LITTLE AND FALACE'S
DENTAL MANAGEMENT OF
THE MEDICALLY
COMPROMISED PATIENT
10TH EDITION BY CRAIG
MILLER DMD MS, NELSON L.
LAUDABLETASKS1
[COMPANY NAME] [Company address]
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Page 1 of 74
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
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Chapter 30: Drug And Alcohol Abuse
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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, Meaning That The Blood Pressure Is Greater Than Or Equal To Mm
Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
CORRECT ANS>>C
Elective Dental Care Should Be Deferred For Patients With Severe, Uncontrolled
Hypertension, Which Is Blood Pressure Greater Than Or Equal To 180/110 Mm Hg, Until
The Condition Can Be Brought Under Control.
2. The American Heart Association Currently Recommends Antibiotic Prophylaxis For A Patient
With Which Of The Following Cardiac Conditions?
a. Mitral Valve Prolapse
b. Prosthetic Heart Valve
c. Rheumatic Heart Disease
d. Pacemakers For Cardiac Arrhythmias
CORRECT ANS>>B
Previously, The American Heart Association (AHA) Recommended Antibiotic Prophylaxis
For Many Patients With Heart Murmurs Caused By Valvular Disease (E.G., Mitral Valve
Prolapse, Rheumatic Heart Disease) In An Effort To Prevent Infective Endocarditis;
However, Current Guidelines Omit This Recommendation On The Basis Of Accumulated
Scientific Evidence. If A Murmur Is Due To Certain Specific Cardiac Conditions (E.G.,
Previous Endocarditis, Prosthetic Heart Valve, Complex Congenital Cyanotic Heart Disease),
The AHA Continues To Recommend Antibiotic Prophylaxis For Most Dental Procedures.
3. One Consequence Of Chronic Hepatitis (B Or C) Or Cirrhosis Of The Liver Is Decreased
Ability Of The Body To Certain Drugs, Including Local Anesthetics And Analgesics.
a. Absorb
b. Distribute
c. Metabolize
d. Excrete
CORRECT ANS>>C
Patients Also May Have Chronic Hepatitis (B Or C) Or Cirrhosis, With Impairment Of
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.
4. Which Of The Following Symptoms And Signs Is Most Consistent With Allergy?
a. Heart Palpitations
b. Itching
c. Vomiting
d. Fainting
CORRECT ANS>>B
Symptoms And Signs Consistent With Allergy Include Itching, Urticaria (Hives), Rash,
Swelling, Wheezing, Angioedema, Runny Nose, And Tearing Eyes. Isolated Signs And
Symptoms Such As Nausea, Vomiting, Heart Palpitations, And Fainting Generally Are Not
Of An Allergic Origin But Rather Are Manifestations Of Drug Intolerance, Adverse Side
Effects, Or Psychogenic Reactions.
5. Which Of The Following Is True Of The Patient With A History Of Tuberculosis?
a. A Positive Result On Skin Testing Means That The Person Has Active TB.
b. Most Patients Who Become Positive Skin Testers Develop Active Disease.
c. Patients With Acquired Immunodeficiency Syndrome (AIDS) Have A High
Incidence Of Tuberculosis.
d. A Diagnosis Of Active TB Is Made By A Purified Protein Derivative (PPD) Skin Test.
CORRECT ANS>>C
The Potential Coexistence Of Tuberculosis And Acquired Immunodeficiency Syndrome
(AIDS) Should Be Explored Because Patients With AIDS Have A High Incidence Of
Tuberculosis. A Positive Result On Skin Testing Means Specifically That The Person Has
At Some Time Been Infected With TB, Not Necessarily That Active Disease Is Present.
Most Patients Who Become Positive Skin Testers Do Not Develop Active Disease. A
Diagnosis Of Active TB Is Made By Chest X-Ray, Imaging, Sputum Culture, And Clinical
Examination.
6. Vasoconstrictors Should Be Avoided In Patients Who Cocaine Or Methamphetamine
Users Because These Agents May Precipitate .
a. Severe Hypotension
b. Severe Hypertension
c. Respiratory Depression
d. Cessation Of Intestinal Peristalsis
CORRECT ANS>>B
Vasoconstrictors Should Be Avoided In Patients Who Are Cocaine Or Methamphetamine
Users Because The Combination May Precipitate Arrhythmias, MI, Or Severe Hypertension.
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 Unable To Meet A -MET (Metabolic
Equivalent Of Task) Demand During Normal Daily Activity.
a. 4
b. 6
c. 8
d. 10
CORRECT ANS>>A
Daily Activities Requiring 4 Mets Include Level Walking At 4 Miles/Hour Or Climbing A
Flight Of Stairs. Activities Requiring Greater Than 10 Mets Include Swimming And Singles
Tennis. An Exercise Capacity Of 10 To 13 Mets Indicates Excellent Physical Conditioning.
