Test Bank For Little and Falace's Dental Management of t
z z z z z z z z z
he Medically Compromised Patient,
z z z
10th Edition by Craig Miller,
z z z z z
Chapters 1 - 30 z z z
,Little:zDentalzManagementzofzthezMedicallyzCompromisedzPatient,z10thzEditionzTestzBank
TablezofzContents
PARTzONE:zPATIENTzEVALUATIONzANDzRISKzASSESSMENT
Chapterz1:zPatientzEvaluationzandzRiskzAssessment
PARTzTWO:zCARDIOVASCULARzDISEASE
Chapterz2:zInfectivezEndocarditis
Chapterz3:zHypertension
Chapterz4:zIschemiczHeartzDisease
Chapterz5:zCardiaczArrhythmias
Chapterz6:zHeartzFailurez(orzCongestivezHeartzFailure)
PARTzTHREE:zPULMONARYzDISEASE
Chapterz7:zPulmonaryzDisease
Chapterz8:zSmokingzandzTobaccozUsezCessation
Chapterz9:zSleep-RelatedzBreathingzDisorders
PARTzFOUR:zGASTROINTESTIALzDISEASE
Chapterz10:zLiverzDisease
Chapterz11:zGastrointestinalzDisease
PARTzFIVE:zGENITOURINARYzDISEASE
Chapterz12:zChroniczKidneyzDiseasezandzDialysis
Chapterz13:zSexuallyzTransmittedzDiseases
PARTzSIX:zENDOCRINEzANDzMETABOLICzDISEASE
Chapterz14:zDiabeteszMellitus
Chapterz15:zAdrenalzInsufficiency
Chapterz16:zThyroidzDiseases
Chapterz17:zPregnancyzandzBreastzFeeding
PARTzSEVEN:zIMMUNOLOGICzDISEASE
Chapterz18:zAIDS,zHIVzInfection,zandzRelatedzConditions
Chapterz19:zAllergy
Chapterz20:zRheumatologiczandzConnectivezTissuezDisorders
Chapterz21:zOrganzandzBonezMarrowzTransplantation
PARTzEIGHT:zHEMATOLOGICzANDzONCOLOGICzDISEASE
Chapterz22:zDisorderszofzRedzBloodzCells
Chapterz23:zDisorderszofzWhitezBloodzCells
Chapterz24:zAcquiredzBleedingzandzHypercoagulablezDisorders
Chapterz25:zCongenitalzBleedingzandzHypercoagulablezDisorders
Chapterz26:zCancerzandzOralzCarezofzthezPatient
PARTzNINE:zNEUROLOGIC,zBEHAVIORAL,zANDzPSYCHIATRICzDISORDERS
Chapterz27:zNeurologiczDisorders
Chapterz28:zAnxiety,zEatingzDisorders,zandzBehavioralzReactionsztozIllness
Chapterz29:zPsychiatriczDisorders
Chapterz30:zDrugzandzAlcoholzAbuse
, WWW.GRADESMORE.COM
Stuvia.comz-
zThezMarketplaceztozBuyzandzSellzyourzStudyzMaterial
Pagez1zofz74
Chapterz01:zPatientzEvaluationzandzRiskzAssessment
Little:zDentalzManagementzofzthezMedicallyzCompromisedzPatient,z10thzEdition
MULTIPLEzCHOICE
1. Electivezdentalzcarezshouldzbezdeferredzforzpatientszwithzsevere,zuncontrolledzhypertension,z
meaningzthatzthezbloodzpressureziszgreaterzthanzorzequalzto mmzHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:z C
Electivezdentalzcarezshouldzbezdeferredzforzpatientszwithzsevere,zuncontrolledzhypertension,z
whichziszbloodzpressurezgreaterzthanzorzequalztoz180/110zmmzHg,zuntilzthezconditionzcanzbez
broughtzunderzcontrol.
2. ThezAmericanzHeartzAssociationzcurrentlyzrecommendszantibioticzprophylaxiszforzazpatientz
withzwhichzofzthezfollowingzcardiaczconditions?
a. Mitralzvalvezprolapse
b. Prostheticzheartzvalve
c. Rheumaticzheartzdisease
d. Pacemakerszforzcardiaczarrhythmias
ANSWER:z B
Previously,zthezAmericanzHeartzAssociationz(AHA)zrecommendedzantibioticzprophylaxiszforzm
anyzpatientszwithzheartzmurmurszcausedzbyzvalvularzdiseasez(e.g.,zmitralzvalvezprolapse,zrheum
aticzheartzdisease)zinzanzeffortztozpreventzinfectivezendocarditis;zhowever,zcurrentzguidelineszo
mitzthiszrecommendationzonzthezbasiszofzaccumulatedzscientificzevidence.zIfzazmurmurziszduezto
zcertainzspecificzcardiaczconditionsz(e.g.,zpreviouszendocarditis,zprostheticzheartzvalve,zcomple
xzcongenitalzcyanoticzheartzdisease),zthezAHAzcontinuesztozrecommendzantibioticzprophylaxisz
forzmostzdentalzprocedures.
