LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT, 10TH EDITION
TEST BANK
LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED
PATIENT, 10TH EDITION BY CRAIG MILLER, ALL CHAPTERS 1 – 30 COVERED
QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.
,LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT, 10TH EDITION
Little: Dental Management of the Medically Compromised Patient, 10th 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, 10th 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
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
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
ANS >> C
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 less efficient 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
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.
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
ANS >> B
Vasoconstrictors should be avoided in patients who are cocaine or
methamphetamine users because the combination may precipitate
arrhythmias, MI, or severe hypertension.
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TEST BANK
LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED
PATIENT, 10TH EDITION BY CRAIG MILLER, ALL CHAPTERS 1 – 30 COVERED
QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.
,LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT, 10TH EDITION
Little: Dental Management of the Medically Compromised Patient, 10th 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
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 10th 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
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
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
ANS >> C
Patients also may have chronic hepatitis (B or C) or cirrhosis, with
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Page 1 of 74
impairment of liver function. This deficit may result in prolonged bleeding
and less efficient 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
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.
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
ANS >> B
Vasoconstrictors should be avoided in patients who are cocaine or
methamphetamine users because the combination may precipitate
arrhythmias, MI, or severe hypertension.
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