Test Bank For Little and Falace's Dental Management of t
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he Medically Compromised Patient,
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10th Edition by Craig Miller,
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Chapters 1 - 30 0 0 0
,Little:0Dental0Management0of0the0Medically0Compromised0Patient,010th0Edition0Test0Bank
Table0of0Contents
PART0ONE:0PATIENT0EVALUATION0AND0RISK0ASSESSMENT
Chapter01:0Patient0Evaluation0and0Risk0Assessment
PART0TWO:0CARDIOVASCULAR0DISEASE
Chapter02:0Infective0Endocarditis
Chapter03:0Hypertension
Chapter04:0Ischemic0Heart0Disease
Chapter05:0Cardiac0Arrhythmias
Chapter06:0Heart0Failure0(or0Congestive0Heart0Failure)
PART0THREE:0PULMONARY0DISEASE
Chapter07:0Pulmonary0Disease
Chapter08:0Smoking0and0Tobacco0Use0Cessation
Chapter09:0Sleep-Related0Breathing0Disorders
PART0FOUR:0GASTROINTESTIAL0DISEASE
Chapter010:0Liver0Disease
Chapter011:0Gastrointestinal0Disease
PART0FIVE:0GENITOURINARY0DISEASE
Chapter012:0Chronic0Kidney0Disease0and0Dialysis
Chapter013:0Sexually0Transmitted0Diseases
PART0SIX:0ENDOCRINE0AND0METABOLIC0DISEASE
Chapter014:0Diabetes0Mellitus
Chapter015:0Adrenal0 Insufficiency
Chapter016:0Thyroid0Diseases
Chapter017:0Pregnancy0and0Breast0Feeding
PART0SEVEN:0IMMUNOLOGIC0DISEASE
Chapter018:0AIDS,0HIV0Infection,0and0Related0Conditions
Chapter019:0Allergy
Chapter020:0Rheumatologic0and0Connective0Tissue0Disorders
Chapter021:0Organ0and0Bone0Marrow0Transplantation
PART0EIGHT:0HEMATOLOGIC0AND0ONCOLOGIC0DISEASE
Chapter022:0Disorders0of0Red0Blood0Cells
Chapter023:0Disorders0of0White0Blood0Cells
Chapter024:0Acquired0Bleeding0and0Hypercoagulable0Disorders
Chapter025:0Congenital0Bleeding0and0Hypercoagulable0Disorders
Chapter026:0Cancer0and0Oral0Care0of0the0Patient
PART0NINE:0NEUROLOGIC,0BEHAVIORAL,0AND0PSYCHIATRIC0DISORDERS
Chapter027:0Neurologic0Disorders
Chapter028:0Anxiety,0Eating0Disorders,0and0Behavioral0Reactions0to0Illness
Chapter029:0Psychiatric0Disorders
Chapter030:0Drug0and0Alcohol0Abuse
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Chapter001:0Patient0Evaluation0and0Risk0Assessment
Little:0Dental0Management0of0the0Medically0Compromised0Patient,010th0Edition
MULTIPLE0CHOICE
1. Elective0dental0care0should0be0deferred0for0patients0with0severe,0uncontrolled0hypertension,
0meaning0that0the0blood0pressure0is0greater0than0or0equal0to mm0Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:0 C
Elective0dental0care0should0be0deferred0for0patients0with0severe,0uncontrolled0hypertension,
0which0is0blood0pressure0greater0than0or0equal0to0180/1100mm0Hg,0until0the0condition0can0b
e0brought0under0control.
2. The0American0Heart0Association0currently0recommends0antibiotic0prophylaxis0for0a0patient
0with0which0of0the0following0cardiac0conditions?
a. Mitral0valve0prolapse
b. Prosthetic0heart0valve
c. Rheumatic0heart0disease
d. Pacemakers0for0cardiac0arrhythmias
ANSWER:0 B
Previously,0the0American0Heart0Association0(AHA)0recommended0antibiotic0prophylaxis0for0
many0patients0with0heart0murmurs0caused0by0valvular0disease0(e.g.,0mitral0valve0prolapse,0rhe
umatic0heart0disease)0in0an0effort0to0prevent0infective0endocarditis;0however,0current0guideline
s0omit0this0recommendation0on0the0basis0of0accumulated0scientific0evidence.0If0a0murmur0is0d
ue0to0certain0specific0cardiac0conditions0(e.g.,0previous0endocarditis,0prosthetic0heart0valve,0co
mplex0congenital0cyanotic0heart0disease),0the0AHA0continues0to0recommend0antibiotic0prophy
laxis0for0most0dental0procedures.
