TEST BANK for Little and Falace's Dental Management
of the Medically Compromised Patient, 10th Edition
by Craig Miller, Verified Chapters 1 – 30
,Table of Content
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
,ChapterB01: BPatient BEvaluation Band BRisk BAssessment
Little: BDental BManagement Bof Bthe BMedically BCompromised BPatient, B10thBEdition
MULTIPLE BCHOICE
1. Elective Bdental Bcare Bshould Bbe Bdeferred Bfor Bpatients Bwith Bsevere, Buncontrolled
B hypertension, Bmeaning Bthat Bthe Bblood Bpressure Bis Bgreater Bthan Bor Bequal Bto B B B
Bmm BHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: BC
Elective B dental B care B should B be B deferred B for B patients B with B severe,
B uncontrolled B hypertension, Bwhich Bis Bblood Bpressure Bgreater Bthan Bor Bequal Bto
B180/110 Bmm BHg, Buntil B the Bcondition Bcan Bbe Bbrought Bunder Bcontrol.
2. The BAmerican BHeart BAssociation Bcurrently Brecommends Bantibiotic Bprophylaxis
Bfor Ba B patient Bwith Bwhich Bof Bthe Bfollowing Bcardiac Bconditions?
a. Mitral Bvalve Bprolapse
b. Prosthetic Bheart Bvalve
c. Rheumatic Bheart Bdisease
d. Pacemakers Bfor Bcardiac Barrhythmias
ANS: BB
Previously, Bthe BAmerican BHeart BAssociation B(AHA) Brecommended Bantibiotic
Bprophylaxis B for Bmany Bpatients Bwith Bheart Bmurmurs Bcaused Bby Bvalvular Bdisease
B(e.g., Bmitral Bvalve B prolapse, Brheumatic Bheart Bdisease) Bin Ban Beffort Bto Bprevent
Binfective Bendocarditis; B however, Bcurrent Bguidelines Bomit Bthis Brecommendation Bon
Bthe Bbasis Bof Baccumulated B scientific Bevidence. BIf Ba Bmurmur Bis Bdue Bto Bcertain
Bspecific Bcardiac Bconditions B(e.g., B previous Bendocarditis, Bprosthetic Bheart Bvalve,
Bcomplex Bcongenital Bcyanotic Bheart B disease), Bthe BAHA Bcontinues Bto Brecommend
Bantibiotic Bprophylaxis Bfor Bmost Bdental B procedures.
3. One Bconsequence Bof Bchronic Bhepatitis B(B Bor BC) Bor Bcirrhosis Bof Bthe Bliver Bis
Bdecreased B ability Bof Bthe Bbody Bto B B Bcertain Bdrugs, Bincluding Blocal Banesthetics
Band Banalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: BC
Patients Balso Bmay Bhave Bchronic Bhepatitis B(B Bor B C) Bor Bcirrhosis, Bwith
B impairment Bof B liver B function. B This B deficit B may B result B in B prolonged
B bleeding B and B less B efficient B metabolism Bof Bcertain Bdrugs, Bincluding Blocal
Banesthetics Band Banalgesics.
4. Which Bof Bthe Bfollowing Bsymptoms Band Bsigns Bis Bmost Bconsistent Bwith Ballergy?
a. Heart Bpalpitations
b. Itching
c. Vomiting
d. Fainting
, ANS: BB
Symptoms Band Bsigns Bconsistent Bwith Ballergy Binclude Bitching, Burticaria B(hives), Brash,
B swelling, Bwheezing, Bangioedema, Brunny Bnose, Band Btearing Beyes. BIsolated Bsigns Band
B symptoms Bsuch Bas Bnausea, Bvomiting, Bheart Bpalpitations, Band Bfainting Bgenerally Bare
Bnot B of Ban Ballergic Borigin Bbut Brather Bare Bmanifestations Bof Bdrug Bintolerance,
Badverse Bside B effects, Bor Bpsychogenic Breactions.
5. Which Bof Bthe Bfollowing Bis Btrue Bof Bthe Bpatient Bwith Ba Bhistory Bof Btuberculosis?
a. A Bpositive Bresult Bon Bskin Btesting Bmeans Bthat Bthe Bperson Bhas Bactive BTB.
b. Most Bpatients Bwho Bbecome Bpositive Bskin Btesters Bdevelop Bactive Bdisease.
c. Patients Bwith Bacquired Bimmunodeficiency Bsyndrome B(AIDS) Bhave Ba
high B incidence Bof Btuberculosis.
B
d. A Bdiagnosis Bof Bactive BTB Bis Bmade Bby Ba Bpurified Bprotein Bderivative B(PPD) Bskin Btest.
