TEST BANK For Little and Falace's Dental Management
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of the Medically Compromised Patient, 10th Edition by Cr
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aig Miller, Verified Chapters 1 -
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30, Complete Newest Version
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,Little:yuDentalyuManagementyuofyutheyuMedicallyyuCompromisedyuPatient,yu10thyuEditionyuTestyuBan
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TableyuofyuContents
PARTyuONE:yuPATIENTyuEVALUATIONyuANDyuRISKyuASSESSMENT
Chapteryu1:yuPatientyuEvaluationyuandyuRiskyuAssessment
PARTyuTWO:yuCARDIOVASCULARyuDISEASE
Chapteryu2:yuInfectiveyuEndocarditis
Chapteryu3:yuHypertension
Chapteryu4:yuIschemicyuHeartyuDisease
Chapteryu5:yuCardiacyuArrhythmias
Chapteryu6:yuHeartyuFailureyu(oryuCongestiveyuHeartyuFailure)
PARTyuTHREE:yuPULMONARYyuDISEASE
Chapteryu7:yuPulmonaryyuDisease
Chapteryu8:yuSmokingyuandyuTobaccoyuUseyuCessation
Chapteryu9:yuSleep-RelatedyuBreathingyuDisorders
PARTyuFOUR:yuGASTROINTESTIALyuDISEASE
Chapteryu10:yuLiveryuDisease
Chapteryu11:yuGastrointestinalyuDisease
PARTyuFIVE:yuGENITOURINARYyuDISEASE
Chapteryu12:yuChronicyuKidneyyuDiseaseyuandyuDialysis
Chapteryu13:yuSexuallyyuTransmittedyuDiseases
PARTyuSIX:yuENDOCRINEyuANDyuMETABOLICyuDISEASE
Chapteryu14:yuDiabetesyuMellitus
Chapteryu15:yuAdrenalyuInsufficiency
Chapteryu16:yuThyroidyuDiseases
Chapteryu17:yuPregnancyyuandyuBreastyuFeeding
PARTyuSEVEN:yuIMMUNOLOGICyuDISEASE
Chapteryu18:yuAIDS,yuHIVyuInfection,yuandyuRelatedyuConditions
Chapteryu19:yuAllergy
Chapteryu20:yuRheumatologicyuandyuConnectiveyuTissueyuDisorders
Chapteryu21:yuOrganyuandyuBoneyuMarrowyuTransplantation
PARTyuEIGHT:yuHEMATOLOGICyuANDyuONCOLOGICyuDISEASE
Chapteryu22:yuDisordersyuofyuRedyuBloodyuCells
Chapteryu23:yuDisordersyuofyuWhiteyuBloodyuCells
Chapteryu24:yuAcquiredyuBleedingyuandyuHypercoagulableyuDisorders
Chapteryu25:yuCongenitalyuBleedingyuandyuHypercoagulableyuDisorders
Chapteryu26:yuCanceryuandyuOralyuCareyuofyutheyuPatient
PARTyuNINE:yuNEUROLOGIC,yuBEHAVIORAL,yuANDyuPSYCHIATRICyuDISORDERS
Chapteryu27:yuNeurologicyuDisorders
Chapteryu28:yuAnxiety,yuEatingyuDisorders,yuandyuBehavioralyuReactionsyutoyuIllness
Chapteryu29:yuPsychiatricyuDisorders
Chapteryu30:yuDrugyuandyuAlcoholyuAbuse
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Pageyu1yuofyu74
Chapteryu01:yuPatientyuEvaluationyuandyuRiskyuAssessment
Little:yuDentalyuManagementyuofyutheyuMedicallyyuCompromisedyuPatient,yu10thyuEdition
MULTIPLEyuCHOICE
1. Electiveyudentalyucareyushouldyubeyudeferredyuforyupatientsyuwithyusevere,yuuncontrolledyuhyperten
sion,yumeaningyuthatyutheyubloodyupressureyuisyugreateryuthanyuoryuequalyuto mmyuHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:y u C
Electiveyudentalyucareyushouldyubeyudeferredyuforyupatientsyuwithyusevere,yuuncontrolledyuhyperten
sion,yuwhichyuisyubloodyupressureyugreateryuthanyuoryuequalyutoyu180/110yummyuHg,yuuntilyutheyucon
ditionyucanyubeyubroughtyuunderyucontrol.
2. TheyuAmericanyuHeartyuAssociationyucurrentlyyurecommendsyuantibioticyuprophylaxisyuforyuayupatie
ntyuwithyuwhichyuofyutheyufollowingyucardiacyuconditions?
a. Mitralyuvalveyuprolapse
b. Prostheticyuheartyuvalve
c. Rheumaticyuheartyudisease
d. Pacemakersyuforyucardiacyuarrhythmias
ANSWER:y u B
Previously,yutheyuAmericanyuHeartyuAssociationyu(AHA)yurecommendedyuantibioticyuprophylaxisyuforyu
manyyupatientsyuwithyuheartyumurmursyucausedyubyyuvalvularyudiseaseyu(e.g.,yumitralyuvalveyuprolaps
e,yurheumaticyuheartyudisease)yuinyuanyueffortyutoyupreventyuinfectiveyuendocarditis;yuhowever,yucurre
ntyuguidelinesyuomityuthisyurecommendationyuonyutheyubasisyuofyuaccumulatedyuscientificyuevidence.yuIfy
uayumurmuryuisyudueyutoyucertainyuspecificyucardiacyuconditionsyu(e.g.,yupreviousyuendocarditis,yuprosth
eticyuheartyuvalve,yucomplexyucongenitalyucyanoticyuheartyudisease),yutheyuAHAyucontinuesyutoyurecom
mendyuantibioticyuprophylaxisyuforyumostyudentalyuprocedures.
