !X !X !X !X ! X !X
culosis.
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
ANS: C !X! X
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should b
!X !X !X !X !X !X !X !X !X ! X !X
e explored because patients with AIDS have a high incidence of tuberculosis. A positive result on ski
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X !X !X
n testing means specifically that the person has at some time been infected with TB, not necessarily t
!X !X !X !X !X !X !X !X !X !X !X ! X !X !X !X !X !X
hat active disease is present. Most patients who become positive skin testers do not develop active
!X !X !X !X !X !X !X !X ! X !X !X !X !X !X !X !X
disease. A diagnosis of active TB is made by chest x-
!X !X !X !X !X !X !X !X !X ! X
ray, imaging, sputum culture, and clinical examination.
!X !X !X !X !X !X
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users !X !X !X !X !X !X !X !X !X !X ! X beca
use these agents may precipitate
!X !X !X !X .
a. severe hypotension !X
b. severe hypertension !X
c. respiratory depression !X
d. cessation of intestinal peristalsis !X !X !X
ANS: B !X
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
!X !X !X !X !X !X !X !X !X !X !X ! X becau
se the combination may precipitate arrhythmias, MI, or severe hypertension.
!X !X !X !X !X !X !X !X !X
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
!X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X (e.g., !
XMI, 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
MET (metabolic equivalent of task) demand during normal daily activity.
!X ! X !X !X !X !X !X !X !X
a. 4
b. 6
c. 8
d. 10
ANS: A !X
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. Acti
!X !X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X !X
vities requiring greater than 10 METs include swimming and singles tennis. An exercise capacity of 1
!X !X !X !X !X !X !X !X !X !X !X ! X !X !X !X
0 to 13 METs indicates excellent physical conditioning.
!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
d. Splinter hemorrhages !X
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GRADESMORE.COM
LITTLE AND FALACE'S DENTAL MANAGEMENT
!X !X !X !X !X
OF THE MEDICALLY COMPROMISEDPATIENT
!X !X !X !X
9TH EDITION!X
TESTBANK X
!
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
!X !X !X !X !X !X !X !X !X !X !X
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 DISEASE
!X !X !X
Chapter 2: Infective Endocarditis Chapt
!X !X !X ! X
er 3: Hypertension
!X !X
Chapter 4: Ischemic Heart Disease Cha
!X !X !X !X ! X
pter 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 Chapt
!X !X !X !X !X !X ! X
er 9: Sleep-
!X !X
Related Breathing Disorders PART FOUR: GASTROIN
!X !X ! X !X !X
TESTIAL DISEASE !X
Chapter 10: Liver Disease
!X !X !X
Chapter 11: Gastrointestinal Disease
!X !X !X
PART FIVE: GENITOURINARY DISEASE
!X !X !X
Chapter 12: Chronic Kidney Disease and Dialysis Chapt
!X !X !X !X !X !X ! X
er 13: Sexually Transmitted Diseases
!X !X !X !X
PART SIX: ENDOCRINE AND METABOLIC DISEASE
!X !X !X !X !X
Chapter 14: Diabetes Mellitus Chapter 1
!X !X !X !X !X
5: Adrenal Insufficiency Chapter 16: Thy
!X !X ! X !X !X
roid 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 19:
!X !X !X !X !X !X !X ! X !X !X
Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Ch
!X !X !X !X !X !X ! X
apter 21: Organ and Bone Marrow Transplantation
!X !X !X !X !X !X
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
!X !X !X !X !X
Chapter 22: Disorders of Red Blood Cells Chapter 2
!X !X !X !X !X !X ! X !X
3: 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 2
!X !X !X !X !X !X ! X !X
6: 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 29: P
!X !X !X !X !X !X !X !X !X ! X !X !X
sychiatric Disorders !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
Little: Dental Management of the Medically Compromised Patient, 9th Edition
!X !X !X !X !X !X !X !X !X
MULTIPLE CHOICE !X
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meanin
!X !X !X !X !X !X !X !X !X !X !X ! X
g that the blood pressure is greater than or equal to
!X !X !X !X !X !X !X !X !X !X mm Hg. !X
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C !X
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which
!X !X !X !X !X !X !X !X !X !X !X ! X !X
is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought unde
!X !X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X !X
r control.
!X
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with whi
!X !X !X !X !X !X !X !X !X !X ! X !X
ch of the following cardiac conditions?
!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
ANS: B !X
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many pati
!X !X !X !X !X !X !X !X !X ! X !X
ents with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart dise
!X !X !X !X !X !X !X !X !X !X !X ! X !X !X
ase) in an effort to prevent infective endocarditis; however, current guidelines omit this recommenda
!X !X !X !X !X !X !X !X !X ! X !X !X !X
tion on the basis of accumulated scientific evidence. If a murmur is due to certain specific cardiac co
!X !X !X !X !X !X !X !X !X ! X !X !X !X !X !X !X !X
nditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disea
!X !X !X !X ! X !X !X !X !X !X !X
se), the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
!X !X !X !X !X ! X !X !X !X !X !X
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the bo
!X !X !X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X !X
dy to !X certain drugs, including local anesthetics and analgesics.
!X !X !X !X !X !X
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C !X
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver functio
!X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X
n. This deficit may result in prolonged bleeding and less efficient metabolism of certain drugs,
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X !X
including local anesthetics and analgesics. !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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Page 1 of 74 !X !X !X
ANS: B !X
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezin
!X !X !X !X !X !X !X !X !X !X !X ! X
g, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vomiti
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X
ng, heart palpitations, and fainting generally are not of an allergic origin but rather are manifestation
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X !X
s of drug intolerance, adverse side effects, or psychogenic reactions.
!X !X !X !X !X !X !X !X !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 incidence of tuber
!X !X !X !X !X !X !X !X !X ! X !X
culosis.
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
ANS: C !X! X
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should b
!X !X !X !X !X !X !X !X !X ! X !X
e explored because patients with AIDS have a high incidence of tuberculosis. A positive result on ski
!X !X !X !X !X !X !X !X !X !X !X !X ! X !X !X !X
n testing means specifically that the person has at some time been infected with TB, not necessarily t
!X !X !X !X !X !X !X !X !X !X !X ! X !X !X !X !X !X
hat active disease is present. Most patients who become positive skin testers do not develop active
!X !X !X !X !X !X !X !X ! X !X !X !X !X !X !X !X
disease. A diagnosis of active TB is made by chest x-
!X !X !X !X !X !X !X !X !X ! X
ray, imaging, sputum culture, and clinical examination.
!X !X !X !X !X !X
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users !X !X !X !X !X !X !X !X !X !X ! X beca
use these agents may precipitate
!X !X !X !X .
a. severe hypotension !X
b. severe hypertension !X
c. respiratory depression !X
d. cessation of intestinal peristalsis !X !X !X
ANS: B !X
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
!X !X !X !X !X !X !X !X !X !X !X ! X becau
se the combination may precipitate arrhythmias, MI, or severe hypertension.
!X !X !X !X !X !X !X !X !X
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
!X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X (e.g., !
XMI, 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
MET (metabolic equivalent of task) demand during normal daily activity.
!X ! X !X !X !X !X !X !X !X
a. 4
b. 6
c. 8
d. 10
ANS: A !X
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. Acti
!X !X !X !X !X !X !X !X !X !X !X !X !X !X !X ! X !X
vities requiring greater than 10 METs include swimming and singles tennis. An exercise capacity of 1
!X !X !X !X !X !X !X !X !X !X !X ! X !X !X !X
0 to 13 METs indicates excellent physical conditioning.
!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
d. Splinter hemorrhages !X
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