Test Bank For Little and Falace's Dental Management of the
o o o o o o o o o
oMedically Compromised Patient,
o o
10th Edition by Craig Miller, Chapters 1 – 30.
o o o o o o o o
,Little: oDental oManagement oof othe oMedically oCompromised oPatient, o10th oEdition oTest oBank
Table oof oContents
PART oONE: oPATIENT oEVALUATION oAND oRISK oASSESSMENT
Chapter o1: oPatient oEvaluation oand oRisk oAssessment
PART oTWO: oCARDIOVASCULAR oDISEASE
Chapter o2: oInfective oEndocarditis
Chapter o3: oHypertension
Chapter o4: oIschemic oHeart oDisease
Chapter o5: oCardiac oArrhythmias
Chapter o6: oHeart oFailure o(or oCongestive oHeart oFailure)
PART oTHREE: oPULMONARY oDISEASE
Chapter o7: oPulmonary oDisease
Chapter o8: oSmoking oand oTobacco oUse oCessation
Chapter o9: oSleep-Related oBreathing oDisorders
PART oFOUR: oGASTROINTESTIAL oDISEASE
Chapter o10: oLiver oDisease
Chapter o11: oGastrointestinal oDisease
PART oFIVE: oGENITOURINARY oDISEASE
Chapter o12: oChronic oKidney oDisease oand oDialysis
Chapter o13: oSexually oTransmitted oDiseases
PART oSIX: oENDOCRINE oAND oMETABOLIC oDISEASE
Chapter o14: oDiabetes oMellitus
Chapter o15: oAdrenal oInsufficiency
Chapter o16: oThyroid oDiseases
Chapter o17: oPregnancy oand oBreast oFeeding
PART oSEVEN: oIMMUNOLOGIC oDISEASE
Chapter o18: oAIDS, oHIV oInfection, oand oRelated oConditions
Chapter o19: oAllergy
Chapter o20: oRheumatologic oand oConnective oTissue oDisorders
Chapter o21: oOrgan oand oBone oMarrow oTransplantation
PART oEIGHT: oHEMATOLOGIC oAND oONCOLOGIC oDISEASE
Chapter o22: oDisorders oof oRed oBlood oCells
Chapter o23: oDisorders oof oWhite oBlood oCells
Chapter o24: oAcquired oBleeding oand oHypercoagulable oDisorders
Chapter o25: oCongenital oBleeding oand oHypercoagulable oDisorders
Chapter o26: oCancer oand oOral oCare oof othe oPatient
PART oNINE: oNEUROLOGIC, oBEHAVIORAL, oAND oPSYCHIATRIC oDISORDERS
Chapter o27: oNeurologic oDisorders
Chapter o28: oAnxiety, oEating oDisorders, oand oBehavioral oReactions oto oIllness
Chapter o29: oPsychiatric oDisorders
Chapter o30: oDrug oand oAlcohol oAbuse
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Chapter o01: oPatient oEvaluation oand oRisk oAssessment
Little: oDental oManagement oof othe oMedically oCompromised oPatient, o10th oEdition
MULTIPLE oCHOICE
1. Elective odental ocare oshould obe odeferred ofor opatients owith osevere, ouncontrolled
hypertension, omeaning othat othe oblood opressure ois ogreater othan oor oequal oto
o mm oHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER: o C
Elective odental ocare oshould obe odeferred ofor opatients owith osevere, ouncontrolled
ohypertension, owhich ois oblood opressure ogreater othan oor oequal oto o180/110 omm oHg, ountil
othe ocondition ocan obe obrought ounder ocontrol.
2. The oAmerican oHeart oAssociation ocurrently orecommends oantibiotic oprophylaxis ofor oa opatient
owith owhich oof othe ofollowing ocardiac oconditions?
a. Mitral ovalve oprolapse
b. Prosthetic oheart ovalve
c. Rheumatic oheart odisease
d. Pacemakers ofor ocardiac oarrhythmias
ANSWER: o B
Previously, othe oAmerican oHeart oAssociation o(AHA) orecommended oantibiotic oprophylaxis ofor
omany opatients owith oheart omurmurs ocaused oby ovalvular odisease o(e.g., omitral ovalve oprolapse,
orheumatic oheart odisease) oin oan oeffort oto oprevent oinfective oendocarditis; ohowever, ocurrent
oguidelines oomit othis orecommendation oon othe obasis oof oaccumulated oscientific oevidence. oIf oa
omurmur ois odue oto ocertain ospecific ocardiac oconditions o(e.g., oprevious oendocarditis, oprosthetic
oheart ovalve, ocomplex ocongenital ocyanotic oheart odisease), othe oAHA ocontinues oto orecommend
oantibiotic oprophylaxis ofor omost odental oprocedures.
