LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
101. Question: What types of follow-up might be necessary after a high-risk dental procedure? -
Answer: Monitoring for infection or complications associated with existing health issues.
102. Question: In terms of ongoing care, how often should patients with hypertension be encouraged to
visit the dentist? - Answer: At least every six months or as their condition requires.
103. Question: What should be common practice when transitioning care for a patient with chronic
diseases to other specialties? - Answer: Detailed communication between healthcare providers regarding
the patient's full health status.
104. Question: How can patients track their progress in managing their hypertension in relation to their
dental visits? - Answer: Keeping a health diary that includes blood pressure readings and medications.
105. Question: Why is it important for patients to know the signs of worsening cardiovascular issues? -
Answer: To seek immediate medical attention if necessary.
Advanced Clinical Considerations
106. Question: When managing a patient with multiple systemic conditions, what is the key to effective
dental care planning? - Answer: Individualized treatment plans tailored to the patient’s unique medical
profile.
107. Question: In what circumstances might dental staff need to modify their standard protocols during
treatment? - Answer: If a patient has concurrent medical conditions that heighten their risk.
108. Question: How can emerging technologies facilitate better management for patients with chronic
health issues in dentistry? - Answer: By utilizing health apps to monitor and notify both providers and
patients about their conditions.
109. Question: What role can patient feedback play in enhancing the care of those with systemic
issues in a dental setting? - Answer: It can provide insights into their experiences and areas for
improvement in care.
110. Question: In multidisciplinary care, how should a dental professional communicate any concerns
regarding a patient's health? - Answer: Through secure, formal channels to ensure patient confidentiality.
Summary of Patient Protocol
111. Question: What protocol should be followed for all patients prior to undergoing treatment at a
dental office? - Answer: A thorough health history review and necessary risk assessments.
112. Question: Why is educating patients about the impact of their chronic health conditions on dental
care crucial? - Answer: Empowering them to take control of both their systemic and oral health.
113. Question: How can a dental professional determine the appropriate pace for patient treatment in
the face of systemic disorders? - Answer: Constant monitoring of patient responses and allowing for
breaks as needed.
1. Question: Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
meaning that the blood pressure is greater than or equal to what mm Hg?
o Answer: c. 180/110
2. Question: Which cardiac condition currently requires antibiotic prophylaxis according to the American
Heart Association?
o Answer: b. Prosthetic heart valve
3. Question: A consequence of chronic hepatitis (B or C) is decreased ability of the body to do which of the
following?
o Answer: c. metabolize
4. Question: What symptom is most consistent with an allergy?
o Answer: b. Itching
5. Question: What is true about a patient with a history of tuberculosis?
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
o Answer: c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of
tuberculosis.
6. Question: Why should vasoconstrictors be avoided in patients who are cocaine or methamphetamine
users?
o Answer: b. severe hypertension
7. Question: A serious perioperative cardiovascular event risk increases in patients unable to meet what
MET demand?
o Answer: a. 4
8. Question: What alteration in fingernails is associated with cirrhosis?
o Answer: c. White discoloration
9. Question: When placing a blood pressure cuff, when should it be inflated until?
o Answer: b. the radial pulse disappears and then inflated an additional 20 to 30 mm Hg.
10. Question: What does ASA III classify a patient with?
o Answer: b. Patient’s disease has significant impact on daily activity.
Infective Endocarditis
11. Question: Which statement is true about infective endocarditis?
o Answer: d. Accumulating evidence questions the validity of antibiotic prophylaxis.
12. Question: What is the most common underlying condition predisposing to infective endocarditis?
o Answer: c. Mitral valve prolapse
13. Question: What is the leading cause of death due to infective endocarditis?
o Answer: b. heart failure
14. Question: How soon do symptoms of infective endocarditis typically onset after the presumed initiating
bacteremia?
o Answer: b. 2 weeks
15. Question: Where are Janeway lesions typically located?
o Answer: b. Palms of the hands and soles of the feet
16. Question: What is true regarding the magnitude of bacteremia needed to cause infective endocarditis?
o Answer: b. Cases of IE caused by oral bacteria probably result from frequent exposure to low inocula.
17. Question: Is visible bleeding during a dental procedure a reliable predictor of bacteremia?
o Answer: b. Both statements are false.
18. Question: What conclusion have investigators drawn about the efficacy of antibiotic prophylaxis for IE?
o Answer: d. Investigators have concluded that dental or other procedures probably only caused a small
fraction of cases of IE.
