TESTBANK 1x
LITTLE AND FALACE'S DENTAL MANAGEMENT
x1 x1 x1 x1 x1
OF THE MEDICALLY COMPROMISEDPATIENT
x1 x1 x1 1x
9TH EDITIONx1
TESTBANK x
1
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Table of Contents x1 x1
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
x1 x1 x1 x1 x1 x1
Chapter 1: Patient Evaluation and Risk Assessment
x1 x1 x1 x1 x1 x1
PART TWO: CARDIOVASCULAR DISEASE
x1 x1 x1
Chapter 2: Infective Endocarditis Chapt
x1 x1 x1 x 1
er 3: Hypertension
x1 x1
Chapter 4: Ischemic Heart Disease Cha
x1 x1 x1 x1 x 1
pter 5: Cardiac Arrhythmias
x1 x1 x1
Chapter 6: Heart Failure (or Congestive Heart Failure)
x1 x1 x1 x1 x1 x1 x1
PART THREE: PULMONARY DISEASE
x1 x1 x1
Chapter 7: Pulmonary Disease
x1 x1 x1
Chapter 8: Smoking and Tobacco Use Cessation Chapt
x1 x1 x1 x1 x1 x1 x 1
er 9: Sleep-
x1 x1
Related Breathing Disorders PART FOUR: GASTROIN
x1 x1 x 1 x1 x1
TESTIAL DISEASE x1
Chapter 10: Liver Disease
x1 x1 x1
Chapter 11: Gastrointestinal Disease
x1 x1 x1
PART FIVE: GENITOURINARY DISEASE
x1 x1 x1
Chapter 12: Chronic Kidney Disease and Dialysis Chap
x1 x1 x1 x1 x1 x1 x 1
ter 13: Sexually Transmitted Diseases
x1 x1 x1 x1
PART SIX: ENDOCRINE AND METABOLIC DISEASE
x1 x1 x1 x1 x1
Chapter 14: Diabetes Mellitus Chapter 1
x1 x1 x1 x 1 x1
5: Adrenal Insufficiency Chapter 16: Th
x1 x1 x 1 x1 x1
yroid Diseases
x1
Chapter 17: Pregnancy and Breast Feeding
x1 x1 x1 x1 x1
PART SEVEN: IMMUNOLOGIC DISEASE
x1 x1 x1
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19:
x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Ch
x1 x1 x1 x1 x1 x1 x 1
apter 21: Organ and Bone Marrow Transplantation
x1 x1 x1 x1 x1 x1
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
x1 x1 x1 x1 x1
Chapter 22: Disorders of Red Blood Cells Chapter 2
x1 x1 x1 x1 x1 x1 x 1 x1
3: Disorders of White Blood Cells
x1 x1 x1 x1 x1
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
x1 x1 x1 x1 x1 x1 x 1
er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 2
x1 x1 x1 x1 x1 x1 x 1 x1
6: Cancer and Oral Care of the Patient
x1 x1 x1 x1 x1 x1 x1
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
x1 x1 x1 x1 x1 x1
Chapter 27: Neurologic Disorders
x1 x1 x1
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29:
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
Psychiatric Disorders x1
Chapter 30: Drug and Alcohol Abuse
x1 x1 x1 x1 x1
, WWW.GRADESMORE.COM
Stuvia.comx1-x1Thex1Marketplacex1tox1Buyx1andx1Sellx1yourx1Studyx1Material
Page 1 of 74 x1 x1 x1
Chapter 01: Patient Evaluation and Risk Assessment
x1 x1 x1 x1 x1 x1
Little: Dental Management of the Medically Compromised Patient, 9th Edition
x1 x1 x1 x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meani
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
ng that the blood pressure is greater than or equal to
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 mm Hg. x1
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C x1
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, whic
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
h is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought u
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
nder control. x1
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with wh
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
ich of the following cardiac conditions?
x1 x1 x1 x1 x1
a. Mitral valve prolapse x1 x1
b. Prosthetic heart valve x1 x1
c. Rheumatic heart disease x1 x1
d. Pacemakers for cardiac arrhythmias x1 x1 x1
ANS: B x1
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many pa
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
tients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart di
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
sease) in an effort to prevent infective endocarditis; however, current guidelines omit this recomme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1
ndation on the basis of accumulated scientific evidence. If a murmur is due to certain specific cardi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1 x1
ac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart
x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1 x
1disease), the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the b
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
ody to x1 certain drugs, including local anesthetics and analgesics.
x1 x1 x1 x1 x1 x1
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C x1
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver functi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
on. This deficit may result in prolonged bleeding and less efficient metabolism of certain drug
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
s, including local anesthetics and analgesics.
x1 x1 x1 x1 x1
4. Which of the following symptoms and signs is most consistent with allergy?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Heart palpitations x1
b. Itching
c. Vomiting
d. Fainting
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Page 1 of 74 x1 x1 x1
ANS: B x1
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
ng, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vo
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
miting, heart palpitations, and fainting generally are not of an allergic origin but rather are manifest
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
ations of drug intolerance, adverse side effects, or psychogenic reactions.
