Test Bank For Little and Falace's Dental Management of the
Medically Compromised Patient,
10th Edition by Craig Miller, Chapters 1 – 30
,Little:BDentalBManagementBofBtheBMedicallyBCompromisedBPatient,B10thBEditionBTestBBank
TableBofBContents
PARTBONE:BPATIENTBEVALUATIONBANDBRISKBASSESSMENT
ChapterB1:BPatientBEvaluationBandBRiskBAssessment
PARTBTWO:BCARDIOVASCULARBDISEASE
ChapterB2:BInfectiveBEndocarditis
ChapterB3:BHypertension
ChapterB4:BIschemicBHeartBDisease
ChapterB5:BCardiacBArrhythmias
ChapterB6:BHeartBFailureB(orBCongestiveBHeartBFailure)
PARTBTHREE:BPULMONARYBDISEASE
ChapterB7:BPulmonaryBDisease
ChapterB8:BSmokingBandBTobaccoBUseBCessation
ChapterB9:BSleep-RelatedBBreathingBDisorders
PARTBFOUR:BGASTROINTESTIALBDISEASE
ChapterB10:BLiverBDisease
ChapterB11:BGastrointestinalBDisease
PARTBFIVE:BGENITOURINARYBDISEASE
ChapterB12:BChronicBKidneyBDiseaseBandBDialysis
ChapterB13:BSexuallyBTransmittedBDiseases
PARTBSIX:BENDOCRINEBANDBMETABOLICBDISEASE
ChapterB14:BDiabetesBMellitus
ChapterB15:BAdrenalBInsufficiency
ChapterB16:BThyroidBDiseases
ChapterB17:BPregnancyBandBBreastBFeeding
PARTBSEVEN:BIMMUNOLOGICBDISEASE
ChapterB18:BAIDS,BHIVBInfection,BandBRelatedBConditions
ChapterB19:BAllergy
ChapterB20:BRheumatologicBandBConnectiveBTissueBDisorders
ChapterB21:BOrganBandBBoneBMarrowBTransplantation
PARTBEIGHT:BHEMATOLOGICBANDBONCOLOGICBDISEASE
ChapterB22:BDisordersBofBRedBBloodBCells
ChapterB23:BDisordersBofBWhiteBBloodBCells
ChapterB24:BAcquiredBBleedingBandBHypercoagulableBDisorders
ChapterB25:BCongenitalBBleedingBandBHypercoagulableBDisorders
ChapterB26:BCancerBandBOralBCareBofBtheBPatient
PARTBNINE:BNEUROLOGIC,BBEHAVIORAL,BANDBPSYCHIATRICBDISORDERS
ChapterB27:BNeurologicBDisorders
ChapterB28:BAnxiety,BEatingBDisorders,BandBBehavioralBReactionsBtoBIllness
ChapterB29:BPsychiatricBDisorders
ChapterB30:BDrugBandBAlcoholBAbuse
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Chapter 01: Patient Evaluation and Risk Assessment
B B B B B B
Little: Dental Management of the Medically Compromised Patient, 10th Edition
B B B B B B B B B
MULTIPLEBCHOICE
1. ElectiveBdentalBcareBshouldBbeBdeferredBforBpatientsBwithBsevere,BuncontrolledBhypertension,Bm
eaningBthatBtheBbloodBpressureBisBgreaterBthanBorBequalBto mmBHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:B C
ElectiveBdentalBcareBshouldBbeBdeferredBforBpatientsBwithBsevere,BuncontrolledBhypertension,Bw
hichBisBbloodBpressureBgreaterBthanBorBequalBtoB180/110BmmBHg,BuntilBtheBconditionBcanBbeBbro
ughtBunderBcontrol.
2. TheBAmericanBHeartBAssociationBcurrentlyBrecommendsBantibioticBprophylaxisBforBaBpatientBwit
hBwhichBofBtheBfollowingBcardiacBconditions?
a. MitralBvalveBprolapse
b. ProstheticBheartBvalve
c. RheumaticBheartBdisease
d. PacemakersBforBcardiacBarrhythmias
ANSWER:B B
Previously,BtheBAmericanBHeartBAssociationB(AHA)BrecommendedBantibioticBprophylaxisBforBmanyB
patientsBwithBheartBmurmursBcausedBbyBvalvularBdiseaseB(e.g.,BmitralBvalveBprolapse,BrheumaticBhe
artBdisease)BinBanBeffortBtoBpreventBinfectiveBendocarditis;Bhowever,BcurrentBguidelinesBomitBthisBre
commendationBonBtheBbasisBofBaccumulatedBscientificBevidence.BIfBaBmurmurBisBdueBtoBcertainBspecif
icBcardiacBconditionsB(e.g.,BpreviousBendocarditis,BprostheticBheartBvalve,BcomplexBcongenitalBcyan
oticBheartBdisease),BtheBAHABcontinuesBtoBrecommendBantibioticBprophylaxisBforBmostBdentalBproce
dures.