19. Question: Before dental treatment, which cardiac condition requires antibiotic prophylaxis?
o Answer: c. Prosthetic cardiac valve
20. Question: What antibiotic is suitable for a patient already taking penicillin requiring premedication before
dental treatment?
o Answer: b. Clindamycin
Hypertension
21. Question: What are the diastolic pressure ranges for prehypertension?
o Answer: a. 80 to 89
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
22. Question: Who can diagnose hypertension and decide on treatment?
o Answer: a. Physician
23. Question: Which group is most likely to have hypertension according to the prevalence in America?
o Answer: d. Its prevalence is similar among men and women.
24. Question: Approximately what percentage of all blood pressure-related deaths due to coronary heart
disease occurs in prehypertensive persons?
o Answer: c. 15
25. Question: What is the first-line drug category for treating hypertension when lifestyle changes are
ineffective?
o Answer: b. Diuretics, thiazide diuretics, and others.
26. Question: When should elective dental care be deferred?
o Answer: d. 180/110 mm Hg or greater
27. Question: Which method is recommended for stress management in hypertensive dental patients?
o Answer: c. Nitrous oxide plus oxygen for inhalation sedation.
28. Question: Why should chair position changes be avoided during dental treatment for hypertensive
patients?
o Answer: b. They tend to produce orthostatic hypotension as a side effect.
29. Question: How many cartridges of 2% lidocaine with 1:100,000 epinephrine is considered safe for
hypertensive patients?
o Answer: a. 2
30. Question: What happens if a dental anesthetic containing a vasoconstrictor is given to a patient on
nonselective β-blockers?
o Answer: b. Hypertension
Continued Medical Management and Procedures
31. Question: For what blood pressure reading should a dental patient be referred for evaluation within one
week?
o Answer: d. 180/110
32. Question: What impact does poor oral hygiene have on bacteremia levels after dental procedures?
o Answer: b. Quality of oral hygiene has an appreciable effect.
33. Question: When assessing a patient with a history of heart conditions, what specific symptoms should
dentists look for?
o Answer: Chest pain, shortness of breath, and fatigue.
34. Question: What adjunctive treatment can manage anxiety for a patient undergoing dental procedures?
o Answer: Short-acting benzodiazepines.
35. Question: Which dietary changes are recommended to help manage hypertension?
o Answer: Reducing salt intake and increasing fruit and vegetable consumption.
36. Question: When taking blood pressure, what is the importance of patient positioning?
o Answer: Proper positioning helps ensure an accurate reading.
37. Question: In dental treatment, what is a recommended approach for patients with a history of myocardial
infarction?
o Answer: Consult their physician before treatment.
9TH EDITION TEST BANK ISBN-978-0323443555
101. Question: What types of follow-up might be necessary after a high-risk dental procedure? -
Answer: Monitoring for infection or complications associated with existing health issues.
102. Question: In terms of ongoing care, how often should patients with hypertension be encouraged to
visit the dentist? - Answer: At least every six months or as their condition requires.
103. Question: What should be common practice when transitioning care for a patient with chronic
diseases to other specialties? - Answer: Detailed communication between healthcare providers regarding
the patient's full health status.
104. Question: How can patients track their progress in managing their hypertension in relation to their
dental visits? - Answer: Keeping a health diary that includes blood pressure readings and medications.
105. Question: Why is it important for patients to know the signs of worsening cardiovascular issues? -
Answer: To seek immediate medical attention if necessary.
Advanced Clinical Considerations
106. Question: When managing a patient with multiple systemic conditions, what is the key to effective
dental care planning? - Answer: Individualized treatment plans tailored to the patient’s unique medical
profile.
107. Question: In what circumstances might dental staff need to modify their standard protocols during
treatment? - Answer: If a patient has concurrent medical conditions that heighten their risk.
108. Question: How can emerging technologies facilitate better management for patients with chronic
health issues in dentistry? - Answer: By utilizing health apps to monitor and notify both providers and
patients about their conditions.
109. Question: What role can patient feedback play in enhancing the care of those with systemic
issues in a dental setting? - Answer: It can provide insights into their experiences and areas for
improvement in care.
110. Question: In multidisciplinary care, how should a dental professional communicate any concerns
regarding a patient's health? - Answer: Through secure, formal channels to ensure patient confidentiality.
Summary of Patient Protocol
111. Question: What protocol should be followed for all patients prior to undergoing treatment at a
dental office? - Answer: A thorough health history review and necessary risk assessments.
112. Question: Why is educating patients about the impact of their chronic health conditions on dental
care crucial? - Answer: Empowering them to take control of both their systemic and oral health.
113. Question: How can a dental professional determine the appropriate pace for patient treatment in
the face of systemic disorders? - Answer: Constant monitoring of patient responses and allowing for
breaks as needed.
