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

TEST BANK - LITTLE AND FALACE'S
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DENTALMANAGEMENT OF THE MEDICALLY
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COMPROMISED PATIENT 9TH EDITION
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(VERSION 2023/2024).
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COMPLETE GUIDE ff




ALL CHAPTERS 1-
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34. ISBN:978032344355
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5
ORIGINAL FILE VERSION 2023.
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74
Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 9th Edition
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MULTIPLE CHOICE vv




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



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 bebrought under control.
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2. The American Heart Association currently recommends antibiotic prophylaxis for
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a patient with which of the following cardiac conditions?
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a. Mitral valve prolapse vv vv



b. Prosthetic heart valve vv vv



c. Rheumatic heart disease vv vv



d. Pacemakers for cardiac arrhythmias vv vv vv




ANS: B vv



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



Patients also may have chronic hepatitis (B or C) or cirrhosis, with
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impairment of liver function. This deficit may result in prolonged bleeding and
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less efficient metabolism ofcertain 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 vv



b. Itching
c. Vomiting
d. Fainting

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74
ANS: B vv



Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
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swelling,wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
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symptoms such as nausea, vomiting, heart palpitations, and fainting generally are not of
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v an allergic origin but rather are manifestations of drug intolerance, adverse side
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effects, or psychogenic reactions.
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5. Which of the following is true of the patient with a history of tuberculosis?
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a. A positive result on skin testing means that the person has active TB.
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b. Most patients who become positive skin testers develop active disease.
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c. Patients with acquired immunodeficiency syndrome (AIDS) have a vv vv vv vv vv vv vv



high incidence of tuberculosis.
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d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANS: v v C
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome
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(AIDS) should be explored because patients with AIDS have a high incidence of
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tuberculosis. A positive result on skin testing means specifically that the person has at
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some time been infected with TB, not necessarily that active disease is present. Most
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patients who become positive skin testers do not develop active disease. A diagnosis of
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active TB is made by chestx-ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or vv vv vv vv vv vv vv vv



methamphetamine usersbecause these agents may precipitate
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a. severe hypotension vv



b. severe hypertension vv



c. respiratory depression vv



d. cessation of intestinal peristalsis vv vv vv




ANS: B vv



Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine vv vv vv vv vv vv vv vv vv vv



usersbecause the combination may precipitate arrhythmias, MI, or severe hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative
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cardiovascular event (e.g., MI, heart failure) is increased in patients who are unable
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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
ANS: A vv



Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight
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ofstairs. Activities requiring greater than 10 METs include swimming and singles tennis. An
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exercise capacity of 10 to 13 METs indicates excellent physical conditioning.
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8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration vv



d. Splinter hemorrhages vv




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