ANS: B B C
The Bpotential Bcoexistence Bof Btuberculosis Band Bacquired Bimmunodeficiency
Bsyndrome B (AIDS) Bshould Bbe Bexplored Bbecause Bpatients Bwith BAIDS Bhave Ba Bhigh
Bincidence Bof B tuberculosis. BA Bpositive Bresult Bon Bskin Btesting Bmeans Bspecifically
Bthat Bthe Bperson Bhas Bat B some Btime Bbeen Binfected Bwith BTB, Bnot Bnecessarily Bthat
Bactive Bdisease Bis Bpresent. BMost B patients Bwho Bbecome Bpositive Bskin Btesters Bdo Bnot
Bdevelop Bactive Bdisease. BA Bdiagnosis Bof B active BTB Bis Bmade Bby Bchest Bx-ray, Bimaging,
Bsputum Bculture, Band Bclinical Bexamination.
6. Vasoconstrictors Bshould Bbe Bavoided Bin Bpatients Bwho Bcocaine Bor
Bmethamphetamine B users Bbecause Bthese Bagents Bmay Bprecipitate B B B B .
a. severeBhypotension
b. severeBhypertension
c. respiratoryBdepression
d. cessation Bof Bintestinal Bperistalsis
ANS: BB
Vasoconstrictors Bshould Bbe Bavoided Bin Bpatients Bwho Bare Bcocaine Bor Bmethamphetamine
B users Bbecause Bthe Bcombination Bmay Bprecipitate Barrhythmias, BMI, Bor Bsevere
Bhypertension.
7. It Bhas Bbeen Bshown Bthat Bthe Brisk Bfor Boccurrence Bof Ba Bserious Bperioperative
Bcardiovascular B event B(e.g., BMI, Bheart Bfailure) Bis Bincreased Bin Bpatients Bwho Bare
Bunable Bto Bmeet Ba B-MET B (metabolic Bequivalent Bof Btask) Bdemand Bduring Bnormal
Bdaily Bactivity.
a. 4
b. 6
c. 8
d. 10
ANS: BA
Daily Bactivities Brequiring B4 BMETs Binclude Blevel Bwalking Bat B4 Bmiles/hour Bor Bclimbing Ba
Bflight B of Bstairs. BActivities Brequiring Bgreater Bthan B10 BMETs Binclude Bswimming Band
Bsingles Btennis. B An Bexercise Bcapacity Bof B10 Bto B13 BMETs Bindicates Bexcellent Bphysical
Bconditioning.
8. Which Bof Bthe Bfollowing Balterations Bin Bthe Bfingernails Bis Bassociated Bwith Bcirrhosis?
a. Yellowing
b. Clubbing
c. White Bdiscoloration
d. SplinterBhemorrhages
of the Medically Compromised Patient, 10th Edition
by Craig Miller, Verified Chapters 1 – 30
,Table of Content
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
,ChapterB01: BPatient BEvaluation Band BRisk BAssessment
Little: BDental BManagement Bof Bthe BMedically BCompromised BPatient, B10thBEdition
MULTIPLE BCHOICE
1. Elective Bdental Bcare Bshould Bbe Bdeferred Bfor Bpatients Bwith Bsevere, Buncontrolled
B hypertension, Bmeaning Bthat Bthe Bblood Bpressure Bis Bgreater Bthan Bor Bequal Bto B B B
Bmm BHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: BC
Elective B dental B care B should B be B deferred B for B patients B with B severe,
B uncontrolled B hypertension, Bwhich Bis Bblood Bpressure Bgreater Bthan Bor Bequal Bto
B180/110 Bmm BHg, Buntil B the Bcondition Bcan Bbe Bbrought Bunder Bcontrol.
2. The BAmerican BHeart BAssociation Bcurrently Brecommends Bantibiotic Bprophylaxis
Bfor Ba B patient Bwith Bwhich Bof Bthe Bfollowing Bcardiac Bconditions?
a. Mitral Bvalve Bprolapse
b. Prosthetic Bheart Bvalve
c. Rheumatic Bheart Bdisease
d. Pacemakers Bfor Bcardiac Barrhythmias
ANS: BB
Previously, Bthe BAmerican BHeart BAssociation B(AHA) Brecommended Bantibiotic
Bprophylaxis B for Bmany Bpatients Bwith Bheart Bmurmurs Bcaused Bby Bvalvular Bdisease
B(e.g., Bmitral Bvalve B prolapse, Brheumatic Bheart Bdisease) Bin Ban Beffort Bto Bprevent
Binfective Bendocarditis; B however, Bcurrent Bguidelines Bomit Bthis Brecommendation Bon
Bthe Bbasis Bof Baccumulated B scientific Bevidence. BIf Ba Bmurmur Bis Bdue Bto Bcertain
Bspecific Bcardiac Bconditions B(e.g., B previous Bendocarditis, Bprosthetic Bheart Bvalve,
Bcomplex Bcongenital Bcyanotic Bheart B disease), Bthe BAHA Bcontinues Bto Brecommend
Bantibiotic Bprophylaxis Bfor Bmost Bdental B procedures.
