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

TEST BANK E




LITTLE AND FALACE'S DENTAL MAN
E E E E




AGEMENT OF THE MEDICALLY COM
E E E E




PROMISED PATIENT E




9TH EDITION
E




TEST BANK E

,Little:EDentalEManagementEofEtheEMedicallyECompromisedEPatient,E9thEEditionETestEBank
TableEofEContents
PARTEONE:EPATIENTEEVALUATIONEANDERISKEASSESSMENT
ChapterE1:EPatientEEvaluationEandERiskEAssessment
PARTETWO:ECARDIOVASCULAREDISEASE
ChapterE2:EInfectiveEEndocarditis
ChapterE3:EHypertension
ChapterE4:EIschemicEHeartEDisease
ChapterE5:ECardiacEArrhythmias
ChapterE6:EHeartEFailureE(orECongestiveEHeartEFailure)
PARTETHREE:EPULMONARYEDISEASE
ChapterE7:EPulmonaryEDisease
ChapterE8:ESmokingEandETobaccoEUseECessation
ChapterE9:ESleep-RelatedEBreathingEDisorders
PARTEFOUR:EGASTROINTESTIALEDISEASE
ChapterE10:ELiverEDisease
ChapterE11:EGastrointestinalEDisease
PARTEFIVE:EGENITOURINARYEDISEASE
ChapterE12:EChronicEKidneyEDiseaseEandEDialysis
ChapterE13:ESexuallyETransmittedEDiseases
PARTESIX:EENDOCRINEEANDEMETABOLICEDISEASE
ChapterE14:EDiabetesEMellitus
ChapterE15:EAdrenalEInsufficiency
ChapterE16:EThyroidEDiseases
ChapterE17:EPregnancyEandEBreastEFeeding
PARTESEVEN:EIMMUNOLOGICEDISEASE
ChapterE18:EAIDS,EHIVEInfection,EandERelatedEConditions
ChapterE19:EAllergy
ChapterE20:ERheumatologicEandEConnectiveETissueEDisorders
ChapterE21:EOrganEandEBoneEMarrowETransplantation
PARTEEIGHT:EHEMATOLOGICEANDEONCOLOGICEDISEASE
ChapterE22:EDisordersEofERedEBloodECells
ChapterE23:EDisordersEofEWhiteEBloodECells
ChapterE24:EAcquiredEBleedingEandEHypercoagulableEDisorders
ChapterE25:ECongenitalEBleedingEandEHypercoagulableEDisorders
ChapterE26:ECancerEandEOralECareEofEtheEPatient
PARTENINE:ENEUROLOGIC,EBEHAVIORAL,EANDEPSYCHIATRICEDISORDERS
ChapterE27:ENeurologicEDisorders
ChapterE28:EAnxiety,EEatingEDisorders,EandEBehavioralEReactionsEtoEIllness
ChapterE29:EPsychiatricEDisorders
ChapterE30:EDrugEandEAlcoholEAbuse

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Chapter 01: Patient Evaluation and Risk Assessment
E E E E E E

Little: Dental Management of the Medically Compromised Patient, 9th Edition
E E E E E E E E E




MULTIPLEECHOICE

1. ElectiveEdentalEcareEshouldEbeEdeferredEforEpatientsEwithEsevere,EuncontrolledEhypertension,
E meaningEthatEtheEbloodEpressureEisEgreaterEthanEorEequalEto mmEHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS:E C
ElectiveEdentalEcareEshouldEbeEdeferredEforEpatientsEwithEsevere,EuncontrolledEhypertension,
EwhichEisEbloodEpressureEgreaterEthanEorEequalEtoE180/110EmmEHg,EuntilEtheEconditionEcanEb

eEbroughtEunderEcontrol.

2. TheEAmericanEHeartEAssociationEcurrentlyErecommendsEantibioticEprophylaxisEforEaEpatient
EwithEwhichEofEtheEfollowingEcardiacEconditions?
a. MitralEvalveEprolapse
b. ProstheticEheartEvalve
c. RheumaticEheartEdisease
d. PacemakersEforEcardiacEarrhythmias
ANS:E B
Previously,EtheEAmericanEHeartEAssociationE(AHA)ErecommendedEantibioticEprophylaxisEforE
manyEpatientsEwithEheartEmurmursEcausedEbyEvalvularEdiseaseE(e.g.,EmitralEvalveEprolapse,Erh
eumaticEheartEdisease)EinEanEeffortEtoEpreventEinfectiveEendocarditis;Ehowever,EcurrentEguideli
nesEomitEthisErecommendationEonEtheEbasisEofEaccumulatedEscientificEevidence.EIfEaEmurmurEi
sEdueEtoEcertainEspecificEcardiacEconditionsE(e.g.,EpreviousEendocarditis,EprostheticEheartEvalve
,EcomplexEcongenitalEcyanoticEheartEdisease),EtheEAHAEcontinuesEtoErecommendEantibioticEpr
ophylaxisEforEmostEdentalEprocedures.

