Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little:ODentalOManagementOofOtheOMedicallyOCompromisedOPatient,O10thOEditionOTestOBan
k
TableOofOContents
PARTOONE:OPATIENTOEVALUATIONOANDORISKOASSESSMENT
ChapterO1:OPatientOEvaluationOandORiskOAssessment
PARTOTWO:OCARDIOVASCULARODISEASE
ChapterO2:OInfectiveOEndocarditis
ChapterO3:OHypertension
ChapterO4:OIschemicOHeartODisease
ChapterO5:OCardiacOArrhythmias
ChapterO6:OHeartOFailureO(orOCongestiveOHeartOFailure)
PARTOTHREE:OPULMONARYODISEASE
ChapterO7:OPulmonaryODisease
ChapterO8:OSmokingOandOTobaccoOUseOCessation
ChapterO9:OSleep-RelatedOBreathingODisorders
PARTOFOUR:OGASTROINTESTIALODISEASE
ChapterO10:OLiverODisease
ChapterO11:OGastrointestinalODisease
PARTOFIVE:OGENITOURINARYODISEASE
ChapterO12:OChronicOKidneyODiseaseOandODialysis
ChapterO13:OSexuallyOTransmittedODiseases
PARTOSIX:OENDOCRINEOANDOMETABOLICODISEASE
ChapterO14:ODiabetesOMellitus
ChapterO15:OAdrenalOInsufficiency
ChapterO16:OThyroidODiseases
ChapterO17:OPregnancyOandOBreastOFeeding
PARTOSEVEN:OIMMUNOLOGICODISEASE
ChapterO18:OAIDS,OHIVOInfection,OandORelatedOConditions
ChapterO19:OAllergy
ChapterO20:ORheumatologicOandOConnectiveOTissueODisorders
ChapterO21:OOrganOandOBoneOMarrowOTransplantation
PARTOEIGHT:OHEMATOLOGICOANDOONCOLOGICODISEASE
ChapterO22:ODisordersOofORedOBloodOCells
ChapterO23:ODisordersOofOWhiteOBloodOCells
ChapterO24:OAcquiredOBleedingOandOHypercoagulableODisorders
ChapterO25:OCongenitalOBleedingOandOHypercoagulableODisorders
ChapterO26:OCancerOandOOralOCareOofOtheOPatient
PARTONINE:ONEUROLOGIC,OBEHAVIORAL,OANDOPSYCHIATRICODISORDERS
ChapterO27:ONeurologicODisorders
ChapterO28:OAnxiety,OEatingODisorders,OandOBehavioralOReactionsOtoOIllness
ChapterO29:OPsychiatricODisorders
ChapterO30:ODrugOandOAlcoholOAbuse
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Chapter 01: Patient Evaluation and Risk Assessment
O O O O O O
Little: Dental Management of the Medically Compromised Patient, 10th Edition
O O O O O O O O O
MULTIPLEOCHOICE
1. ElectiveOdentalOcareOshouldObeOdeferredOforOpatientsOwithOsevere,OuncontrolledOhypertensio
n,OmeaningOthatOtheObloodOpressureOisOgreaterOthanOorOequalOto mmOHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:O C
ElectiveOdentalOcareOshouldObeOdeferredOforOpatientsOwithOsevere,OuncontrolledOhypertensio
n,OwhichOisObloodOpressureOgreaterOthanOorOequalOtoO180/110OmmOHg,OuntilOtheOconditionOca
nObeObroughtOunderOcontrol.
2. TheOAmericanOHeartOAssociationOcurrentlyOrecommendsOantibioticOprophylaxisOforOaOpatie
ntOwithOwhichOofOtheOfollowingOcardiacOconditions?
a. MitralOvalveOprolapse
b. ProstheticOheartOvalve
c. RheumaticOheartOdisease
d. PacemakersOforOcardiacOarrhythmias
ANSWER:O B
Previously,OtheOAmericanOHeartOAssociationO(AHA)OrecommendedOantibioticOprophylaxisOfor
OmanyOpatientsOwithOheartOmurmursOcausedObyOvalvularOdiseaseO(e.g.,OmitralOvalveOprolapse,Or
heumaticOheartOdisease)OinOanOeffortOtoOpreventOinfectiveOendocarditis;Ohowever,OcurrentOguide
linesOomitOthisOrecommendationOonOtheObasisOofOaccumulatedOscientificOevidence.OIfOaOmurmu
rOisOdueOtoOcertainOspecificOcardiacOconditionsO(e.g.,OpreviousOendocarditis,OprostheticOheartOva
lve,OcomplexOcongenitalOcyanoticOheartOdisease),OtheOAHAOcontinuesOtoOrecommendOantibioti
cOprophylaxisOforOmostOdentalOprocedures.