3. Onezconsequencezofzchroniczhepatitisz(BzorzC)zorzcirrhosiszofzthezliverziszdecreasedzabilityzofzt
hezbodyzto certainzdrugs,zincludingzlocalzanestheticszandzanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:z C
Patientszalsozmayzhavezchroniczhepatitisz(BzorzC)zorzcirrhosis,zwithzimpairmentzofzliverzf
unction.zThiszdeficitzmayzresultzinzprolongedzbleedingzandzlesszefficientzmetabolismzofzc
ertainzdrugs,zincludingzlocalzanestheticszandzanalgesics.
4. Whichzofzthezfollowingzsymptomszandzsignsziszmostzconsistentzwithzallergy?
a. Heartzpalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comz-
zThezMarketplaceztozBuyzandzSellzyourzStudyzMaterial
Pagez1zofz74
ANSWER:z B
Symptomszandzsignszconsistentzwithzallergyzincludezitching,zurticariaz(hives),zrash,zswelling,zw
heezing,zangioedema,zrunnyznose,zandztearingzeyes.zIsolatedzsignszandzsymptomszsuchzasznaus
ea,zvomiting,zheartzpalpitations,zandzfaintingzgenerallyzareznotzofzanzallergiczoriginzbutzratherzar
ezmanifestationszofzdrugzintolerance,zadversezsidezeffects,zorzpsychogeniczreactions.
5. Whichzofzthezfollowingzisztruezofzthezpatientzwithzazhistoryzofztuberculosis?
a. AzpositivezresultzonzskinztestingzmeanszthatzthezpersonzhaszactivezTB.
b. Mostzpatientszwhozbecomezpositivezskinztesterszdevelopzactivezdisease.
c. Patientszwithzacquiredzimmunodeficiencyzsyndromez(AIDS)zhavezazhighzincidencez
ofztuberculosis.
d. AzdiagnosiszofzactivezTBziszmadezbyzazpurifiedzproteinzderivativez(PPD)zskinztest.
ANSWER:z C
Thezpotentialzcoexistencezofztuberculosiszandzacquiredzimmunodeficiencyzsyndromez(AIDS)z
shouldzbezexploredzbecausezpatientszwithzAIDSzhavezazhighzincidencezofztuberculosis.zAzposit
ivezresultzonzskinztestingzmeanszspecificallyzthatzthezpersonzhaszatzsomeztimezbeenzinfectedzwit
hzTB,znotznecessarilyzthatzactivezdiseaseziszpresent.zMostzpatientszwhozbecomezpositivezskinzte
sterszdoznotzdevelopzactivezdisease.zAzdiagnosiszofzactivezTBziszmadezbyzchestzx-
ray,zimaging,zsputumzculture,zandzclinicalzexamination.
6. Vasoconstrictorszshouldzbezavoidedzinzpatientszwhozcocainezorzmethamphetaminezusersz
becausezthesezagentszmayzprecipitate .
a. severezhypotension
b. severezhypertension
c. respiratoryzdepression
d. cessationzofzintestinalzperistalsis
ANSWER:z B
Vasoconstrictorszshouldzbezavoidedzinzpatientszwhozarezcocainezorzmethamphetaminezuserszbe
causezthezcombinationzmayzprecipitatezarrhythmias,zMI,zorzseverezhypertension.
7. Itzhaszbeenzshownzthatzthezriskzforzoccurrencezofzazseriouszperioperativezcardiovascularzeventz(
e.g.,zMI,zheartzfailure)ziszincreasedzinzpatientszwhozarezunableztozmeetzaz-
METz(metaboliczequivalentzofztask)zdemandzduringznormalzdailyzactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:z A
Dailyzactivitieszrequiringz4zMETszincludezlevelzwalkingzatz4zmiles/hourzorzclimbingzazflightzofzsta
irs.zActivitieszrequiringzgreaterzthanz10zMETszincludezswimmingzandzsinglesztennis.zAnzexercisez
capacityzofz10ztoz13zMETszindicateszexcellentzphysicalzconditioning.
8. Whichzofzthezfollowingzalterationszinzthezfingernailsziszassociatedzwithzcirrhosis?
a. Yellowing
b. Clubbing
c. Whitezdiscoloration
d. Splinterzhemorrhages
WWW.NURSYLAB.COM
GRADESMORE.COM