3. OneEconsequenceEofEchronicEhepatitisE(BEorEC)EorEcirrhosisEofEtheEliverEisEdecreasedEabilityEof
EtheEbodyEto certainEdrugs,EincludingElocalEanestheticsEandEanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS:E C
PatientsEalsoEmayEhaveEchronicEhepatitisE(BEorEC)EorEcirrhosis,EwithEimpairmentEofEliver
Efunction.EThisEdeficitEmayEresultEinEprolongedEbleedingEandElessEefficientEmetabolismEo

fEcertainEdrugs,EincludingElocalEanestheticsEandEanalgesics.

4. WhichEofEtheEfollowingEsymptomsEandEsignsEisEmostEconsistentEwithEallergy?
a. HeartEpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANS:E B
SymptomsEandEsignsEconsistentEwithEallergyEincludeEitching,EurticariaE(hives),Erash,Eswelling,E
wheezing,Eangioedema,ErunnyEnose,EandEtearingEeyes.EIsolatedEsignsEandEsymptomsEsuchEasEn
ausea,Evomiting,EheartEpalpitations,EandEfaintingEgenerallyEareEnotEofEanEallergicEoriginEbutErat
herEareEmanifestationsEofEdrugEintolerance,EadverseEsideEeffects,EorEpsychogenicEreactions.

5. WhichEofEtheEfollowingEisEtrueEofEtheEpatientEwithEaEhistoryEofEtuberculosis?
a. AEpositiveEresultEonEskinEtestingEmeansEthatEtheEpersonEhasEactiveETB.
b. MostEpatientsEwhoEbecomeEpositiveEskinEtestersEdevelopEactiveEdisease.
c. PatientsEwithEacquiredEimmunodeficiencyEsyndromeE(AIDS)EhaveEaEhighEincidence
E ofEtuberculosis.
d. AEdiagnosisEofEactiveETBEisEmadeEbyEaEpurifiedEproteinEderivativeE(PPD)EskinEtest.
ANS:E C
TheEpotentialEcoexistenceEofEtuberculosisEandEacquiredEimmunodeficiencyEsyndromeE(AIDS)E
shouldEbeEexploredEbecauseEpatientsEwithEAIDSEhaveEaEhighEincidenceEofEtuberculosis.EAEpos
itiveEresultEonEskinEtestingEmeansEspecificallyEthatEtheEpersonEhasEatEsomeEtimeEbeenEinfectedE
withETB,EnotEnecessarilyEthatEactiveEdiseaseEisEpresent.EMostEpatientsEwhoEbecomeEpositiveEsk
inEtestersEdoEnotEdevelopEactiveEdisease.EAEdiagnosisEofEactiveETBEisEmadeEbyEchestEx-
ray,Eimaging,EsputumEculture,EandEclinicalEexamination.

6. VasoconstrictorsEshouldEbeEavoidedEinEpatientsEwhoEcocaineEorEmethamphetamineEusers
E becauseEtheseEagentsEmayEprecipitate .
a. severeEhypotension
b. severeEhypertension
c. respiratoryEdepression
d. cessationEofEintestinalEperistalsis
ANS:E B
VasoconstrictorsEshouldEbeEavoidedEinEpatientsEwhoEareEcocaineEorEmethamphetamineEusersEb
ecauseEtheEcombinationEmayEprecipitateEarrhythmias,EMI,EorEsevereEhypertension.

7. ItEhasEbeenEshownEthatEtheEriskEforEoccurrenceEofEaEseriousEperioperativeEcardiovascularEevent
E(e.g.,EMI,EheartEfailure)EisEincreasedEinEpatientsEwhoEareEunableEtoEmeetEaE-
METE(metabolicEequivalentEofEtask)EdemandEduringEnormalEdailyEactivity.
a. 4
b. 6
c. 8
d. 10
ANS:E A
DailyEactivitiesErequiringE4EMETsEincludeElevelEwalkingEatE4Emiles/hourEorEclimbingEaEflightEof
Estairs.EActivitiesErequiringEgreaterEthanE10EMETsEincludeEswimmingEandEsinglesEtennis.EAnEex

erciseEcapacityEofE10EtoE13EMETsEindicatesEexcellentEphysicalEconditioning.

8. WhichEofEtheEfollowingEalterationsEinEtheEfingernailsEisEassociatedEwithEcirrhosis?
a. Yellowing
b. Clubbing
c. WhiteEdiscoloration
d. SplinterEhemorrhages




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