WWW.NURSYLAB.COM
GRADESMORE.COM
DENTAL MANAGEMENT OF
THE MEDICALLY
COMPROMISED PATIENT
10TH EDITION BY CRAIG
MILLER DMD MS, NELSON L.
LAUDABLETASKS1
[COMPANY NAME] [Company address]
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
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
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Chapter 30: Drug And Alcohol Abuse
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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, Meaning That The Blood Pressure Is Greater Than Or Equal To Mm
Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
CORRECT ANS>>C
Elective Dental Care Should Be Deferred For Patients With Severe, Uncontrolled
Hypertension, Which Is Blood Pressure Greater Than Or Equal To 180/110 Mm Hg, Until
The Condition Can Be Brought Under Control.
2. The American Heart Association Currently Recommends Antibiotic Prophylaxis For A Patient
With Which Of The Following Cardiac Conditions?
a. Mitral Valve Prolapse
b. Prosthetic Heart Valve
c. Rheumatic Heart Disease
d. Pacemakers For Cardiac Arrhythmias
CORRECT ANS>>B
Previously, The American Heart Association (AHA) Recommended Antibiotic Prophylaxis
For Many Patients With Heart Murmurs Caused By Valvular Disease (E.G., Mitral Valve
Prolapse, Rheumatic Heart Disease) In An Effort To Prevent Infective Endocarditis;
However, Current Guidelines Omit This Recommendation On The Basis Of Accumulated
Scientific Evidence. If A Murmur Is Due To Certain Specific Cardiac Conditions (E.G.,
Previous Endocarditis, Prosthetic Heart Valve, Complex Congenital Cyanotic Heart Disease),
The AHA Continues To Recommend Antibiotic Prophylaxis For Most Dental Procedures.
3. One Consequence Of Chronic Hepatitis (B Or C) Or Cirrhosis Of The Liver Is Decreased
Ability Of The Body To Certain Drugs, Including Local Anesthetics And Analgesics.
a. Absorb
b. Distribute
c. Metabolize
d. Excrete
CORRECT ANS>>C
Patients Also May Have Chronic Hepatitis (B Or C) Or Cirrhosis, With Impairment Of
Liver Function. This Deficit May Result In Prolonged Bleeding And Less Efficient
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Metabolism Of Certain Drugs, Including Local Anesthetics And Analgesics.
4. Which Of The Following Symptoms And Signs Is Most Consistent With Allergy?
a. Heart Palpitations
b. Itching
c. Vomiting
d. Fainting
CORRECT ANS>>B
Symptoms And Signs Consistent With Allergy Include Itching, Urticaria (Hives), Rash,
Swelling, Wheezing, Angioedema, Runny Nose, And Tearing Eyes. Isolated Signs And
Symptoms Such As Nausea, Vomiting, Heart Palpitations, And Fainting Generally Are Not
Of An Allergic Origin But Rather Are Manifestations Of Drug Intolerance, Adverse Side
Effects, Or Psychogenic Reactions.
5. Which Of The Following Is True Of The Patient With A History Of Tuberculosis?
a. A Positive Result On Skin Testing Means That The Person Has Active TB.
b. Most Patients Who Become Positive Skin Testers Develop Active Disease.
c. Patients With Acquired Immunodeficiency Syndrome (AIDS) Have A High
Incidence Of Tuberculosis.
d. A Diagnosis Of Active TB Is Made By A Purified Protein Derivative (PPD) Skin Test.
CORRECT ANS>>C
The Potential Coexistence Of Tuberculosis And Acquired Immunodeficiency Syndrome
(AIDS) Should Be Explored Because Patients With AIDS Have A High Incidence Of
Tuberculosis. A Positive Result On Skin Testing Means Specifically That The Person Has
At Some Time Been Infected With TB, Not Necessarily That Active Disease Is Present.
Most Patients Who Become Positive Skin Testers Do Not Develop Active Disease. A
Diagnosis Of Active TB Is Made By Chest X-Ray, Imaging, Sputum Culture, And Clinical
Examination.
6. Vasoconstrictors Should Be Avoided In Patients Who Cocaine Or Methamphetamine
Users Because These Agents May Precipitate .
a. Severe Hypotension
b. Severe Hypertension
c. Respiratory Depression
d. Cessation Of Intestinal Peristalsis
CORRECT ANS>>B
Vasoconstrictors Should Be Avoided In Patients Who Are Cocaine Or Methamphetamine
Users Because The Combination May Precipitate Arrhythmias, MI, Or Severe Hypertension.
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 Unable To Meet A -MET (Metabolic
Equivalent Of Task) Demand During Normal Daily Activity.
a. 4
b. 6
c. 8
d. 10
CORRECT ANS>>A
Daily Activities Requiring 4 Mets Include Level Walking At 4 Miles/Hour Or Climbing A
Flight Of Stairs. Activities Requiring Greater Than 10 Mets Include Swimming And Singles
Tennis. An Exercise Capacity Of 10 To 13 Mets Indicates Excellent Physical Conditioning.
WWW.NURSYLAB.COM
GRADESMORE.COM