3. One oconsequence oof ochronic ohepatitis o(B oor oC) oor ocirrhosis oof othe oliver ois odecreased oability
of othe obody oto
o certain odrugs, oincluding olocal oanesthetics oand oanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER: o C
Patients oalso omay ohave ochronic ohepatitis o(B oor oC) oor ocirrhosis, owith oimpairment oof oliver
ofunction. oThis odeficit omay oresult oin oprolonged obleeding oand oless oefficient ometabolism
oof ocertain odrugs, oincluding olocal oanesthetics oand oanalgesics.
4. Which oof othe ofollowing osymptoms oand osigns ois omost oconsistent owith oallergy?
a. Heart opalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER: o B
Symptoms oand osigns oconsistent owith oallergy oinclude oitching, ourticaria o(hives), orash, oswelling,
owheezing, oangioedema, orunny onose, oand otearing oeyes. oIsolated osigns oand osymptoms osuch oas
onausea, ovomiting, oheart opalpitations, oand ofainting ogenerally oare onot oof oan oallergic oorigin
obut orather oare omanifestations oof odrug ointolerance, oadverse oside oeffects, oor opsychogenic
oreactions.
5. Which oof othe ofollowing ois otrue oof othe opatient owith oa ohistory oof otuberculosis?
a. A opositive oresult oon oskin otesting omeans othat othe operson ohas oactive oTB.
b. Most opatients owho obecome opositive oskin otesters odevelop oactive odisease.
c. Patients owith oacquired oimmunodeficiency osyndrome o(AIDS) ohave oa ohigh oincidence
of otuberculosis.
o
d. A odiagnosis oof oactive oTB ois omade oby oa opurified oprotein oderivative o(PPD) oskin otest.
ANSWER: o C
The opotential ocoexistence oof otuberculosis oand oacquired oimmunodeficiency osyndrome o(AIDS)
oshould obe oexplored obecause opatients owith oAIDS ohave oa ohigh oincidence oof otuberculosis. oA
opositive oresult oon oskin otesting omeans ospecifically othat othe operson ohas oat osome otime obeen
oinfected owith oTB, onot onecessarily othat oactive odisease ois opresent. oMost opatients owho obecome
opositive oskin otesters odo onot odevelop oactive odisease. oA odiagnosis oof oactive oTB ois omade oby
ochest ox-ray, oimaging, osputum oculture, oand oclinical oexamination.
6. Vasoconstrictors oshould obe oavoided oin opatients owho ococaine oor omethamphetamine
users obecause othese oagents omay oprecipitate
o .
a. severe ohypotension
b. severe ohypertension
c. respiratory odepression
d. cessation oof ointestinal operistalsis
ANSWER: o B
Vasoconstrictors oshould obe oavoided oin opatients owho oare ococaine oor omethamphetamine ousers
obecause othe ocombination omay oprecipitate oarrhythmias, oMI, oor osevere ohypertension.
7. It ohas obeen oshown othat othe orisk ofor ooccurrence oof oa oserious operioperative ocardiovascular
oevent o(e.g., oMI, oheart ofailure) ois oincreased oin opatients owho oare ounable oto omeet oa o-MET
o(metabolic oequivalent oof otask) odemand oduring onormal odaily oactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER: o A
Daily oactivities orequiring o4 oMETs oinclude olevel owalking oat o4 omiles/hour oor oclimbing oa oflight oof
ostairs. oActivities orequiring ogreater othan o10 oMETs oinclude oswimming oand osingles otennis. oAn
oexercise ocapacity oof o10 oto o13 oMETs oindicates oexcellent ophysical oconditioning.
8. Which oof othe ofollowing oalterations oin othe ofingernails ois oassociated owith ocirrhosis?
a. Yellowing
b. Clubbing
c. White odiscoloration
d. Splinter ohemorrhages
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