3. One0consequence0of0chronic0hepatitis0(B0or0C)0or0cirrhosis0of0the0liver0is0decreased0ability0of
0the0body0to certain0drugs,0including0local0anesthetics0and0analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:0 C
Patients0also0may0have0chronic0hepatitis0(B0or0C)0or0cirrhosis,0with0impairment0of0liver0
function.0This0deficit0may0result0in0prolonged0bleeding0and0less0efficient0metabolism0of
0certain0drugs,0including0local0anesthetics0and0analgesics.
4. Which0of0the0following0symptoms0and0signs0is0most0consistent0with0allergy?
a. Heart0palpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:0 B
Symptoms0and0signs0consistent0with0allergy0include0itching,0urticaria0(hives),0rash,0swelling,0
wheezing,0angioedema,0runny0nose,0and0tearing0eyes.0Isolated0signs0and0symptoms0such0as0na
usea,0vomiting,0heart0palpitations,0and0fainting0generally0are0not0of0an0allergic0origin0but0rathe
r0are0manifestations0of0drug0intolerance,0adverse0side0effects,0or0psychogenic0reactions.
5. Which0of0the0following0is0true0of0the0patient0with0a0history0of0tuberculosis?
a. A0positive0result0on0skin0testing0means0that0the0person0has0active0TB.
b. Most0patients0who0become0positive0skin0testers0develop0active0disease.
c. Patients0with0acquired0immunodeficiency0syndrome0(AIDS)0have0a0high0incidence
0of0tuberculosis.
d. A0diagnosis0of0active0TB0is0made0by0a0purified0protein0derivative0(PPD)0skin0test.
ANSWER:0 C
The0potential0coexistence0of0tuberculosis0and0acquired0immunodeficiency0syndrome0(AIDS)0
should0be0explored0because0patients0with0AIDS0have0a0high0incidence0of0tuberculosis.0A0posi
tive0result0on0skin0testing0means0specifically0that0the0person0has0at0some0time0been0infected0
with0TB,0not0necessarily0that0active0disease0is0present.0Most0patients0who0become0positive0sk
in0testers0do0not0develop0active0disease.0A0diagnosis0of0active0TB0is0made0by0chest0x-
ray,0imaging,0sputum0culture,0and0clinical0examination.
6. Vasoconstrictors0should0be0avoided0in0patients0who0cocaine0or0methamphetamine0users
0because0these0agents0may0precipitate .
a. severe0hypotension
b. severe0hypertension
c. respiratory0depression
d. cessation0of0intestinal0peristalsis
ANSWER:0 B
Vasoconstrictors0should0be0avoided0in0patients0who0are0cocaine0or0methamphetamine0users0b
ecause0the0combination0may0precipitate0arrhythmias,0MI,0or0severe0hypertension.
7. It0has0been0shown0that0the0risk0for0occurrence0of0a0serious0perioperative0cardiovascular0event
0(e.g.,0MI,0heart0failure)0is0increased0in0patients0who0are0unable0to0meet0a0-
MET0(metabolic0equivalent0of0task)0demand0during0normal0daily0activity.
a. 4
b. 6
c. 8
d. 10
ANSWER:0 A
Daily0activities0requiring040METs0include0level0walking0at040miles/hour0or0climbing0a0flight0of0st
airs.0Activities0requiring0greater0than0100METs0include0swimming0and0singles0tennis.0An0exerci
se0capacity0of0100to0130METs0indicates0excellent0physical0conditioning.
8. Which0of0the0following0alterations0in0the0fingernails0is0associated0with0cirrhosis?
a. Yellowing
b. Clubbing
c. White0discoloration
d. Splinter0hemorrhages
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