Chapter 01: Patient Evaluation and Risk Assessment
Little: Dental Management of the Medically Compromised Patient, 9th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning th
greater than or equal to ________ mm Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is bl
equal to 180/110 mm Hg, until the condition can be brought under control.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which
conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANS: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many pat
caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease) in an effort to prevent
however, current guidelines omit this recommendation on the basis of accumulated scientific evidence.
certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congeni
the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body t
including local anesthetics and analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver function. This d
prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and analg
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
ANS: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing
and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, heart palpitations, and faintin
allergic origin but rather are manifestations of drug intolerance, adverse side effects, or psychogenic re
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.
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.
Little: Dental Management of the Medically Compromised Patient, 9th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning th
greater than or equal to ________ mm Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is bl
equal to 180/110 mm Hg, until the condition can be brought under control.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which
conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANS: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many pat
caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease) in an effort to prevent
however, current guidelines omit this recommendation on the basis of accumulated scientific evidence.
certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congeni
the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body t
including local anesthetics and analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver function. This d
prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and analg
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
ANS: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing
and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, heart palpitations, and faintin
allergic origin but rather are manifestations of drug intolerance, adverse side effects, or psychogenic re
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.
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.
