Test Bank For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Chapters 1- 30

Test Bank For Little and Falace's Dental Management of
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the Medically Compromised Patient,
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10th Edition by Craig Miller, Ch
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apters 1 - 30v v v

,Little:vDentalvManagementvofvthevMedicallyvCompromisedvPatient,v10thvEditionvTest
vBank



TablevofvContents
PARTvONE:vPATIENTvEVALUATIONvANDvRISKvASSESSMENT
Chapterv1:vPatientvEvaluationvandvRiskvAssessment
PARTvTWO:vCARDIOVASCULARvDISEASE
Chapterv2:vInfectivevEndocarditisvCha
pterv3:vHypertension
Chapterv4:vIschemicvHeartvDiseasevCh
apterv5:vCardiacvArrhythmias
Chapterv6:vHeartvFailurev(orvCongestivevHeartvFailure)
PARTvTHREE:vPULMONARYvDISEASE
Chapterv7:vPulmonaryvDisease
Chapterv8:vSmokingvandvTobaccovUsevCessationv
Chapterv9:vSleep-
RelatedvBreathingvDisordersvPARTvFOUR:vGAST
ROINTESTIALvDISEASE
Chapterv10:vLivervDisease
Chapterv11:vGastrointestinalvDisease
PARTvFIVE:vGENITOURINARYvDISEASE
Chapterv12:vChronicvKidneyvDiseasevandvDialysisv
Chapterv13:vSexuallyvTransmittedvDiseases
PARTvSIX:vENDOCRINEvANDvMETABOLICvDISEASE
Chapterv14:vDiabetesvMellitusvChapte
rv15:vAdrenalvInsufficiencyvChapterv16:
vThyroidvDiseases

Chapterv17:vPregnancyvandvBreastvFeeding
PARTvSEVEN:vIMMUNOLOGICvDISEASE
Chapterv18:vAIDS,vHIVvInfection,vandvRelatedvConditionsvChapter
v19:vAllergy

Chapterv20:vRheumatologicvandvConnectivevTissuevDisordersvChapter
v21:vOrganvandvBonevMarrowvTransplantation

PARTvEIGHT:vHEMATOLOGICvANDvONCOLOGICvDISEASE
Chapterv22:vDisordersvofvRedvBloodvCellsvChapter
v23:vDisordersvofvWhitevBloodvCells

Chapterv24:vAcquiredvBleedingvandvHypercoagulablevDisordersvChapt
erv25:vCongenitalvBleedingvandvHypercoagulablevDisordersvChapterv2
6:vCancervandvOralvCarevofvthevPatient
PARTvNINE:vNEUROLOGIC,vBEHAVIORAL,vANDvPSYCHIATRICvDISORDERS
Chapterv27:vNeurologicvDisorders
Chapterv28:vAnxiety,vEatingvDisorders,vandvBehavioralvReactionsvtovIllnessvChapterv
29:vPsychiatricvDisorders
Chapterv30:vDrugvandvAlcoholvAbuse

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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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MULTIPLEvCHOICE

1. Electivevdentalvcarevshouldvbevdeferredvforvpatientsvwithvsevere,vuncontrolledvhypert
ension,vmeaningvthatvthevbloodvpressurevisvgreatervthanvorvequalvto mmvHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:v C
Electivevdentalvcarevshouldvbevdeferredvforvpatientsvwithvsevere,vuncontrolledvhypert
ension,vwhichvisvbloodvpressurevgreatervthanvorvequalvtov180/110vmmvHg,vuntilvthevco
nditionvcanvbevbroughtvundervcontrol.

2. ThevAmericanvHeartvAssociationvcurrentlyvrecommendsvantibioticvprophylaxisvforvavp
atientvwithvwhichvofvthevfollowingvcardiacvconditions?
a. Mitralvvalvevprolapse
b. Prostheticvheartvvalve
c. Rheumaticvheartvdisease
d. Pacemakersvforvcardiacvarrhythmias
ANSWER:v B
Previously,vthevAmericanvHeartvAssociationv(AHA)vrecommendedvantibioticvprophylaxi
svforvmanyvpatientsvwithvheartvmurmursvcausedvbyvvalvularvdiseasev(e.g.,vmitralvvalvevp
rolapse,vrheumaticvheartvdisease)vinvanveffortvtovpreventvinfectivevendocarditis;vhowev
er,vcurrentvguidelinesvomitvthisvrecommendationvonvthevbasisvofvaccumulatedvscientificv
evidence.vIfvavmurmurvisvduevtovcertainvspecificvcardiacvconditionsv(e.g.,vpreviousvendo
carditis,vprostheticvheartvvalve,vcomplexvcongenitalvcyanoticvheartvdisease),vthevAHAvc
ontinuesvtovrecommendvantibioticvprophylaxisvforvmostvdentalvprocedures.