x1 x1 x1 x1 x1 x1 x1 x1 x1
5. Which of the following is true of the patient with a history of tuberculosis?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. A positive result on skin testing means that the person has active TB.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. Most patients who become positive skin testers develop active disease.
x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tube
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: C x1x 1
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
be explored because patients with AIDS have a high incidence of tuberculosis. A positive result on
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1
skin testing means specifically that the person has at some time been infected with TB, not necessa
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1
rily that active disease is present. Most patients who become positive skin testers do not develop a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1 x1
ctive disease. A diagnosis of active TB is made by chest x-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
ray, imaging, sputum culture, and clinical examination.
x1 x1 x1 x1 x1 x1
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 bec
ause these agents may precipitate
x1 x1 x1 x1 .
a. severe hypotension x1
b. severe hypertension x1
c. respiratory depression x1
d. cessation of intestinal peristalsis x1 x1 x1
ANS: B x1
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 beca
use the combination may precipitate arrhythmias, MI, or severe hypertension.
x1 x1 x1 x1 x1 x1 x1 x1 x1
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 (e.g.
, MI, heart failure) is increased in patients who are unable to meet a -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
MET (metabolic equivalent of task) demand during normal daily activity.
x1 x 1 x1 x1 x1 x1 x1 x1 x1
a. 4
b. 6
c. 8
d. 10
ANS: A x1
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. A
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
ctivities requiring greater than 10 METs include swimming and singles tennis. An exercise capacity o
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
f 10 to 13 METs indicates excellent physical conditioning.
x1 x1 x1 x1 x1 x1 x1 x1
8. Which of the following alterations in the fingernails is associated with cirrhosis?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Yellowing
b. Clubbing
c. White discoloration x1
d. Splinter hemorrhages x1
WWW.NURSYLAB.COM
GRADESMORE.COM
LITTLE AND FALACE'S DENTAL MANAGEMENT
x1 x1 x1 x1 x1
OF THE MEDICALLY COMPROMISEDPATIENT
x1 x1 x1 1x
9TH EDITIONx1
TESTBANK x
1
,Little: Dental Management of the Medically Compromised Patient, 9th Edition Test Bank
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Table of Contents x1 x1
PART ONE: PATIENT EVALUATION AND RISK ASSESSMENT
x1 x1 x1 x1 x1 x1
Chapter 1: Patient Evaluation and Risk Assessment
x1 x1 x1 x1 x1 x1
PART TWO: CARDIOVASCULAR DISEASE
x1 x1 x1
Chapter 2: Infective Endocarditis Chapt
x1 x1 x1 x 1
er 3: Hypertension
x1 x1
Chapter 4: Ischemic Heart Disease Cha
x1 x1 x1 x1 x 1
pter 5: Cardiac Arrhythmias
x1 x1 x1
Chapter 6: Heart Failure (or Congestive Heart Failure)
x1 x1 x1 x1 x1 x1 x1
PART THREE: PULMONARY DISEASE
x1 x1 x1
Chapter 7: Pulmonary Disease
x1 x1 x1
Chapter 8: Smoking and Tobacco Use Cessation Chapt
x1 x1 x1 x1 x1 x1 x 1
er 9: Sleep-
x1 x1
Related Breathing Disorders PART FOUR: GASTROIN
x1 x1 x 1 x1 x1
TESTIAL DISEASE x1
Chapter 10: Liver Disease
x1 x1 x1
Chapter 11: Gastrointestinal Disease
x1 x1 x1
PART FIVE: GENITOURINARY DISEASE
x1 x1 x1
Chapter 12: Chronic Kidney Disease and Dialysis Chap
x1 x1 x1 x1 x1 x1 x 1
ter 13: Sexually Transmitted Diseases
x1 x1 x1 x1
PART SIX: ENDOCRINE AND METABOLIC DISEASE
x1 x1 x1 x1 x1
Chapter 14: Diabetes Mellitus Chapter 1
x1 x1 x1 x 1 x1
5: Adrenal Insufficiency Chapter 16: Th
x1 x1 x 1 x1 x1
yroid Diseases
x1
Chapter 17: Pregnancy and Breast Feeding
x1 x1 x1 x1 x1
PART SEVEN: IMMUNOLOGIC DISEASE
x1 x1 x1
Chapter 18: AIDS, HIV Infection, and Related Conditions Chapter 19:
x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
Allergy
Chapter 20: Rheumatologic and Connective Tissue Disorders Ch
x1 x1 x1 x1 x1 x1 x 1
apter 21: Organ and Bone Marrow Transplantation
x1 x1 x1 x1 x1 x1
PART EIGHT: HEMATOLOGIC AND ONCOLOGIC DISEASE
x1 x1 x1 x1 x1
Chapter 22: Disorders of Red Blood Cells Chapter 2
x1 x1 x1 x1 x1 x1 x 1 x1
3: Disorders of White Blood Cells
x1 x1 x1 x1 x1
Chapter 24: Acquired Bleeding and Hypercoagulable Disorders Chapt
x1 x1 x1 x1 x1 x1 x 1
er 25: Congenital Bleeding and Hypercoagulable Disorders Chapter 2
x1 x1 x1 x1 x1 x1 x 1 x1
6: Cancer and Oral Care of the Patient
x1 x1 x1 x1 x1 x1 x1
PART NINE: NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
x1 x1 x1 x1 x1 x1
Chapter 27: Neurologic Disorders
x1 x1 x1
Chapter 28: Anxiety, Eating Disorders, and Behavioral Reactions to Illness Chapter 29:
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
Psychiatric Disorders x1
Chapter 30: Drug and Alcohol Abuse
x1 x1 x1 x1 x1
, WWW.GRADESMORE.COM
Stuvia.comx1-x1Thex1Marketplacex1tox1Buyx1andx1Sellx1yourx1Studyx1Material
Page 1 of 74 x1 x1 x1
Chapter 01: Patient Evaluation and Risk Assessment
x1 x1 x1 x1 x1 x1
Little: Dental Management of the Medically Compromised Patient, 9th Edition
x1 x1 x1 x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meani
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
ng that the blood pressure is greater than or equal to
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 mm Hg. x1
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C x1
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, whic
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
h is blood pressure greater than or equal to 180/110 mm Hg, until the condition can be brought u
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
nder control. x1
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with wh
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
ich of the following cardiac conditions?
