TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Complete Newest Version

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Test Bank For Little and Falace's Dental Management of
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uu the Medically Compromised Patient,
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10thEditionby Craig Miller, Chapters
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uu 1 - 30
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Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
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Table of Contents
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PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis
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Chapter 3: Hypertension
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Chapter 4: Ischemic Heart Disease
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Chapter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease
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Chapter 8: Smoking and Tobacco Use Cessation
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Chapter 9: Sleep-Related Breathing Disorders
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PART FOUR: GASTROINTESTIAL DISEASE
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Chapter 10: Liver Disease
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Chapter 11: Gastrointestinal Disease
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PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis
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Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus
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Chapter 15: Adrenal Insufficiency
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Chapter 16: Thyroid Diseases
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Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter 18: AIDS, HIV Infection, and Related Conditions
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Chapter 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders
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Chapter 21: Organ and Bone Marrow Transplantation
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PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
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Chapter 22: Disorders of Red Blood Cells
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Chapter 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
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Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
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Chapter 26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
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Chapter 27: Neurologic Disorders
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Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
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Chapter 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 10th Edition
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MULTIPLE CHOICE uu




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
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uu meaning that the blood pressure is greater than or equal to
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C uu



Elective dental care should be deferred for patients with severe, uncontrolled
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hypertension, which is blood pressure greater than or equal to 180/110 mm Hg, until the
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condition can be brought under control.
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2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
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with which of the following cardiac conditions?
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a. Mitral valve prolapse uu uu



b. Prosthetic heart valve uu uu



c. Rheumatic heart disease uu uu



d. Pacemakers for cardiac arrhythmias uu uu uu




ANSWER: B uu



Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
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many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
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rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
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guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
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murmur is due to certain specific cardiac conditions (e.g., previous endocarditis,
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prosthetic heart valve, complex congenital cyanotic heart disease), the AHA continues to
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recommend antibiotic prophylaxis for most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability
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of the body to
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a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: C uu



Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of
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liver function. This deficit may result in prolonged bleeding and less efficient
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metabolism of certain drugs, including local anesthetics and analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations uu



b. Itching
c. Vomiting
d. Fainting




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ANSWER: B uu



Symptoms and signs consistent with allergy include itching, u u u u u u u u u u u u u u



u urticaria (hives), rash, swelling, wheezing, angioedema, runny nose,
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u and tearing eyes. Isolated signs and symptoms such as nausea,
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u vomiting, heart palpitations, and fainting generally are not of
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u an allergic origin but rather are manifestations of drug
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u intolerance, adverse side effects, or psychogenic reactions.
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5. Which of the following is true of the
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u u with a history of
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tuberculosis?
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a. A positive result on
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TB. u u u u



b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) u u u u u u u u u u



have a high incidence of tuberculosis.
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d. A diagnosis of active TB is made by a purified protein
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derivative (PPD) skin test.
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ANSWER: C
The potential coexistence of tuberculosis and acquired
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u immunodeficiency syndrome
u (AIDS) should be explored because uu u u u u u u u u u u u u u u u u u u u u u u



patients
u u with AIDS have a high incidence of tuberculosis. A
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u positive result on skin testing means specifically that the
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person has at some time been infected with TB, not
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u necessarily that active disease is present. Most patients who
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u become positive skin
u testers do not develop uactive u disease. u u u u u u u u u u u u u u u u u u u u u u u u u u u u



A
u u diagnosisu u of active
u u TB is made by chest x-ray, imaging, u u u u u u u u u u u u u u uu u u u u u u u u u u u u



u usputum u u culture, and clinical examination. u u u u u u u u u u u u u u u u




6. Vasoconstrictors should be avoided in patients who u u u u u u u u u u u u



u cocaine or methamphetamine users because these agents
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u may precipitate
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a. severe hypotension u u u u



b. severe hypertension u u u u



c. respiratory depression u u



d. cessation of intestinal peristalsis u u u u u u u u u u u u




ANSWER: B
Vasoconstrictors should be avoided in u u u u u u u u u u patients who are cocaine u u u u u u



u or methamphetamine users because the
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u arrhythmias, MI, or severe hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative
cardiovascular event (e.g., MI, heart failure) is increased in patients who are
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unable to meet a -MET (metabolic equivalent of task) demand during
normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANSWER: A
Daily u u activities u u requiring u u 4 u u METs u u include u u level u u walking u u at u u 4
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