TEST BANK LITTLE AND FALACE’S DENTAL MANAGEMENT STUDY GUIDE QUESTIONS AND CORRECT ANSWERS 2026/27

TEST BANK LITTLE AND FALACE’S DENTAL
MANAGEMENT STUDY GUIDE QUESTIONS AND
CORRECT ANSWERS 2026/27
1. Which medical condition requires antibiotic prophylaxis before dental procedures
according to current guidelines?
A. Controlled hypertension
B. History of infective endocarditis
C. Mild asthma
D. Type 2 diabetes
Correct Answer: B
Explanation: Patients with a history of infective endocarditis are at high risk of
recurrence and require antibiotic prophylaxis. Other conditions listed do not routinely
require prophylaxis.



2. The most important step in managing a dental patient with hypertension is:
A. Immediate extraction of teeth
B. Avoiding all local anesthesia
C. Assessing blood pressure before treatment
D. Prescribing antihypertensives
Correct Answer: C
Explanation: Blood pressure assessment ensures patient safety before treatment. The
other options are inappropriate or unnecessary.



3. Which local anesthetic component is most concerning in cardiac patients?
A. Lidocaine
B. Epinephrine
C. Bupivacaine
D. Prilocaine
Correct Answer: B
Explanation: Epinephrine may increase heart rate and blood pressure, posing risks in
cardiac patients.



4. A patient with uncontrolled diabetes presents for extraction. The dentist should:
A. Proceed immediately
B. Delay treatment and consult physician
C. Use general anesthesia
D. Avoid antibiotics
Correct Answer: B

, Explanation: Uncontrolled diabetes increases infection and healing risks; medical
consultation is required.



5. Which sign suggests hypoglycemia during dental treatment?
A. Slow pulse
B. Sweating and confusion
C. High blood pressure
D. Dry mouth
Correct Answer: B
Explanation: Hypoglycemia commonly presents with sweating, confusion, and tremors.



6. The safest position for a syncope patient is:
A. Sitting upright
B. Prone position
C. Supine with legs elevated
D. Left lateral only
Correct Answer: C
Explanation: Elevating legs improves cerebral perfusion in syncope.



7. Which drug is commonly used to treat anaphylaxis in dental clinics?
A. Diphenhydramine
B. Epinephrine
C. Ibuprofen
D. Amoxicillin
Correct Answer: B
Explanation: Epinephrine is the first-line treatment for anaphylaxis.



8. The most common dental emergency is:
A. Cardiac arrest
B. Syncope
C. Stroke
D. Seizure
Correct Answer: B
Explanation: Syncope is the most frequently encountered dental emergency.

, 9. A patient with asthma should avoid:
A. Saline irrigation
B. NSAIDs if sensitive
C. Local anesthesia
D. Fluoride treatment
Correct Answer: B
Explanation: Some asthmatics are sensitive to NSAIDs which may trigger bronchospasm.



10. Which condition requires stress reduction protocols in dental care?
A. Mild acne
B. Cardiovascular disease
C. Myopia
D. Hearing loss
Correct Answer: B
Explanation: Cardiovascular patients require stress control to prevent complications.



11. The primary concern in dental treatment of epileptic patients is:
A. Tooth color
B. Seizure control
C. Saliva production
D. Jaw size
Correct Answer: B
Explanation: Seizure control is essential to prevent episodes during treatment.



12. Which medication is contraindicated in patients with bleeding disorders?
A. Aspirin
B. Acetaminophen
C. Amoxicillin
D. Lidocaine
Correct Answer: A
Explanation: Aspirin inhibits platelet function and increases bleeding risk.



13. A patient with angina experiences chest pain during treatment. First action:
A. Continue treatment
B. Administer oxygen and stop procedure
C. Give antibiotics
D. Lay patient prone