1
, Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
2
,Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
Chapter 01: Patient Evaluation and Risk Assessment
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning that the
blood pressure is greater than or equal to mm Hg.
A. 200/140
B. 180/140
C. 180/110
D. 160/110
CORRECT ANSWER: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is blood pressure
of greater than or equal to 180/110 mm Hg, until the condition can be brought under control.
PTS: 1 REF: p. 4
3
, 2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which of the
following cardiac conditions?
A. mitral valve prolapse
B. prosthetic heart valve
C. rheumatic heart disease
D. pacemakers for cardiac arrhythmias
CORRECT ANSWER: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many patients with
heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease) in an effort to
prevent infective endocarditis; current guidelines omit this recommendation on the basis of accumulated scientific
evidence. If a murmur is due to specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve,
complex congenital cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis for most dental
procedures. Patients with pacemakers do not require antibiotic prophylaxis.
PTS: 1 REF: pp. 4-5
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body to certain
drugs, including local anesthetics and analgesics.
A. absorb
B. distribute
C. metabolize
D. excrete
CORRECT ANSWER: C
Patients with chronic hepatitis (B or C) or cirrhosis have an associated impairment of liver function. This deficit may
result in prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and
analgesics.
PTS: 1 REF: p. 6
4. Which of the following symptoms and signs is most consistent with allergy?
A. heart palpitations
B. itching
C. vomiting
D. fainting
4
, Table of Contents
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
Chapter 1: Patient Evaluation and Risk Assessment
PART TWO: CARDIOVASCULAR DISEASE
Chapter 2: Infective Endocarditis
Chapter 3: Hypertension
Chapter 4: Ischemic Heart Disease
Chapter 5: Cardiac Arrhythmias
Chapter 6: Heart Failure (or Congestive Heart Failure)
PART THREE: PULMONARY DISEASE
Chapter 7: Pulmonary Disease
Chapter 8: Smoking and Tobacco Use Cessation
Chapter 9: Sleep-Related Breathing Disorders
PART FOUR: GASTROINTESTIAL DISEASE
Chapter 10: Liver Disease
Chapter 11: Gastrointestinal Disease
PART FIVE: GENITOURINARY DISEASE
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
PART SIX: ENDOCRINE AND METABOLIC DISEASE
Chapter 14: Diabetes Mellitus
Chapter 15: Adrenal Insufficiency
Chapter 16: Thyroid Diseases
Chapter 17: Pregnancy and Breast Feeding
PART SEVEN: IMMUNOLOGIC DISEASE
Chapter 18: AIDS, HIV Infection, and Related Conditions
Chapter 19: Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders
2
,Chapter 21: Organ and Bone Marrow Transplantation
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
Chapter 22: Disorders of Red Blood Cells
Chapter 23: Disorders of White Blood Cells
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders
Chapter 25: Congenital Bleeding and Hypercoagulable Disorders
Chapter 26: Cancer and Oral Care of the Patient
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
Chapter 27: Neurologic Disorders
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness
Chapter 29: Psychiatric Disorders
Chapter 30: Drug and Alcohol Abuse
Chapter 01: Patient Evaluation and Risk Assessment
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning that the
blood pressure is greater than or equal to mm Hg.
A. 200/140
B. 180/140
C. 180/110
D. 160/110
CORRECT ANSWER: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is blood pressure
of greater than or equal to 180/110 mm Hg, until the condition can be brought under control.
PTS: 1 REF: p. 4
3
, 2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which of the
following cardiac conditions?
A. mitral valve prolapse
B. prosthetic heart valve
C. rheumatic heart disease
D. pacemakers for cardiac arrhythmias
CORRECT ANSWER: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many patients with
heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease) in an effort to
prevent infective endocarditis; current guidelines omit this recommendation on the basis of accumulated scientific
evidence. If a murmur is due to specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve,
complex congenital cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis for most dental
procedures. Patients with pacemakers do not require antibiotic prophylaxis.
PTS: 1 REF: pp. 4-5
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body to certain
drugs, including local anesthetics and analgesics.
A. absorb
B. distribute
C. metabolize
D. excrete
CORRECT ANSWER: C
Patients with chronic hepatitis (B or C) or cirrhosis have an associated impairment of liver function. This deficit may
result in prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and
analgesics.
PTS: 1 REF: p. 6
4. Which of the following symptoms and signs is most consistent with allergy?
A. heart palpitations
B. itching
C. vomiting
D. fainting
4