1. Question: Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
meaning that the blood pressure is greater than or equal to what mm Hg?
o Answer: c. 180/110
2. Question: Which cardiac condition currently requires antibiotic prophylaxis according to the American
Heart Association?
o Answer: b. Prosthetic heart valve
3. Question: A consequence of chronic hepatitis (B or C) is decreased ability of the body to do which of the
following?
o Answer: c. metabolize
4. Question: What symptom is most consistent with an allergy?
o Answer: b. Itching
5. Question: What is true about a patient with a history of tuberculosis?
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
o Answer: c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of
tuberculosis.
6. Question: Why should vasoconstrictors be avoided in patients who are cocaine or methamphetamine
users?
o Answer: b. severe hypertension
7. Question: A serious perioperative cardiovascular event risk increases in patients unable to meet what
MET demand?
o Answer: a. 4
8. Question: What alteration in fingernails is associated with cirrhosis?
o Answer: c. White discoloration
9. Question: When placing a blood pressure cuff, when should it be inflated until?
o Answer: b. the radial pulse disappears and then inflated an additional 20 to 30 mm Hg.
10. Question: What does ASA III classify a patient with?
o Answer: b. Patient’s disease has significant impact on daily activity.
Infective Endocarditis
11. Question: Which statement is true about infective endocarditis?
o Answer: d. Accumulating evidence questions the validity of antibiotic prophylaxis.
12. Question: What is the most common underlying condition predisposing to infective endocarditis?
o Answer: c. Mitral valve prolapse
13. Question: What is the leading cause of death due to infective endocarditis?
o Answer: b. heart failure
14. Question: How soon do symptoms of infective endocarditis typically onset after the presumed initiating
bacteremia?
o Answer: b. 2 weeks
15. Question: Where are Janeway lesions typically located?
o Answer: b. Palms of the hands and soles of the feet
16. Question: What is true regarding the magnitude of bacteremia needed to cause infective endocarditis?
o Answer: b. Cases of IE caused by oral bacteria probably result from frequent exposure to low inocula.
17. Question: Is visible bleeding during a dental procedure a reliable predictor of bacteremia?
o Answer: b. Both statements are false.
18. Question: What conclusion have investigators drawn about the efficacy of antibiotic prophylaxis for IE?
o Answer: d. Investigators have concluded that dental or other procedures probably only caused a small
fraction of cases of IE.
19. Question: Before dental treatment, which cardiac condition requires antibiotic prophylaxis?
o Answer: c. Prosthetic cardiac valve
20. Question: What antibiotic is suitable for a patient already taking penicillin requiring premedication before
dental treatment?
o Answer: b. Clindamycin
Hypertension
21. Question: What are the diastolic pressure ranges for prehypertension?
o Answer: a. 80 to 89
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
22. Question: Who can diagnose hypertension and decide on treatment?
o Answer: a. Physician
23. Question: Which group is most likely to have hypertension according to the prevalence in America?
o Answer: d. Its prevalence is similar among men and women.
24. Question: Approximately what percentage of all blood pressure-related deaths due to coronary heart
disease occurs in prehypertensive persons?
o Answer: c. 15
25. Question: What is the first-line drug category for treating hypertension when lifestyle changes are
ineffective?
o Answer: b. Diuretics, thiazide diuretics, and others.
26. Question: When should elective dental care be deferred?
o Answer: d. 180/110 mm Hg or greater
27. Question: Which method is recommended for stress management in hypertensive dental patients?
o Answer: c. Nitrous oxide plus oxygen for inhalation sedation.
28. Question: Why should chair position changes be avoided during dental treatment for hypertensive
patients?
o Answer: b. They tend to produce orthostatic hypotension as a side effect.
29. Question: How many cartridges of 2% lidocaine with 1:100,000 epinephrine is considered safe for
hypertensive patients?
o Answer: a. 2
30. Question: What happens if a dental anesthetic containing a vasoconstrictor is given to a patient on
nonselective β-blockers?
o Answer: b. Hypertension
Continued Medical Management and Procedures
31. Question: For what blood pressure reading should a dental patient be referred for evaluation within one
week?
o Answer: d. 180/110
32. Question: What impact does poor oral hygiene have on bacteremia levels after dental procedures?
o Answer: b. Quality of oral hygiene has an appreciable effect.
33. Question: When assessing a patient with a history of heart conditions, what specific symptoms should
dentists look for?
o Answer: Chest pain, shortness of breath, and fatigue.
34. Question: What adjunctive treatment can manage anxiety for a patient undergoing dental procedures?
o Answer: Short-acting benzodiazepines.
35. Question: Which dietary changes are recommended to help manage hypertension?
o Answer: Reducing salt intake and increasing fruit and vegetable consumption.
36. Question: When taking blood pressure, what is the importance of patient positioning?
o Answer: Proper positioning helps ensure an accurate reading.
37. Question: In dental treatment, what is a recommended approach for patients with a history of myocardial
infarction?
o Answer: Consult their physician before treatment.