x1 x1 x1 x1 x1
a. Mitral valve prolapse x1 x1
b. Prosthetic heart valve x1 x1
c. Rheumatic heart disease x1 x1
d. Pacemakers for cardiac arrhythmias x1 x1 x1
ANS: B x1
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many pa
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
tients with heart murmurs caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart di
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
sease) in an effort to prevent infective endocarditis; however, current guidelines omit this recomme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1
ndation on the basis of accumulated scientific evidence. If a murmur is due to certain specific cardi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1 x1
ac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart
x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1 x
1disease), the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the b
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
ody to x1 certain drugs, including local anesthetics and analgesics.
x1 x1 x1 x1 x1 x1
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C x1
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver functi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
on. This deficit may result in prolonged bleeding and less efficient metabolism of certain drug
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
s, including local anesthetics and analgesics.
x1 x1 x1 x1 x1
4. Which of the following symptoms and signs is most consistent with allergy?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Heart palpitations x1
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
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, WWW.GRADESMORE.COM
Stuvia.comx1-x1Thex1Marketplacex1tox1Buyx1andx1Sellx1yourx1Studyx1Material
Page 1 of 74 x1 x1 x1
ANS: B x1
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
ng, angioedema, runny nose, and tearing eyes. Isolated signs and symptoms such as nausea, vo
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
miting, heart palpitations, and fainting generally are not of an allergic origin but rather are manifest
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
ations of drug intolerance, adverse side effects, or psychogenic reactions.
x1 x1 x1 x1 x1 x1 x1 x1 x1
5. Which of the following is true of the patient with a history of tuberculosis?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. A positive result on skin testing means that the person has active TB.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. Most patients who become positive skin testers develop active disease.
x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Patients with acquired immunodeficiency syndrome (AIDS) have a high incidence of tube
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rculosis.
d. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: C x1x 1
The potential coexistence of tuberculosis and acquired immunodeficiency syndrome (AIDS) should
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
be explored because patients with AIDS have a high incidence of tuberculosis. A positive result on
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1
skin testing means specifically that the person has at some time been infected with TB, not necessa
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1
rily that active disease is present. Most patients who become positive skin testers do not develop a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1 x1
ctive disease. A diagnosis of active TB is made by chest x-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1
ray, imaging, sputum culture, and clinical examination.
x1 x1 x1 x1 x1 x1
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 bec
ause these agents may precipitate
x1 x1 x1 x1 .
a. severe hypotension x1
b. severe hypertension x1
c. respiratory depression x1
d. cessation of intestinal peristalsis x1 x1 x1
ANS: B x1
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 beca
use the combination may precipitate arrhythmias, MI, or severe hypertension.
x1 x1 x1 x1 x1 x1 x1 x1 x1
7. It has been shown that the risk for occurrence of a serious perioperative cardiovascular event
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 (e.g.
, MI, heart failure) is increased in patients who are unable to meet a -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
MET (metabolic equivalent of task) demand during normal daily activity.
x1 x 1 x1 x1 x1 x1 x1 x1 x1
a. 4
b. 6
c. 8
d. 10
ANS: A x1
Daily activities requiring 4 METs include level walking at 4 miles/hour or climbing a flight of stairs. A
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1
ctivities requiring greater than 10 METs include swimming and singles tennis. An exercise capacity o
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x 1 x1 x1
f 10 to 13 METs indicates excellent physical conditioning.
x1 x1 x1 x1 x1 x1 x1 x1
8. Which of the following alterations in the fingernails is associated with cirrhosis?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Yellowing
b. Clubbing
c. White discoloration x1
d. Splinter hemorrhages x1
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