3. Onevconsequencevofvchronicvhepatitisv(BvorvC)vorvcirrhosisvofvthevlivervisvdecreasedva
bilityvofvthevbodyvto certainvdrugs,vincludingvlocalvanestheticsvandvanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:v C
Patientsvalsovmayvhavevchronicvhepatitisv(BvorvC)vorvcirrhosis,vwithvimpairmentvofv
livervfunction.vThisvdeficitvmayvresultvinvprolongedvbleedingvandvlessvefficientvmet
abolismvofvcertainvdrugs,vincludingvlocalvanestheticsvandvanalgesics.

4. Whichvofvthevfollowingvsymptomsvandvsignsvisvmostvconsistentvwithvallergy?
a. Heartvpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANSWER:v B
Symptomsvandvsignsvconsistentvwithvallergyvincludevitching,vurticariav(hives),vrash,vsw
elling,vwheezing,vangioedema,vrunnyvnose,vandvtearingveyes.vIsolatedvsignsvandvsympt
omsvsuchvasvnausea,vvomiting,vheartvpalpitations,vandvfaintingvgenerallyvarevnotvofvanv
allergicvoriginvbutvrathervarevmanifestationsvofvdrugvintolerance,vadversevsideveffects,vo
rvpsychogenicvreactions.

5. Whichvofvthevfollowingvisvtruevofvthevpatientvwithvavhistoryvofvtuberculosis?
a. AvpositivevresultvonvskinvtestingvmeansvthatvthevpersonvhasvactivevTB.
b. Mostvpatientsvwhovbecomevpositivevskinvtestersvdevelopvactivevdisease.
c. Patientsvwithvacquiredvimmunodeficiencyvsyndromev(AIDS)vhavevavhighvi
ncidencevofvtuberculosis.
d. AvdiagnosisvofvactivevTBvisvmadevbyvavpurifiedvproteinvderivativev(PPD)vskinvtest.
ANSWER:v C
Thevpotentialvcoexistencevofvtuberculosisvandvacquiredvimmunodeficiencyvsyndromev(
AIDS)vshouldvbevexploredvbecausevpatientsvwithvAIDSvhavevavhighvincidencevofvtuberc
ulosis.vAvpositivevresultvonvskinvtestingvmeansvspecificallyvthatvthevpersonvhasvatvsomev
timevbeenvinfectedvwithvTB,vnotvnecessarilyvthatvactivevdiseasevisvpresent.vMostvpatient
svwhovbecomevpositivevskinvtestersvdovnotvdevelopvactivevdisease.vAvdiagnosisvofvactiv
evTBvisvmadevbyvchestvx-ray,vimaging,vsputumvculture,vandvclinicalvexamination.

6. Vasoconstrictorsvshouldvbevavoidedvinvpatientsvwhovcocainevorvmetha
mphetaminevusersvbecausevthesevagentsvmayvprecipitate .
a.severevhypotension
b.severevhypertension
c.respiratoryvdepression
d.cessationvofvintestinalvperistalsis
ANSWER:v B
Vasoconstrictorsvshouldvbevavoidedvinvpatientsvwhovarevcocainevorvmethamphetamine
vusersvbecausevthevcombinationvmayvprecipitatevarrhythmias,vMI,vorvseverevhypertensi

on.

7. Itvhasvbeenvshownvthatvthevriskvforvoccurrencevofvavseriousvperioperativevcardiovascul
arveventv(e.g.,vMI,vheartvfailure)visvincreasedvinvpatientsv whovarevunablevtovmeetvav-
METv(metabolicvequivalentvofvtask)vdemandvduringvnormalvdailyvactivity.
a. 4
b. 6
c. 8
d. 10

ANSWER:v A
Dailyvactivitiesvrequiringv4vMETsvincludevlevelvwalkingvatv4vmiles/hourvorvclimbingvavflightv
ofvstairs.vActivitiesvrequiringvgreatervthanv10vMETsvincludevswimmingvandvsinglesvtennis.v
Anvexercisevcapacityvofv10vtov13vMETsvindicatesvexcellentvphysicalvconditioning.

8. Whichvofvthevfollowingvalterationsvinvthevfingernailsvisvassociatedvwithvcirrhosis?
a. Yellowing
b. Clubbing
c. Whitevdiscoloration



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