3. One Bconsequence Bof Bchronic Bhepatitis B(B Bor BC) Bor Bcirrhosis Bof Bthe Bliver Bis
Bdecreased B ability Bof Bthe Bbody Bto B B Bcertain Bdrugs, Bincluding Blocal Banesthetics
Band Banalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: BC
Patients Balso Bmay Bhave Bchronic Bhepatitis B(B Bor B C) Bor Bcirrhosis, Bwith
B impairment Bof B liver B function. B This B deficit B may B result B in B prolonged
B bleeding B and B less B efficient B metabolism Bof Bcertain Bdrugs, Bincluding Blocal
Banesthetics Band Banalgesics.
4. Which Bof Bthe Bfollowing Bsymptoms Band Bsigns Bis Bmost Bconsistent Bwith Ballergy?
a. Heart Bpalpitations
b. Itching
c. Vomiting
d. Fainting
, ANS: BB
Symptoms Band Bsigns Bconsistent Bwith Ballergy Binclude Bitching, Burticaria B(hives), Brash,
B swelling, Bwheezing, Bangioedema, Brunny Bnose, Band Btearing Beyes. BIsolated Bsigns Band
B symptoms Bsuch Bas Bnausea, Bvomiting, Bheart Bpalpitations, Band Bfainting Bgenerally Bare
Bnot B of Ban Ballergic Borigin Bbut Brather Bare Bmanifestations Bof Bdrug Bintolerance,
Badverse Bside B effects, Bor Bpsychogenic Breactions.
5. Which Bof Bthe Bfollowing Bis Btrue Bof Bthe Bpatient Bwith Ba Bhistory Bof Btuberculosis?
a. A Bpositive Bresult Bon Bskin Btesting Bmeans Bthat Bthe Bperson Bhas Bactive BTB.
b. Most Bpatients Bwho Bbecome Bpositive Bskin Btesters Bdevelop Bactive Bdisease.
c. Patients Bwith Bacquired Bimmunodeficiency Bsyndrome B(AIDS) Bhave Ba
high B incidence Bof Btuberculosis.
B
d. A Bdiagnosis Bof Bactive BTB Bis Bmade Bby Ba Bpurified Bprotein Bderivative B(PPD) Bskin Btest.
ANS: B B C
The Bpotential Bcoexistence Bof Btuberculosis Band Bacquired Bimmunodeficiency
Bsyndrome B (AIDS) Bshould Bbe Bexplored Bbecause Bpatients Bwith BAIDS Bhave Ba Bhigh
Bincidence Bof B tuberculosis. BA Bpositive Bresult Bon Bskin Btesting Bmeans Bspecifically
Bthat Bthe Bperson Bhas Bat B some Btime Bbeen Binfected Bwith BTB, Bnot Bnecessarily Bthat
Bactive Bdisease Bis Bpresent. BMost B patients Bwho Bbecome Bpositive Bskin Btesters Bdo Bnot
Bdevelop Bactive Bdisease. BA Bdiagnosis Bof B active BTB Bis Bmade Bby Bchest Bx-ray, Bimaging,
Bsputum Bculture, Band Bclinical Bexamination.
6. Vasoconstrictors Bshould Bbe Bavoided Bin Bpatients Bwho Bcocaine Bor
Bmethamphetamine B users Bbecause Bthese Bagents Bmay Bprecipitate B B B B .
a. severeBhypotension
b. severeBhypertension
c. respiratoryBdepression
d. cessation Bof Bintestinal Bperistalsis
ANS: BB
Vasoconstrictors Bshould Bbe Bavoided Bin Bpatients Bwho Bare Bcocaine Bor Bmethamphetamine
B users Bbecause Bthe Bcombination Bmay Bprecipitate Barrhythmias, BMI, Bor Bsevere
Bhypertension.
7. It Bhas Bbeen Bshown Bthat Bthe Brisk Bfor Boccurrence Bof Ba Bserious Bperioperative
Bcardiovascular B event B(e.g., BMI, Bheart Bfailure) Bis Bincreased Bin Bpatients Bwho Bare
Bunable Bto Bmeet Ba B-MET B (metabolic Bequivalent Bof Btask) Bdemand Bduring Bnormal
Bdaily Bactivity.
a. 4
b. 6
c. 8
d. 10
ANS: BA
Daily Bactivities Brequiring B4 BMETs Binclude Blevel Bwalking Bat B4 Bmiles/hour Bor Bclimbing Ba
Bflight B of Bstairs. BActivities Brequiring Bgreater Bthan B10 BMETs Binclude Bswimming Band
Bsingles Btennis. B An Bexercise Bcapacity Bof B10 Bto B13 BMETs Bindicates Bexcellent Bphysical
Bconditioning.
8. Which Bof Bthe Bfollowing Balterations Bin Bthe Bfingernails Bis Bassociated Bwith Bcirrhosis?
a. Yellowing
b. Clubbing
c. White Bdiscoloration
d. SplinterBhemorrhages
