Test Bank - Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition - Miller - All 30 Chapters and Rationales Included

Test Bank For ttle and Falace's Dental Management of
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the Medically Compromised Patient,
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10th Edition by Craig Miller, C
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hapters 1 - 30
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,ttle: Dental Management of the Medically Compromised Patient, 10th Edition Test B
x x x x x x x x x x x x


ank
Table of Contents x x


PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
x x x x x x


Chapter 1: Patient Evaluation and Risk Assessment
x x x x x x


PART TWO: CARDIOVASCULAR DISEASEx x x


Chapter 2: Infective Endocarditis Chap x x x x


ter 3: Hypertension
x x


Chapter 4: Ischemic Heart Disease Ch x x x x x


apter 5: Cardiac Arrhythmias
x x x


Chapter 6: Heart Failure (or Congestive Heart Failure)
x x x x x x x


PART THREE: PULMONARY DISEASE x x x


Chapter 7: Pulmonary Disease x x x


Chapter 8: Smoking and Tobacco Use Cessation C
x x x x x x x


hapter 9: Sleep- x x


Related Breathing Disorders PART FOUR: GAST
x x x x x


ROINTESTIAL DISEASE x


Chapter 10: ver Disease x xx x


Chapter 11: Gastrointestinal Disease x x x


PART FIVE: GENITOURINARY DISEASEx x x


Chapter 12: Chronic Kidney Disease and Dialysis
x x x x x x x


Chapter 13: Sexually Transmitted Diseases x x x x


PART SIX: ENDOCRINE AND METABO C DISEASE
x x x x x x


Chapter 14: Diabetes Mel tus Chapter x x x x x x


15: Adrenal Insufficiency Chapter 16: T
x x x x x


hyroid Diseases x


Chapter 17: Pregnancy and Breast Feeding x x x x x


PART SEVEN: IMMUNOLOGIC DISEASE x x x


Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter
x x x x x x x x x


19: Allergy x


Chapter 20: Rheumatologic and Connective Tissue Disorders Chapter
x x x x x x x x


21: Organ and Bone Marrow Transplantation
x x x x x


PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
x x x x x


Chapter 22: Disorders of Red Blood Cells Chapter
x x x x x x x x


23: Disorders of White Blood Cells
x x x x x


Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
x x x x x x x


er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 26
x x x x x x x x


: Cancer and Oral Care of the Patient
x x x x x x x


PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
x x x x x x


Chapter 27: Neurologic Disorders x x x


Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 2
x x x x x x x x x x x


9: Psychiatric Disorders
x x


Chapter 30: Drug and Alcohol Abuse x x x x x

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Chapter 01: Patient Evaluation and Risk Assessment
x x x x x x


ttle: Dental Management of the Medically Compromised Patient, 10th Edition
x x x x x x x x x x




MULTIPLE CHOICE x




1. Elective dental care should be deferred for patients with severe, uncontrolled hyperte
x x x x x x x x x x x


nsion, meaning that the blood pressure is greater than or equal to mm Hg.
x x x x x x x x x x x x


a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: C x


Elective dental care should be deferred for patients with severe, uncontrolled hyperte
x x x x x x x x x x x


nsion, which is blood pressure greater than or equal to 180/110 mm Hg, until the condi
x x x x x x x x x x x x x x x


tion can be brought under control.
x x x x x




2. The American Heart Association currently recommends antibiotic prophylaxis for a p
x x x x x x x x x x


atient with which of the following cardiac conditions?
x x x x x x x


a. Mitral valve prolapse x x


b. Prosthetic heart valve x x


c. Rheumatic heart disease x x


d. Pacemakers for cardiac arrhythmias x x x




ANSWER: B x


Previously, the American Heart Association (AHA) recommended antibiotic prophylaxi
x x x x x x x x


s for many patients with heart murmurs caused by valvular disease (e.g., mitral valve pr
x x x x x x x x x x x x x x


olapse, rheumatic heart disease) in an effort to prevent infective endocarditis; however,
x x x x x x x x x x x


xcurrent guide nes omit this recommendation on the basis of accumulated scientific evid
x x x x x x x x x x x x


ence. If a murmur is due to certain specific cardiac conditions (e.g., previous endocardit
x x x x x x x x x x x x x


is, prosthetic heart valve, complex congenital cyanotic heart disease), the AHA continu
x x x x x x x x x x x


es to recommend antibiotic prophylaxis for most dental procedures.
x x x x x x x x




3. One consequence of chronic hepatitis (B or C) or cirrhosis of the ver is decreased abi t
x x x x x x x x x x x xx x x x x


y of the body to certain drugs, including local anesthetics and analgesics.
x x x x x x x x x x


a. absorb
b. distribute
c. metabo ze x


d. excrete
ANSWER: C x


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of v
x x x x x x x x x x x x x xx


er function. This deficit may result in prolonged bleeding and less efficient metabo
x x x x x x x x x x x x x


sm of certain drugs, including local anesthetics and analgesics.
x x x x x x x x




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


a. Heart palpitations x


b. Itching
c. Vomiting
d. Fainting




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ANSWER: B x


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swel
x x x x x x x x x x x x


ng, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptom
x x x x x x x x x x x


s such as nausea, vomiting, heart palpitations, and fainting generally are not of an allerg
x x x x x x x x x x x x x x


ic origin but rather are manifestations of drug intolerance, adverse side effects, or psych
x x x x x x x x x x x x x


ogenic reactions. x




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


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


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


c. Patients with acquired immunodeficiency syndrome (AIDS) have a high inx x x x x x x x x


cidence of tuberculosis. x x


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




ANSWER: C x


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (A
x x x x x x x x x


IDS) should be explored because patients with AIDS have a high incidence of tuberculo
x x x x x x x x x x x x x


sis. A positive result on skin testing means specifically that the person has at some time
x x x x x x x x x x x x x x x x


been infected with TB, not necessarily that active disease is present. Most patients who
x x x x x x x x x x x x x x


become positive skin testers do not develop active disease. A diagnosis of active TB is
x x x x x x x x x x x x x x x


made by chest x-ray, imaging, sputum culture, and c nical examination.
x x x x x x x x x x




6. Vasoconstrictors should be avoided in patients who cocaine or metha x x x x x x x x x


mphetamine users because these agents may precipitate x x x x x x .
a.severe hypotension x


b.severe hypertension x


c.respiratory depression x


d.cessation of intestinal peristalsis x x x




ANSWER: B x


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


users because the combination may precipitate arrhythmias, MI, or severe hypertensio
x x x x x x x x x x


n.

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


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


MET (metabo c equivalent of task) demand during normal daily activity.
x x x x x x x x x x


a. 4
b. 6
c. 8
d. 10

ANSWER: A x


Daily activities requiring 4 METs include level walking at 4 miles/hour or c mbing a f ght of s
x x x x x x x x x x x x x x x x x x


tairs. Activities requiring greater than 10 METs include swimming and singles tennis. An e
x x x x x x x x x x x x x


xercise capacity of 10 to 13 METs indicates excellent physical conditioning.
x x x x x x x x x x




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


a. Yellowing
b. Clubbing
c. White discoloration x




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