TEST BANK
Little and Falace's Dental Management of the Medically Compromised
Patient 8th Edition
by James W. Little, Craig Miller
LU
XE
LI
BR
AR
Y
, Table of content
PART ONE PATIENT EVALUATION AND RISK ASSESSMENT
1. Patient Evaluation and Risk Assessment
PART TWO CARDIOVASCULAR DISEASE
2. Infective Endocarditis
3. Hypertension
4. Ischemic Heart Disease
5. Cardiac Arrhythmias
6. Heart Failure (or Congestive Heart Failure)
PART THREE PULMONARY DISEASES
7. Pulmonary Disease
LU
8. Smoking and Tobacco Use Cessation
9. Sleep-Related Breathing Disorders
PART FOUR GASTROINTESTINAL DISEASES
10. Liver Disease
11. Gastrointestinal Disease
PART FIVE GENITOURINARY DISEASE
XE
12. Chronic Kidney Disease and Dialysis
13. Sexually Transmitted Diseases
PART SIX ENDOCRINE AND METABOLIC DISEASE
14. Diabetes Mellitus
15. Adrenal Insufficiency
16. Thyroid Diseases (Hyperthyroidism, Hypothyroidism, Thyroiditis, and Neoplastic Disease)
LI
17. Pregnancy and Breast Feeding
PART SEVEN IMMUNOLOGIC DISEASE
18. AIDS, HIV Infection, and Related Conditions
19. Allergy
BR
20. Rheumatologic and Connective Tissue Disorders
21. Organ and Bone Marrow Transplantation
PART EIGHT HEMATOLOGIC AND ONCOLOGIC DISEASE
22. Disorders of Red Blood Cells
23. Disorders of White Blood Cells
24. Acquired Bleeding and Hypercoagulable Disorders
AR
25. Congenital Bleeding and Hypercoagulable Disorders
26. Cancer and Oral Care of the Patient
PART NINE NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
27. Neurologic Disorders
28. Anxiety, Eating Disorders and Behavioral Reactions to Illness
29. Psychiatric Disorders
Y
30. Drug and Alcohol Abuse
, kjhgfd
Little: Dental Management of the Medically Compromised Patient, 8th
Edition
Chapter 01: Patient Evaluation and Risk Assessment
Test Bank
MULTIPLE CHOICE
LU
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
XE
B. 180/140
C. 180/110
D. 160/110
ANS: C
Elective dental care should be deferred for patients with severe, uncontrolled
LI
hypertension, which is blood pressure of greater than or equal to 180/110 mm Hg, until
the condition can be brought under control.
BR
PTS: 1 REF: p. 4
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
AR
C. rheumatic heart disease
D. pacemakers for cardiac arrhythmias
ANS: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis
for many patients with heart murmurs caused by valvular disease (e.g., mitral valve
Y
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.
kjhgfds
, Test Bank 1-2
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
LU
D. excrete
ANS: 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.
XE
PTS: 1 REF: p. 6
4. Which of the following symptoms and signs is most consistent with allergy?
A. heart palpitations
LI
B. itching
C. vomiting
D. fainting
BR
ANS: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
swelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are not of
an allergic origin but rather are manifestations of drug intolerance, adverse side effects, or
AR
psychogenic reactions.
PTS: 1 REF: p. 6
5. Which of the following is true of the patient with a history of tuberculosis?
A. A positive result on skin testing means that the person has active TB.
Y
B. Most patients who become positive skin testers develop active disease.
C. Patients with acquired immunodeficiency syndrome (AIDS) have a high
incidence of tuberculosis.
D. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
ANS: C
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Little and Falace's Dental Management of the Medically Compromised
Patient 8th Edition
by James W. Little, Craig Miller
LU
XE
LI
BR
AR
Y
, Table of content
PART ONE PATIENT EVALUATION AND RISK ASSESSMENT
1. Patient Evaluation and Risk Assessment
PART TWO CARDIOVASCULAR DISEASE
2. Infective Endocarditis
3. Hypertension
4. Ischemic Heart Disease
5. Cardiac Arrhythmias
6. Heart Failure (or Congestive Heart Failure)
PART THREE PULMONARY DISEASES
7. Pulmonary Disease
LU
8. Smoking and Tobacco Use Cessation
9. Sleep-Related Breathing Disorders
PART FOUR GASTROINTESTINAL DISEASES
10. Liver Disease
11. Gastrointestinal Disease
PART FIVE GENITOURINARY DISEASE
XE
12. Chronic Kidney Disease and Dialysis
13. Sexually Transmitted Diseases
PART SIX ENDOCRINE AND METABOLIC DISEASE
14. Diabetes Mellitus
15. Adrenal Insufficiency
16. Thyroid Diseases (Hyperthyroidism, Hypothyroidism, Thyroiditis, and Neoplastic Disease)
LI
17. Pregnancy and Breast Feeding
PART SEVEN IMMUNOLOGIC DISEASE
18. AIDS, HIV Infection, and Related Conditions
19. Allergy
BR
20. Rheumatologic and Connective Tissue Disorders
21. Organ and Bone Marrow Transplantation
PART EIGHT HEMATOLOGIC AND ONCOLOGIC DISEASE
22. Disorders of Red Blood Cells
23. Disorders of White Blood Cells
24. Acquired Bleeding and Hypercoagulable Disorders
AR
25. Congenital Bleeding and Hypercoagulable Disorders
26. Cancer and Oral Care of the Patient
PART NINE NEUROLOGIC, BEHAVIORAL, AND PSYCHIATRIC DISORDERS
27. Neurologic Disorders
28. Anxiety, Eating Disorders and Behavioral Reactions to Illness
29. Psychiatric Disorders
Y
30. Drug and Alcohol Abuse
, kjhgfd
Little: Dental Management of the Medically Compromised Patient, 8th
Edition
Chapter 01: Patient Evaluation and Risk Assessment
Test Bank
MULTIPLE CHOICE
LU
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
XE
B. 180/140
C. 180/110
D. 160/110
ANS: C
Elective dental care should be deferred for patients with severe, uncontrolled
LI
hypertension, which is blood pressure of greater than or equal to 180/110 mm Hg, until
the condition can be brought under control.
BR
PTS: 1 REF: p. 4
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
AR
C. rheumatic heart disease
D. pacemakers for cardiac arrhythmias
ANS: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis
for many patients with heart murmurs caused by valvular disease (e.g., mitral valve
Y
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.
kjhgfds
, Test Bank 1-2
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
LU
D. excrete
ANS: 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.
XE
PTS: 1 REF: p. 6
4. Which of the following symptoms and signs is most consistent with allergy?
A. heart palpitations
LI
B. itching
C. vomiting
D. fainting
BR
ANS: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash,
swelling, wheezing, angioedema, runny nose, and tearing eyes. Isolated signs and
symptoms such as nausea, vomiting, heart palpitations, and fainting generally are not of
an allergic origin but rather are manifestations of drug intolerance, adverse side effects, or
AR
psychogenic reactions.
PTS: 1 REF: p. 6
5. Which of the following is true of the patient with a history of tuberculosis?
A. A positive result on skin testing means that the person has active TB.
Y
B. Most patients who become positive skin testers develop active disease.
C. Patients with acquired immunodeficiency syndrome (AIDS) have a high
incidence of tuberculosis.
D. A diagnosis of active TB is made by a purified protein derivative (PPD) skin test.
ANS: C
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
