TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Complete Newest Version

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

,Little: Dental Management of the Medically Compromised Patient, 10th Edition T
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est Bank pc




Table of Contents pc pc


PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
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Chapter 1: Patient Evaluation and Risk Assessment
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PART TWO: CARDIOVASCULAR DISEASE
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Chapter 2: Infective Endocarditis Cha
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pter 3: Hypertension
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Chapter 4: Ischemic Heart Disease C
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hapter 5: Cardiac Arrhythmias
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Chapter 6: Heart Failure (or Congestive Heart Failure)
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PART THREE: PULMONARY DISEASE
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Chapter 7: Pulmonary Disease pc pc pc


Chapter 8: Smoking and Tobacco Use Cessation
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Chapter 9: Sleep-
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Related Breathing Disorders PART FOUR: GA
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STROINTESTIAL DISEASE pc


Chapter 10: Liver Disease pc pc pc


Chapter 11: Gastrointestinal Disease
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PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis
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Chapter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapt
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er 15: Adrenal Insufficiency Chapter
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16: Thyroid Diseases
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Chapter 17: Pregnancy and Breast Feeding
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PART SEVEN: IMMUNOLOGIC DISEASE
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Chapter 18: AIDS, HIV Infection, and Related Conditions Chapt
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er 19: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders Chapt
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er 21: Organ and Bone Marrow Transplantation
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PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
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Chapter 22: Disorders of Red Blood Cells Chapt
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er 23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Ch
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apter 25: Congenital Bleeding and Hypercoagulable Disorders Chapt
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er 26: Cancer and Oral Care of the Patient
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PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
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Chapter 27: Neurologic Disorders
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Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapt
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er 29: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 10th Edition
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MULTIPLE CHOICE pc




1. Elective dental care should be deferred for patients with severe, uncontrolled hy
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pertension, meaning that the blood pressure is greater than or equal to mm Hg.
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
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Elective dental care should be deferred for patients with severe, uncontrolled hy
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pertension, which is blood pressure greater than or equal to 180/110 mm Hg, un
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til the condition can be brought 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 pc pc


b. Prosthetic heart valve pc pc


c. Rheumatic heart disease pc pc


d. Pacemakers for cardiac arrhythmias pc pc pc




ANSWER: B pc


Previously, the American Heart Association (AHA) recommended antibiotic prophyl
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axis for many patients with heart murmurs caused by valvular disease (e.g., mitral
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valve prolapse, rheumatic heart disease) in an effort to prevent infective endocardi
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tis; however, current guidelines omit this recommendation on the basis of accumul
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ated scientific evidence. If a murmur is due to certain specific cardiac conditions (e
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.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic hear
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t disease), the AHA continues to recommend antibiotic prophylaxis for most dental
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procedures.

3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreas
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ed ability of the body to
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certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
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Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairmen
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t of liver function. This deficit may result in prolonged bleeding and less effici
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ent metabolism of certain 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 pc


b. Itching
c. Vomiting
d. Fainting

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Page 1 of 74
ANSWER: B pc


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
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not of an allergic origin but rather are manifestations of drug intolerance, adverse
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side 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 hig
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h 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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ANSWER: C p c


The potential coexistence of tuberculosis and acquired immunodeficiency syndrom
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e (AIDS) should be explored because patients with AIDS have a high incidence of
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ctuberculosis. A positive result on skin testing means specifically that the person h
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as at some time been infected with TB, not necessarily that active disease is pres
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ent. Most patients who become positive skin testers do not develop active disease
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. A diagnosis of active TB is made by chest x-
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ray, imaging, sputum culture, and clinical examination.
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6. Vasoconstrictors should be avoided in patients who cocaine or me pc pc pc pc pc pc pc pc pc


thamphetamine users because these agents may precipitate pc pc pc pc pc pc .
a. severe hypotension pc


b. severe hypertension pc


c. respiratory depression pc


d. cessation of intestinal peristalsis pc pc pc




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Vasoconstrictors should be avoided in patients who are cocaine or methamphetam pc pc pc pc pc pc pc pc pc pc


ine users because the combination may precipitate arrhythmias, MI, or severe hype
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rtension.

7. It has been shown that the risk for occurrence of a serious perioperative cardiova
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scular event (e.g., MI, heart failure) is increased in patients who are unable to me
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et a -MET (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
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Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a fli
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ght of stairs. Activities requiring greater than 10 METs include swimming and singles
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tennis. An exercise capacity of 10 to 13 METs indicates excellent physical conditionin
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g.

8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing


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