3. OneOconsequenceOofOchronicOhepatitisO(BOorOC)OorOcirrhosisOofOtheOliverOisOdecreasedOabilityO
ofOtheObodyOto certainOdrugs,OincludingOlocalOanestheticsOandOanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:O C
PatientsOalsoOmayOhaveOchronicOhepatitisO(BOorOC)OorOcirrhosis,OwithOimpairmentOofOliv
erOfunction.OThisOdeficitOmayOresultOinOprolongedObleedingOandOlessOefficientOmetabolis
mOofOcertainOdrugs,OincludingOlocalOanestheticsOandOanalgesics.
4. WhichOofOtheOfollowingOsymptomsOandOsignsOisOmostOconsistentOwithOallergy?
a. HeartOpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:O B
SymptomsOandOsignsOconsistentOwithOallergyOincludeOitching,OurticariaO(hives),Orash,Oswelling,
Owheezing,Oangioedema,OrunnyOnose,OandOtearingOeyes.OIsolatedOsignsOandOsymptomsOsuchOasO
nausea,Ovomiting,OheartOpalpitations,OandOfaintingOgenerallyOareOnotOofOanOallergicOoriginObutOr
atherOareOmanifestationsOofOdrugOintolerance,OadverseOsideOeffects,OorOpsychogenicOreactions.
5. WhichOofOtheOfollowingOisOtrueOofOtheOpatientOwithOaOhistoryOofOtuberculosis?
a. AOpositiveOresultOonOskinOtestingOmeansOthatOtheOpersonOhasOactiveOTB.
b. MostOpatientsOwhoObecomeOpositiveOskinOtestersOdevelopOactiveOdisease.
c. PatientsOwithOacquiredOimmunodeficiencyOsyndromeO(AIDS)OhaveOaOhighOincidenc
eOofOtuberculosis.
d. AOdiagnosisOofOactiveOTBOisOmadeObyOaOpurifiedOproteinOderivativeO(PPD)OskinOtest.
ANSWER:O C
TheOpotentialOcoexistenceOofOtuberculosisOandOacquiredOimmunodeficiencyOsyndromeO(AIDS
)OshouldObeOexploredObecauseOpatientsOwithOAIDSOhaveOaOhighOincidenceOofOtuberculosis.OAO
positiveOresultOonOskinOtestingOmeansOspecificallyOthatOtheOpersonOhasOatOsomeOtimeObeenOinfe
ctedOwithOTB,OnotOnecessarilyOthatOactiveOdiseaseOisOpresent.OMostOpatientsOwhoObecomeOposi
tiveOskinOtestersOdoOnotOdevelopOactiveOdisease.OAOdiagnosisOofOactiveOTBOisOmadeObyOchestOx
-ray,Oimaging,OsputumOculture,OandOclinicalOexamination.
6. VasoconstrictorsOshouldObeOavoidedOinOpatientsOwhoOcocaineOorOmethamphetamineOuser
sObecauseOtheseOagentsOmayOprecipitate .
a. severeOhypotension
b. severeOhypertension
c. respiratoryOdepression
d. cessationOofOintestinalOperistalsis
ANSWER:O B
VasoconstrictorsOshouldObeOavoidedOinOpatientsOwhoOareOcocaineOorOmethamphetamineOusersO
becauseOtheOcombinationOmayOprecipitateOarrhythmias,OMI,OorOsevereOhypertension.
7. ItOhasObeenOshownOthatOtheOriskOforOoccurrenceOofOaOseriousOperioperativeOcardiovascularOeve
ntO(e.g.,OMI,OheartOfailure)OisOincreasedOinOpatientsOwhoOareOunableOtoOmeetOaO-
METO(metabolicOequivalentOofOtask)OdemandOduringOnormalOdailyOactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:O A
DailyOactivitiesOrequiringO4OMETsOincludeOlevelOwalkingOatO4Omiles/hourOorOclimbingOaOflightOof
Ostairs.OActivitiesOrequiringOgreaterOthanO10OMETsOincludeOswimmingOandOsinglesOtennis.OAnOex
erciseOcapacityOofO10OtoO13OMETsOindicatesOexcellentOphysicalOconditioning.
8. WhichOofOtheOfollowingOalterationsOinOtheOfingernailsOisOassociatedOwithOcirrhosis?
a. Yellowing
b. Clubbing
c. WhiteOdiscoloration
d. SplinterOhemorrhages
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