Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,Little:PDentalPManagementPofPthePMedicallyPCompromisedPPatient,P10thPEditionPTestPBan
k
TablePofPContents
PARTPONE:PPATIENTPEVALUATIONPANDPRISKPASSESSMENT
ChapterP1:PPatientPEvaluationPandPRiskPAssessment
PARTPTWO:PCARDIOVASCULARPDISEASE
ChapterP2:PInfectivePEndocarditis
ChapterP3:PHypertension
ChapterP4:PIschemicPHeartPDisease
ChapterP5:PCardiacPArrhythmias
ChapterP6:PHeartPFailureP(orPCongestivePHeartPFailure)
PARTPTHREE:PPULMONARYPDISEASE
ChapterP7:PPulmonaryPDisease
ChapterP8:PSmokingPandPTobaccoPUsePCessation
ChapterP9:PSleep-RelatedPBreathingPDisorders
PARTPFOUR:PGASTROINTESTIALPDISEASE
ChapterP10:PLiverPDisease
ChapterP11:PGastrointestinalPDisease
PARTPFIVE:PGENITOURINARYPDISEASE
ChapterP12:PChronicPKidneyPDiseasePandPDialysis
ChapterP13:PSexuallyPTransmittedPDiseases
PARTPSIX:PENDOCRINEPANDPMETABOLICPDISEASE
ChapterP14:PDiabetesPMellitus
ChapterP15:PAdrenalPInsufficiency
ChapterP16:PThyroidPDiseases
ChapterP17:PPregnancyPandPBreastPFeeding
PARTPSEVEN:PIMMUNOLOGICPDISEASE
ChapterP18:PAIDS,PHIVPInfection,PandPRelatedPConditions
ChapterP19:PAllergy
ChapterP20:PRheumatologicPandPConnectivePTissuePDisorders
ChapterP21:POrganPandPBonePMarrowPTransplantation
PARTPEIGHT:PHEMATOLOGICPANDPONCOLOGICPDISEASE
ChapterP22:PDisordersPofPRedPBloodPCells
ChapterP23:PDisordersPofPWhitePBloodPCells
ChapterP24:PAcquiredPBleedingPandPHypercoagulablePDisorders
ChapterP25:PCongenitalPBleedingPandPHypercoagulablePDisorders
ChapterP26:PCancerPandPOralPCarePofPthePPatient
PARTPNINE:PNEUROLOGIC,PBEHAVIORAL,PANDPPSYCHIATRICPDISORDERS
ChapterP27:PNeurologicPDisorders
ChapterP28:PAnxiety,PEatingPDisorders,PandPBehavioralPReactionsPtoPIllness
ChapterP29:PPsychiatricPDisorders
ChapterP30:PDrugPandPAlcoholPAbuse
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ChapterP01:PPatientPEvaluationPandPRiskPAssessment
Little:PDentalPManagementPofPthePMedicallyPCompromisedPPatient,P10thPEdition
MULTIPLEPCHOICE
1. ElectivePdentalPcarePshouldPbePdeferredPforPpatientsPwithPsevere,PuncontrolledPhypertension
,PmeaningPthatPthePbloodPpressurePisPgreaterPthanPorPequalPto mmPHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:P C
ElectivePdentalPcarePshouldPbePdeferredPforPpatientsPwithPsevere,PuncontrolledPhypertension
,PwhichPisPbloodPpressurePgreaterPthanPorPequalPtoP180/110PmmPHg,PuntilPthePconditionPcanP
bePbroughtPunderPcontrol.
2. ThePAmericanPHeartPAssociationPcurrentlyPrecommendsPantibioticPprophylaxisPforPaPpatien
tPwithPwhichPofPthePfollowingPcardiacPconditions?
a. MitralPvalvePprolapse
b. ProstheticPheartPvalve
c. RheumaticPheartPdisease
d. PacemakersPforPcardiacParrhythmias
ANSWER:P B
Previously,PthePAmericanPHeartPAssociationP(AHA)PrecommendedPantibioticPprophylaxisPforP
manyPpatientsPwithPheartPmurmursPcausedPbyPvalvularPdiseaseP(e.g.,PmitralPvalvePprolapse,Prh
eumaticPheartPdisease)PinPanPeffortPtoPpreventPinfectivePendocarditis;Phowever,PcurrentPguideli
nesPomitPthisPrecommendationPonPthePbasisPofPaccumulatedPscientificPevidence.PIfPaPmurmurPi
sPduePtoPcertainPspecificPcardiacPconditionsP(e.g.,PpreviousPendocarditis,PprostheticPheartPvalve
,PcomplexPcongenitalPcyanoticPheartPdisease),PthePAHAPcontinuesPtoPrecommendPantibioticPpr
ophylaxisPforPmostPdentalPprocedures.