3. OneBconsequenceBofBchronicBhepatitisB(BBorBC)BorBcirrhosisBofBtheBliverBisBdecreasedBabilityBofBtheB
bodyBto certainBdrugs,BincludingBlocalBanestheticsBandBanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:B C
PatientsBalsoBmayBhaveBchronicBhepatitisB(BBorBC)BorBcirrhosis,BwithBimpairmentBofBliverBfuncti
on.BThisBdeficitBmayBresultBinBprolongedBbleedingBandBlessBefficientBmetabolismBofBcertainBd
rugs,BincludingBlocalBanestheticsBandBanalgesics.
4. WhichBofBtheBfollowingBsymptomsBandBsignsBisBmostBconsistentBwithBallergy?
a. HeartBpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:B B
SymptomsBandBsignsBconsistentBwithBallergyBincludeBitching,BurticariaB(hives),Brash,Bswelling,Bwheezi
ng,Bangioedema,BrunnyBnose,BandBtearingBeyes.BIsolatedBsignsBandBsymptomsBsuchBasBnausea,Bvom
iting,BheartBpalpitations,BandBfaintingBgenerallyBareBnotBofBanBallergicBoriginBbutBratherBareBmanif
estationsBofBdrugBintolerance,BadverseBsideBeffects,BorBpsychogenicBreactions.
5. WhichBofBtheBfollowingBisBtrueBofBtheBpatientBwithBaBhistoryBofBtuberculosis?
a. ABpositiveBresultBonBskinBtestingBmeansBthatBtheBpersonBhasBactiveBTB.
b. MostBpatientsBwhoBbecomeBpositiveBskinBtestersBdevelopBactiveBdisease.
c. PatientsBwithBacquiredBimmunodeficiencyBsyndromeB(AIDS)BhaveBaBhighBincidenceBofBtu
berculosis.
d. ABdiagnosisBofBactiveBTBBisBmadeBbyBaBpurifiedBproteinBderivativeB(PPD)BskinBtest.
ANSWER:B C
TheBpotentialBcoexistenceBofBtuberculosisBandBacquiredBimmunodeficiencyBsyndromeB(AIDS)Bshoul
dBbeBexploredBbecauseBpatientsBwithBAIDSBhaveBaBhighBincidenceBofBtuberculosis.BABpositiveBresul
tBonBskinBtestingBmeansBspecificallyBthatBtheBpersonBhasBatBsomeBtimeBbeenBinfectedBwithBTB,BnotBne
cessarilyBthatBactiveBdiseaseBisBpresent.BMostBpatientsBwhoBbecomeBpositiveBskinBtestersBdoBnotBde
velopBactiveBdisease.BABdiagnosisBofBactiveBTBBisBmadeBbyBchestBx-
ray,Bimaging,BsputumBculture,BandBclinicalBexamination.
6. VasoconstrictorsBshouldBbeBavoidedBinBpatientsBwhoBcocaineBorBmethamphetamineBusersBbe
causeBtheseBagentsBmayBprecipitate .
a. severeBhypotension
b. severeBhypertension
c. respiratoryBdepression
d. cessationBofBintestinalBperistalsis
ANSWER:B B
VasoconstrictorsBshouldBbeBavoidedBinBpatientsBwhoBareBcocaineBorBmethamphetamineBusersBbeca
useBtheBcombinationBmayBprecipitateBarrhythmias,BMI,BorBsevereBhypertension.
7. ItBhasBbeenBshownBthatBtheBriskBforBoccurrenceBofBaBseriousBperioperativeBcardiovascularBeventB(e.
g.,BMI,BheartBfailure)BisBincreasedBinBpatientsBwhoBareBunableBtoBmeetBaB-
METB(metabolicBequivalentBofBtask)BdemandBduringBnormalBdailyBactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:B A
DailyBactivitiesBrequiringB4BMETsBincludeBlevelBwalkingBatB4Bmiles/hourBorBclimbingBaBflightBofBstairs.B
ActivitiesBrequiringBgreaterBthanB10BMETsBincludeBswimmingBandBsinglesBtennis.BAnBexerciseBcapacity
BofB10BtoB13BMETsBindicatesBexcellentBphysicalBconditioning.
8. WhichBofBtheBfollowingBalterationsBinBtheBfingernailsBisBassociatedBwithBcirrhosis?
a. Yellowing
b. Clubbing
c. WhiteBdiscoloration
d. SplinterBhemorrhages
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