Test Bank For Dental Management of the Medically Compromised Patient 9th Edition by Little.

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LITTLE AND FALACE'S DENTAL MANAGEMENT
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OF THE MEDICALLY COMPROMISED PATIENT
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9TH EDITION
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TEST BANK k
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,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
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Table of Contents km km


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 Chap
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ter 3: Hypertension
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Chapter 4: Ischemic Heart Disease Ch
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apter 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 km km km


Chapter 8: Smoking and Tobacco Use Cessation Cha
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pter 9: Sleep- km km


Related Breathing Disorders PART FOUR: GASTROI
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NTESTIAL DISEASE km


Chapter 10: Liver Disease km km km


Chapter 11: Gastrointestinal Disease
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PART FIVE: GENITOURINARY DISEASE
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Chapter 12: Chronic Kidney Disease and Dialysis Cha
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pter 13: Sexually Transmitted Diseases
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PART SIX: ENDOCRINE AND METABOLIC DISEASE
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Chapter 14: Diabetes Mellitus Chapter
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15: Adrenal Insufficiency Chapter 16:
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Thyroid Diseases km


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 Chapter 19
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: Allergy
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Chapter 20: Rheumatologic and Connective Tissue Disorders C
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hapter 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 Chapter
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m23: Disorders of White Blood Cells
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Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Cha
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pter 25: Congenital Bleeding and Hypercoagulable Disorders Chapte
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r 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 Chapter 2
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9: Psychiatric Disorders
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Chapter 30: Drug and Alcohol Abuse
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Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 9th Edition
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MULTIPLE CHOICE km




1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, me
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aning that the blood pressure is greater than or equal to
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C km


Elective dental care should be deferred for patients with severe, uncontrolled hypertension, wh
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ich is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brou
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ght under control.
km km




2. The American Heart Association currently recommends antibiotic prophylaxis for a patient
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which of the following cardiac conditions?
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a. Mitral valve prolapse km km


b. Prosthetic heart valve km km


c. Rheumatic heart disease km km


d. Pacemakers for cardiac arrhythmias km km km




ANS: B km


Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many
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patients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic he
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art disease) in an effort to prevent infective endocarditis; however, current guidelines omit this r
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ecommendation on the basis of accumulated scientific evidence. If a murmur is due to certain s
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pecific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital
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cyanotic heart 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 decreased ability of
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e body to
km km certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C km


Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver fu
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nction. This deficit may result in prolonged bleeding and less efficient metabolism of certai
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n 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 km


b. Itching
c. Vomiting
d. Fainting




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ANS: B km


Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, whe
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ezing, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nause
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a, vomiting, heart palpitations, and fainting generally are not of an allergic origin but rather are
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manifestations of drug intolerance, adverse 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 high incidence of tu
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berculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
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ANS: C kmk m


The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) shoul
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d be explored because patients with AIDS have a high incidence of tuberculosis. A positive resu
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lt on skin testing means specifically that the person has at some time been infected with TB, not
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mnecessarily that active disease is present. Most patients who become positive skin testers do no
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t develop active disease. 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 methamphetamine users
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ecause these agents may precipitate
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a. severe hypotension km


b. severe hypertension km


c. respiratory depression km


d. cessation of intestinal peristalsis km km km




ANS: B km


Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
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cause the combination may precipitate arrhythmias, MI, or severe hypertension.
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7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
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e.g., MI, heart failure) is increased in patients who are unable to meet a -
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MET (metabolic equivalent of task) demand during normal daily activity.
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a. 4
b. 6
c. 8
d. 10
ANS: A km


Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs.
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Activities requiring greater than 10 METs include swimming and singles tennis. An exercise capa
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city of 10 to 13 METs indicates excellent physical conditioning.
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8. Which of the following alterations in the fingernails is associated with cirrhosis?
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a. Yellowing
b. Clubbing
c. White discoloration km


d. Splinter hemorrhages km




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