3. Oneyuconsequenceyuofyuchronicyuhepatitisyu(ByuoryuC)yuoryucirrhosisyuofyutheyuliveryuisyudecreasedyuabili
tyyuofyutheyubodyyuto certainyudrugs,yuincludingyulocalyuanestheticsyuandyuanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:y u C
Patientsyualsoyumayyuhaveyuchronicyuhepatitisyu(ByuoryuC)yuoryucirrhosis,yuwithyuimpairmentyuofyuli
veryufunction.yuThisyudeficityumayyuresultyuinyuprolongedyubleedingyuandyulessyuefficientyumetab
olismyuofyucertainyudrugs,yuincludingyulocalyuanestheticsyuandyuanalgesics.
4. Whichyuofyutheyufollowingyusymptomsyuandyusignsyuisyumostyuconsistentyuwithyuallergy?
a. Heartyupalpitations
b. Itching
c. Vomiting
d. Fainting
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yuTheyuMarketplaceyutoyuBuyyuandyuSellyuyouryuStudyyuMaterial
Pageyu1yuofyu74
ANSWER:y u B
Symptomsyuandyusignsyuconsistentyuwithyuallergyyuincludeyuitching,yuurticariayu(hives),yurash,yuswelling,yu
wheezing,yuangioedema,yurunnyyunose,yuandyutearingyueyes.yuIsolatedyusignsyuandyusymptomsyusuchyu
asyunausea,yuvomiting,yuheartyupalpitations,yuandyufaintingyugenerallyyuareyunotyuofyuanyuallergicyuori
ginyubutyuratheryuareyumanifestationsyuofyudrugyuintolerance,yuadverseyusideyueffects,yuoryupsychogen
icyureactions.
5. Whichyuofyutheyufollowingyuisyutrueyuofyutheyupatientyuwithyuayuhistoryyuofyutuberculosis?
a. AyupositiveyuresultyuonyuskinyutestingyumeansyuthatyutheyupersonyuhasyuactiveyuTB.
b. Mostyupatientsyuwhoyubecomeyupositiveyuskinyutestersyudevelopyuactiveyudisease.
c. Patientsyuwithyuacquiredyuimmunodeficiencyyusyndromeyu(AIDS)yuhaveyuayuhighyuincidenc
eyuofyutuberculosis.
d. AyudiagnosisyuofyuactiveyuTByuisyumadeyubyyuayupurifiedyuproteinyuderivativeyu(PPD)yuskinyutest.
ANSWER:y u C
Theyupotentialyucoexistenceyuofyutuberculosisyuandyuacquiredyuimmunodeficiencyyusyndromeyu(AIDS
)yushouldyubeyuexploredyubecauseyupatientsyuwithyuAIDSyuhaveyuayuhighyuincidenceyuofyutuberculosis.y
uAyupositiveyuresultyuonyuskinyutestingyumeansyuspecificallyyuthatyutheyupersonyuhasyuatyusomeyutimeyube
enyuinfectedyuwithyuTB,yunotyunecessarilyyuthatyuactiveyudiseaseyuisyupresent.yuMostyupatientsyuwhoyube
comeyupositiveyuskinyutestersyudoyunotyudevelopyuactiveyudisease.yuAyudiagnosisyuofyuactiveyuTByuisyuma
deyubyyuchestyux-ray,yuimaging,yusputumyuculture,yuandyuclinicalyuexamination.
6. Vasoconstrictorsyushouldyubeyuavoidedyuinyupatientsyuwhoyucocaineyuoryumethamphetamineyuus
ersyubecauseyutheseyuagentsyumayyuprecipitate .
a. severeyuhypotension
b. severeyuhypertension
c. respiratoryyudepression
d. cessationyuofyuintestinalyuperistalsis
ANSWER:y u B
Vasoconstrictorsyushouldyubeyuavoidedyuinyupatientsyuwhoyuareyucocaineyuoryumethamphetamineyuuse
rsyubecauseyutheyucombinationyumayyuprecipitateyuarrhythmias,yuMI,yuoryusevereyuhypertension.
7. Ityuhasyubeenyushownyuthatyutheyuriskyuforyuoccurrenceyuofyuayuseriousyuperioperativeyucardiovasculary
ueventyu(e.g.,yuMI,yuheartyufailure)yuisyuincreasedyuinyupatientsyuwhoyuareyuunableyutoyumeetyuayu-
METyu(metabolicyuequivalentyuofyutask)yudemandyuduringyunormalyudailyyuactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:y u A
Dailyyuactivitiesyurequiringyu4yuMETsyuincludeyulevelyuwalkingyuatyu4yumiles/houryuoryuclimbingyuayuflightyu
ofyustairs.yuActivitiesyurequiringyugreateryuthanyu10yuMETsyuincludeyuswimmingyuandyusinglesyutennis.yuAny
uexerciseyucapacityyuofyu10yutoyu13yuMETsyuindicatesyuexcellentyuphysicalyuconditioning.
8. Whichyuofyutheyufollowingyualterationsyuinyutheyufingernailsyuisyuassociatedyuwithyucirrhosis?
a. Yellowing
b. Clubbing
c. Whiteyudiscoloration
d. Splinteryuhemorrhages
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