, Little: Dental Management of the Medically Compromised Patient, 8th Edi
a a a a a a a a a
tion
Chaptera01:aPatientaEvaluationaandaRiskaAssessmentaTes
taBank
MULTIPLEaCHOICE
1. Electiveadentalacareashouldabeadeferredaforapatientsawithasevere,auncontrolledahypertensi
on,ameaningathatatheabloodapressureaisagreaterathanaoraequalatoa
mm
aHg.
A. 200/140
B. 180/140
C. 180/110
D. 160/110
ANS:a a C
Electiveadentalacareashouldabeadeferredaforapatientsawithasevere,auncontrolledahypertension,
awhichaisabloodapressureaofagreaterathanaoraequalatoa180/110ammaHg,auntilatheaconditionacana
beabroughtaunderacontrol.
PTS: 1 REF: p.a4
2. TheaAmericanaHeartaAssociationacurrentlyarecommendsaantibioticaprophylaxisaforaaap
atientawithawhichaofatheafollowingacardiacaconditions?
A. mitralavalveaprolapse
B. prostheticaheartavalve
C. rheumaticaheartadisease
D. pacemakersaforacardiacaarrhythmias
ANS:a a B
Previously,atheaAmericanaHeartaAssociationa(AHA)arecommendedaantibioticaprophylaxisaf
oramanyapatientsawithaheartamurmursacausedabyavalvularadiseasea(e.g.,amitralavalveaprolaps
e,arheumaticaheartadisease)ainaanaeffortatoapreventainfectiveaendocarditis;acurrentaguidelinesa
omitathisarecommendationaonatheabasisaofaaccumulatedascientificaevidence.aIfaaamurmuraisad
ueatoaspecificacardiacaconditionsa(e.g.,apreviousaendocarditis,aprostheticaheartavalve,acompl
exacongenitalacyanoticaheartadisease),atheaAHAacontinuesatoarecommendaantibioticaprophyl
axisaforamostadentalaprocedures.aPatientsawithapacemakersadoanotarequireaantibioticaprophyl
axis.
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PTS: 1 REF: pp.a4-5
3. Oneaconsequenceaofachronicahepatitisa(BaoraC)aoracirrhosisaofathealiveraisadecreasedaabilityaof
atheabodyatoa certainadrugs,aincludingalocalaanestheticsaandaanalgesics.
A. absorb
B. distribute
C. metabolize
D. excrete
ANS:a a C
Patientsawithachronicahepatitisa(BaoraC)aoracirrhosisahaveaanaassociatedaimpairmentaofaliveraf
unction.aThisadeficitamayaresultainaprolongedableedingaandalessaefficientametabolismaofacerta
inadrugs,aincludingalocalaanestheticsaandaanalgesics.
PTS: 1 REF: p.a6
4. Whichaofatheafollowingasymptomsaandasignsaisamostaconsistentawithaallergy?
A. heartapalpitations
B. itching
C. vomiting
D. fainting
ANS:a a B
Symptomsaandasignsaconsistentawithaallergyaincludeaitching,aurticariaa(hives),arash,aswellin
g,awheezing,aangioedema,arunnyanose,aandatearingaeyes.aIsolatedasignsaandasymptomsasucha
asanausea,avomiting,aheartapalpitations,aandafaintingagenerallyaareanotaofaanaallergicaoriginab
utaratheraareamanifestationsaofadrugaintolerance,aadverseasideaeffects,aorapsychogenicareactio
ns.
PTS: 1 REF: p.a6
5. Whichaofatheafollowingaisatrueaofatheapatientawithaaahistoryaofatuberculosis?
A. AapositivearesultaonaskinatestingameansathatatheapersonahasaactiveaTB.
B. Mostapatientsawhoabecomeapositiveaskinatestersadevelopaactiveadisease.
C. Patientsawithaacquiredaimmunodeficiencyasyndromea(AIDS)ahaveaaahighai
ncidenceaofatuberculosis.
D. AadiagnosisaofaactiveaTBaisamadeabyaaapurifiedaproteinaderivativea(PPD)askinatest.
ANS:a a C
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, TestaBank 1-3
Theapotentialacoexistenceaofatuberculosisaandaacquiredaimmunodeficiencyasyndromea(AID
S)ashouldabeaexploredabecauseapatientsawithaAIDSahaveaaahighaincidenceaofatuberculosis.aAa
positivearesultaonaskinatestingameansaspecificallyathatatheapersonahasaatasomeatimeabeenainfe
ctedawithaTB,anotanecessarilyathataactiveadiseaseaisapresent.aMostapatientsawhoabecomeaposit
iveaskinatestersadoanotadevelopaactiveadisease.aAadiagnosisaofaactiveaTBaisamadeabyachestax-
ray,aimaging,asputumaculture,aandaclinicalaexamination.
PTS: 1 REF: p.a6-7
6. Vasoconstrictorsashouldabeaavoidedainapatientsawhoaareausingacocaineaora
methamphetamineabecauseatheseaagentsamayaprecipitatea .
A. severeahypotension
B. severeahypertension
C. respiratoryadepression
D. cessationaofaintestinalaperistalsis
ANS:a a B
Vasoconstrictorsamayaprecipitateacardiacaarrhythmiasaorasevereahypertensionainapatientsa
whoaareausingacocaineaoramethamphetamine.aRespiratoryadepressionaisaassociatedawithat
heauseaofaopioids.
PTS: 1 REF: p.a8
7. Itahasabeenashownathatatheariskaforaoccurrenceaofaaaseriousaperioperativeacardiovascularaeve
ntaisaincreasedainapatientsawhoaareaunableatoameetaaaa a -
METa(metabolicaequivalentaofatask)ademandaduringanormaladailyaactivity.
A. 4
B. 6
C. 8
D. 10
ANS:a a A
Riskaisaincreasedainapatientsaunableatoameetaaa4-
METademand.aDailyaactivitiesarequiringa4aMETsaincludealevelawalkingaata4amiles/houraoracli
mbingaaaflightaofastairs.aActivitiesarequiringagreaterathana10aMETsaincludeaswimmingaandasin
glesatennis.
PTS: 1 REF: p.a9
8. Whichaofatheafollowingaalterationsainatheafingernailsaisaassociatedawithacirrhosis?
A. yellowing
B. clubbing
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