Test Bank for Little and Falace’s Dental Management of the Medically Compromised Patient, 9th Edition – Complete All Chapters

TEST BANK
LITTLE AND FALACE'S DENTAL
MANAGEMENT OF THE MEDICALLY
COMPROMISED PATIENT
9TH EDITION




TEST BANK

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

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Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 9th Edition


MULTIPLE CHOICE

1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
q q q q q q q q q q q q



meaning that the blood pressure is greater than or equal to
q q q q q q q q q q mm Hg. q



a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C q



Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
q q q q q q q q q q q q



which is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be
q q q q q q q q q q q q q q q q q



brought under control. q q




2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
q q q q q q q q q q q



with which of the following cardiac conditions?
q q q q q q



a. Mitral valve prolapse q q



b. Prosthetic heart valve q q



c. Rheumatic heart disease q q



d. Pacemakers for cardiac arrhythmias q q q




ANS: B q



Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for
q q q q q q q q q q



many patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse,
q q q q q q q q q q q q q



rheumatic heart disease) in an effort to prevent infective endocarditis; however, current
q q q q q q q q q q q q



guidelines omit this recommendation on the basis of accumulated scientific evidence. If a
q q q q q q q q q q q q q



murmur is due to certain specific cardiac conditions (e.g., previous endocarditis, prosthetic
q q q q q q q q q q q q



heart valve, complex congenital cyanotic heart disease), the AHA continues to recommend
q q q q q q q q q q q q



antibiotic prophylaxis for most dental procedures.
q q q q q




3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of
q q q q q q q q q q q q q q q q q



the body to
q q certain drugs, including local anesthetics and analgesics.
q q q q q q



a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C q



Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver
q q q q q q q q q q q q q q q



function. This deficit may result in prolonged bleeding and less efficient metabolism of
q q q q q q q q q q q q q



certain drugs, including local anesthetics and analgesics.
q q q q q q




4. Which of the following symptoms and signs is most consistent with allergy?
q q q q q q q q q q q



a. Heart palpitations q



b. Itching
c. Vomiting
d. Fainting




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ANS: B q



Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling,
q q q q q q q q q q q q



wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as
q q q q q q q q q q q q q



nausea, vomiting, heart palpitations, and fainting generally are not of an allergic origin but
q q q q q q q q q q q q q q



rather are manifestations of drug intolerance, adverse side effects, or psychogenic reactions.
q q q q q q q q q q q




5. Which of the following is true of the patient with a history of tuberculosis?
q q q q q q q q q q q q q



a. A positive result on skin testing means that the person has active TB.
q q q q q q q q q q q q



b. Most patients who become positive skin testers develop active disease.
q q q q q q q q q



c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence
q q q q q q q q q q



of tuberculosis.
q



d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
q q q q q q q q q q q q q q




ANS: q C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS)
q q q q q q q q q q



should be explored because patients with AIDS have a high incidence of tuberculosis. A
q q q q q q q q q q q q q q



positive result on skin testing means specifically that the person has at some time been
q q q q q q q q q q q q q q q



infected with TB, not necessarily that active disease is present. Most patients who become
q q q q q q q q q q q q q q



positive skin testers do not develop active disease. A diagnosis of active TB is made by chest
q q q q q q q q q q q q q q q q q



x-ray, imaging, sputum culture, and clinical examination.
q q q q q q




6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users q q q q q q q q q q q



because these agents may precipitate
q q q q .
a. severe hypotension q



b. severe hypertension q



c. respiratory depression q



d. cessation of intestinal peristalsis q q q




ANS: B q



Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users q q q q q q q q q q q q



because the combination may precipitate arrhythmias, MI, or severe hypertension.
q q q q q q q q q




7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
q q q q q q q q q q q q q q q



(e.g., MI, heart failure) is increased in patients who are unable to meet a -MET (metabolic
q q q q q q q q q q q q q q q q



equivalent of task) demand during normal daily activity.
q q q q q q q



a. 4
b. 6
c. 8
d. 10
ANS: A q



Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of
q q q q q q q q q q q q q q q q



stairs. Activities requiring greater than 10 METs include swimming and singles tennis. An
q q q q q q q q q q q q q



exercise capacity of 10 to 13 METs indicates excellent physical conditioning.
q q q q q q q q q q




8. Which of the following alterations in the fingernails is associated with cirrhosis?
q q q q q q q q q q q



a. Yellowing
b. Clubbing
c. White discoloration q



d. Splinter hemorrhages q




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