Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little: Dental Management of the Medically Compromised Patient, 10th Edition Test Bank
Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
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Page 1 of 74
Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 10th Edition
MULTIPLE CHOICE
1. Elective rdental rcare rshould rbe rdeferred rfor rpatients rwith rsevere, runcontrolled
rhypertension, rmeaning rthat rthe rblood rpressure ris rgreater rthan ror requal rto mm rHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: r C
Elective rdental rcare rshould rbe rdeferred rfor rpatients rwith rsevere, runcontrolled
rhypertension, rwhich ris rblood rpressure rgreater rthan ror requal rto r180/110 rmm rHg, runtil
rthe rcondition rcan rbe rbrought runder rcontrol.
2. The rAmerican rHeart rAssociation rcurrently rrecommends rantibiotic rprophylaxis rfor ra
rpatient rwith rwhich rof rthe rfollowing rcardiac rconditions?
a. Mitral rvalve rprolapse
b. Prosthetic rheart rvalve
c. Rheumatic rheart rdisease
d. Pacemakers rfor rcardiac rarrhythmias
ANSWER: r B
Previously, rthe rAmerican rHeart rAssociation r(AHA) rrecommended rantibiotic rprophylaxis
rfor rmany rpatients rwith rheart rmurmurs rcaused rby rvalvular rdisease r(e.g., rmitral rvalve
rprolapse, rrheumatic rheart rdisease) rin ran reffort rto rprevent rinfective rendocarditis; rhowever,
rcurrent rguidelines romit rthis rrecommendation ron rthe rbasis rof raccumulated rscientific
revidence. rIf ra rmurmur ris rdue rto rcertain rspecific rcardiac rconditions r(e.g., rprevious
rendocarditis, rprosthetic rheart rvalve, rcomplex rcongenital rcyanotic rheart rdisease), rthe rAHA
rcontinues rto rrecommend rantibiotic rprophylaxis rfor rmost rdental rprocedures.
3. One rconsequence rof rchronic rhepatitis r(B ror rC) ror rcirrhosis rof rthe rliver ris rdecreased
rability rof rthe rbody rto certain rdrugs, rincluding rlocal ranesthetics rand ranalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: r C
Patients ralso rmay rhave rchronic rhepatitis r(B ror rC) ror rcirrhosis, rwith rimpairment rof
rliver rfunction. rThis rdeficit rmay rresult rin rprolonged rbleeding rand rless refficient
rmetabolism rof rcertain rdrugs, rincluding rlocal ranesthetics rand ranalgesics.
4. Which rof rthe rfollowing rsymptoms rand rsigns ris rmost rconsistent rwith rallergy?
a. Heart rpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: r B
Symptoms rand rsigns rconsistent rwith rallergy rinclude ritching, rurticaria r(hives), rrash,
rswelling, rwheezing, rangioedema, rrunny rnose, rand rtearing reyes. rIsolated rsigns rand
rsymptoms rsuch ras rnausea, rvomiting, rheart rpalpitations, rand rfainting rgenerally rare rnot rof
ran rallergic rorigin rbut rrather rare rmanifestations rof rdrug rintolerance, radverse rside reffects,
ror rpsychogenic rreactions.
5. Which rof rthe rfollowing ris rtrue rof rthe rpatient rwith ra rhistory rof rtuberculosis?
a. A rpositive rresult ron rskin rtesting rmeans rthat rthe rperson rhas ractive rTB.
b. Most rpatients rwho rbecome rpositive rskin rtesters rdevelop ractive rdisease.
c. Patients rwith racquired rimmunodeficiency rsyndrome r(AIDS) rhave ra rhigh
rincidence rof rtuberculosis.
d. A rdiagnosis rof ractive rTB ris rmade rby ra rpurified rprotein rderivative r(PPD) rskin rtest.
ANSWER: r C
The rpotential rcoexistence rof rtuberculosis rand racquired rimmunodeficiency rsyndrome
r(AIDS) rshould rbe rexplored rbecause rpatients rwith rAIDS rhave ra rhigh rincidence rof
rtuberculosis. rA rpositive rresult ron rskin rtesting rmeans rspecifically rthat rthe rperson rhas rat
rsome rtime rbeen rinfected rwith rTB, rnot rnecessarily rthat ractive rdisease ris rpresent. rMost
rpatients rwho rbecome rpositive rskin rtesters rdo rnot rdevelop ractive rdisease. rA rdiagnosis rof
ractive rTB ris rmade rby rchest rx-ray, rimaging, rsputum rculture, rand rclinical rexamination.
6. Vasoconstrictors rshould rbe ravoided rin rpatients rwho rcocaine ror rmethamphetamine
rusers rbecause rthese ragents rmay rprecipitate .
a. severe rhypotension
b. severe rhypertension
c. respiratory rdepression
d. cessation rof rintestinal rperistalsis
ANSWER: r B
Vasoconstrictors rshould rbe ravoided rin rpatients rwho rare rcocaine ror rmethamphetamine
rusers rbecause rthe rcombination rmay rprecipitate rarrhythmias, rMI, ror rsevere rhypertension.
7. It rhas rbeen rshown rthat rthe rrisk rfor roccurrence rof ra rserious rperioperative rcardiovascular
revent r(e.g., rMI, rheart rfailure) ris rincreased rin rpatients rwho rare runable rto rmeet ra r-MET
r(metabolic requivalent rof rtask) rdemand rduring rnormal rdaily ractivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: r A
Daily ractivities rrequiring r4 rMETs rinclude rlevel rwalking rat r4 rmiles/hour ror rclimbing ra rflight
rof rstairs. rActivities rrequiring rgreater rthan r10 rMETs rinclude rswimming rand rsingles rtennis.
rAn rexercise rcapacity rof r10 rto r13 rMETs rindicates rexcellent rphysical rconditioning.
8. Which rof rthe rfollowing ralterations rin rthe rfingernails ris rassociated rwith rcirrhosis?
a. Yellowing
b. Clubbing
c. White rdiscoloration
d. Splinter rhemorrhages
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