3. OnePconsequencePofPchronicPhepatitisP(BPorPC)PorPcirrhosisPofPthePliverPisPdecreasedPabilityPo
fPthePbodyPto certainPdrugs,PincludingPlocalPanestheticsPandPanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:P C
PatientsPalsoPmayPhavePchronicPhepatitisP(BPorPC)PorPcirrhosis,PwithPimpairmentPofPlive
rPfunction.PThisPdeficitPmayPresultPinPprolongedPbleedingPandPlessPefficientPmetabolismP
ofPcertainPdrugs,PincludingPlocalPanestheticsPandPanalgesics.
4. WhichPofPthePfollowingPsymptomsPandPsignsPisPmostPconsistentPwithPallergy?
a. HeartPpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:P B
SymptomsPandPsignsPconsistentPwithPallergyPincludePitching,PurticariaP(hives),Prash,Pswelling,P
wheezing,Pangioedema,PrunnyPnose,PandPtearingPeyes.PIsolatedPsignsPandPsymptomsPsuchPasPn
ausea,Pvomiting,PheartPpalpitations,PandPfaintingPgenerallyParePnotPofPanPallergicPoriginPbutPrat
herParePmanifestationsPofPdrugPintolerance,PadversePsidePeffects,PorPpsychogenicPreactions.
5. WhichPofPthePfollowingPisPtruePofPthePpatientPwithPaPhistoryPofPtuberculosis?
a. APpositivePresultPonPskinPtestingPmeansPthatPthePpersonPhasPactivePTB.
b. MostPpatientsPwhoPbecomePpositivePskinPtestersPdevelopPactivePdisease.
c. PatientsPwithPacquiredPimmunodeficiencyPsyndromeP(AIDS)PhavePaPhighPincidenc
ePofPtuberculosis.
d. APdiagnosisPofPactivePTBPisPmadePbyPaPpurifiedPproteinPderivativeP(PPD)PskinPtest.
ANSWER:P C
ThePpotentialPcoexistencePofPtuberculosisPandPacquiredPimmunodeficiencyPsyndromeP(AIDS)
PshouldPbePexploredPbecausePpatientsPwithPAIDSPhavePaPhighPincidencePofPtuberculosis.PAPpo
sitivePresultPonPskinPtestingPmeansPspecificallyPthatPthePpersonPhasPatPsomePtimePbeenPinfecte
dPwithPTB,PnotPnecessarilyPthatPactivePdiseasePisPpresent.PMostPpatientsPwhoPbecomePpositive
PskinPtestersPdoPnotPdevelopPactivePdisease.PAPdiagnosisPofPactivePTBPisPmadePbyPchestPx-
ray,Pimaging,PsputumPculture,PandPclinicalPexamination.
6. VasoconstrictorsPshouldPbePavoidedPinPpatientsPwhoPcocainePorPmethamphetaminePuser
sPbecausePthesePagentsPmayPprecipitate .
a. severePhypotension
b. severePhypertension
c. respiratoryPdepression
d. cessationPofPintestinalPperistalsis
ANSWER:P B
VasoconstrictorsPshouldPbePavoidedPinPpatientsPwhoParePcocainePorPmethamphetaminePusersP
becausePthePcombinationPmayPprecipitateParrhythmias,PMI,PorPseverePhypertension.
7. ItPhasPbeenPshownPthatPthePriskPforPoccurrencePofPaPseriousPperioperativePcardiovascularPeven
tP(e.g.,PMI,PheartPfailure)PisPincreasedPinPpatientsPwhoParePunablePtoPmeetPaP-
METP(metabolicPequivalentPofPtask)PdemandPduringPnormalPdailyPactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:P A
DailyPactivitiesPrequiringP4PMETsPincludePlevelPwalkingPatP4Pmiles/hourPorPclimbingPaPflightPofP
stairs.PActivitiesPrequiringPgreaterPthanP10PMETsPincludePswimmingPandPsinglesPtennis.PAnPexer
cisePcapacityPofP10PtoP13PMETsPindicatesPexcellentPphysicalPconditioning.
8. WhichPofPthePfollowingPalterationsPinPthePfingernailsPisPassociatedPwithPcirrhosis?
a. Yellowing
b. Clubbing
c. WhitePdiscoloration
d. SplinterPhemorrhages
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