Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30
,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
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Chapter 01: Patient Evaluation and Risk Assessment
Z Z Z Z Z Z
Little: Dental Management of the Medically Compromised Patient, 10th Edition
Z Z Z Z Z Z Z Z Z
MULTIPLEZCHOICE
1. ElectiveZdentalZcareZshouldZbeZdeferredZforZpatientsZwithZsevere,ZuncontrolledZhypertension,
ZmeaningZthatZtheZbloodZpressureZisZgreaterZthanZorZequalZto mmZHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:Z C
ElectiveZdentalZcareZshouldZbeZdeferredZforZpatientsZwithZsevere,ZuncontrolledZhypertension,
ZwhichZisZbloodZpressureZgreaterZthanZorZequalZtoZ180/110ZmmZHg,ZuntilZtheZconditionZcanZb
eZbroughtZunderZcontrol.
2. TheZAmericanZHeartZAssociationZcurrentlyZrecommendsZantibioticZprophylaxisZforZaZpatient
ZwithZwhichZofZtheZfollowingZcardiacZconditions?
a. MitralZvalveZprolapse
b. ProstheticZheartZvalve
c. RheumaticZheartZdisease
d. PacemakersZforZcardiacZarrhythmias
ANSWER:Z B
Previously,ZtheZAmericanZHeartZAssociationZ(AHA)ZrecommendedZantibioticZprophylaxisZforZ
manyZpatientsZwithZheartZmurmursZcausedZbyZvalvularZdiseaseZ(e.g.,ZmitralZvalveZprolapse,Zrhe
umaticZheartZdisease)ZinZanZeffortZtoZpreventZinfectiveZendocarditis;Zhowever,ZcurrentZguideline
sZomitZthisZrecommendationZonZtheZbasisZofZaccumulatedZscientificZevidence.ZIfZaZmurmurZisZd
ueZtoZcertainZspecificZcardiacZconditionsZ(e.g.,ZpreviousZendocarditis,ZprostheticZheartZvalve,Zco
mplexZcongenitalZcyanoticZheartZdisease),ZtheZAHAZcontinuesZtoZrecommendZantibioticZprophy
laxisZforZmostZdentalZprocedures.
3. OneZconsequenceZofZchronicZhepatitisZ(BZorZC)ZorZcirrhosisZofZtheZliverZisZdecreasedZabilityZof
ZtheZbodyZto certainZdrugs,ZincludingZlocalZanestheticsZandZanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:Z C
PatientsZalsoZmayZhaveZchronicZhepatitisZ(BZorZC)ZorZcirrhosis,ZwithZimpairmentZofZliver
Zfunction.ZThisZdeficitZmayZresultZinZprolongedZbleedingZandZlessZefficientZmetabolismZo
fZcertainZdrugs,ZincludingZlocalZanestheticsZandZanalgesics.
4. WhichZofZtheZfollowingZsymptomsZandZsignsZisZmostZconsistentZwithZallergy?
a. HeartZpalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:Z B
SymptomsZandZsignsZconsistentZwithZallergyZincludeZitching,ZurticariaZ(hives),Zrash,Zswelling,Z
wheezing,Zangioedema,ZrunnyZnose,ZandZtearingZeyes.ZIsolatedZsignsZandZsymptomsZsuchZasZna
usea,Zvomiting,ZheartZpalpitations,ZandZfaintingZgenerallyZareZnotZofZanZallergicZoriginZbutZrathe
rZareZmanifestationsZofZdrugZintolerance,ZadverseZsideZeffects,ZorZpsychogenicZreactions.
5. WhichZofZtheZfollowingZisZtrueZofZtheZpatientZwithZaZhistoryZofZtuberculosis?
a. AZpositiveZresultZonZskinZtestingZmeansZthatZtheZpersonZhasZactiveZTB.
b. MostZpatientsZwhoZbecomeZpositiveZskinZtestersZdevelopZactiveZdisease.
c. PatientsZwithZacquiredZimmunodeficiencyZsyndromeZ(AIDS)ZhaveZaZhighZincidence
ofZtuberculosis.
Z
d. AZdiagnosisZofZactiveZTBZisZmadeZbyZaZpurifiedZproteinZderivativeZ(PPD)ZskinZtest.
ANSWER:Z C
TheZpotentialZcoexistenceZofZtuberculosisZandZacquiredZimmunodeficiencyZsyndromeZ(AIDS)Z
shouldZbeZexploredZbecauseZpatientsZwithZAIDSZhaveZaZhighZincidenceZofZtuberculosis.ZAZpos
itiveZresultZonZskinZtestingZmeansZspecificallyZthatZtheZpersonZhasZatZsomeZtimeZbeenZinfectedZ
withZTB,ZnotZnecessarilyZthatZactiveZdiseaseZisZpresent.ZMostZpatientsZwhoZbecomeZpositiveZsk
inZtestersZdoZnotZdevelopZactiveZdisease.ZAZdiagnosisZofZactiveZTBZisZmadeZbyZchestZx-
ray,Zimaging,ZsputumZculture,ZandZclinicalZexamination.
6. VasoconstrictorsZshouldZbeZavoidedZinZpatientsZwhoZcocaineZorZmethamphetamineZusers
ZbecauseZtheseZagentsZmayZprecipitate .
a. severeZhypotension
b. severeZhypertension
c. respiratoryZdepression
d. cessationZofZintestinalZperistalsis
ANSWER:Z B
VasoconstrictorsZshouldZbeZavoidedZinZpatientsZwhoZareZcocaineZorZmethamphetamineZusersZb
ecauseZtheZcombinationZmayZprecipitateZarrhythmias,ZMI,ZorZsevereZhypertension.
7. ItZhasZbeenZshownZthatZtheZriskZforZoccurrenceZofZaZseriousZperioperativeZcardiovascularZevent
Z(e.g.,ZMI,ZheartZfailure)ZisZincreasedZinZpatientsZwhoZareZunableZtoZmeetZaZ-
METZ(metabolicZequivalentZofZtask)ZdemandZduringZnormalZdailyZactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:Z A
DailyZactivitiesZrequiringZ4ZMETsZincludeZlevelZwalkingZatZ4Zmiles/hourZorZclimbingZaZflightZofZst
airs.ZActivitiesZrequiringZgreaterZthanZ10ZMETsZincludeZswimmingZandZsinglesZtennis.ZAnZexerci
seZcapacityZofZ10ZtoZ13ZMETsZindicatesZexcellentZphysicalZconditioning.
8. WhichZofZtheZfollowingZalterationsZinZtheZfingernailsZisZassociatedZwithZcirrhosis?
a. Yellowing
b. Clubbing
c. WhiteZdiscoloration
d. SplinterZhemorrhages
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