Test bank little and falace s dental management of the medically compromised patient 9th edition version

TEST BANK - z z




LITTLE AND FALACE'S DENTALMANAGEMEN
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T OF THE MEDICALLY COMPROMISED PATIEN
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T 9TH EDITION (VERSION 2023/2024).
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COMPLETE GUIDE A z z




LL CHAPTERS 1-
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34.ISBN:978032344355
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5
ORIGINAL FILE VERSION 2023. z z z

,TEST BANK
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zThezMarketplaceztozBuyzandzSellzyourzStudyzMaterial
Pagez1zofz74
Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 9th Edition
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MULTIPLEzCHOICE

1. Electivezdentalzcarezshouldzbezdeferredzforzpatientszwithzsevere,zuncontrolledzhypertension,zm
eaningzthatzthezbloodzpressureziszgreaterzthanzorzequalzto mmzHg.
a. 200/140
b.zzz 180/140
c. 180/110
d.zzz 160/110
ANS:zC
Electivezdentalzcarezshouldzbezdeferredzforzpatientszwithzsevere,zuncontrolledzhypertension,zw
hichziszbloodzpressurezgreaterzthanzorzequalztoz180/110zmmzHg,zuntilzthezconditionzcanzbezbrou
ghtzunderzcontrol.

2. ThezAmericanzHeartzAssociationzcurrentlyzrecommendszantibioticzprophylaxiszforzazpatientzw
ithzwhichzofzthezfollowingzcardiaczconditions?
a. Mitralzvalvezprolapse
b. Prostheticzheartzvalve
c. Rheumaticzheartzdisease
d. Pacemakerszforzcardiaczarrhythmias
ANS:zB
Previously,zthezAmericanzHeartzAssociationz(AHA)zrecommendedzantibioticzprophylaxiszforzm
anyzpatientszwithzheartzmurmurszcausedzbyzvalvularzdiseasez(e.g.,zmitralzvalvezprolapse,zrheum
aticzheartzdisease)zinzanzeffortztozpreventzinfectivezendocarditis;zhowever,zcurrentzguidelineszo
mitzthiszrecommendationzonzthezbasiszofzaccumulatedzscientificzevidence.zIfzazmurmurziszduezto
zcertainzspecificzcardiaczconditionsz(e.g.,zpreviouszendocarditis,zprostheticzheartzvalve,zcomple

xzcongenitalzcyanoticzheartzdisease),zthezAHAzcontinuesztozrecommendzantibioticzprophylaxisz
forzmostzdentalzprocedures.

3. Onezconsequencezofzchroniczhepatitisz(BzorzC)zorzcirrhosiszofzthezliverziszdecreasedzabilityzofzth
ezbodyzto certainzdrugs,zincludingzlocalzanestheticszandzanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS:zC
Patientszalsozmayzhavezchroniczhepatitisz(BzorzC)zorzcirrhosis,zwithzimpairmentzofzliverzfu
nction.zThiszdeficitzmayzresultzinzprolongedzbleedingzandzlesszefficientzmetabolismzofzcert
ainzdrugs,zincludingzlocalzanestheticszandzanalgesics.

4. Whichzofzthezfollowingzsymptomszandzsignsziszmostzconsistentzwithzallergy?
a. Heartzpalpitations
b. Itching
c. Vomiting
d. Fainting




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, WWW.GRADESMORE.COM
Stuvia.comz-
zThezMarketplaceztozBuyzandzSellzyourzStudyzMaterial
Pagez1zofz74

ANS:zB
Symptomszandzsignszconsistentzwithzallergyzincludezitching,zurticariaz(hives),zrash,zswelling,zw
heezing,zangioedema,zrunnyznose,zandztearingzeyes.zIsolatedzsignszandzsymptomszsuchzasznaus
ea,zvomiting,zheartzpalpitations,zandzfaintingzgenerallyzareznotzofzanzallergiczoriginzbutzratherzar
ezmanifestationszofzdrugzintolerance,zadversezsidezeffects,zorzpsychogeniczreactions.

5. Whichzofzthezfollowingzisztruezofzthezpatientzwithzazhistoryzofztuberculosis?
a. AzpositivezresultzonzskinztestingzmeanszthatzthezpersonzhaszactivezTB.
b. Mostzpatientszwhozbecomezpositivezskinztesterszdevelopzactivezdisease.
c. Patientszwithzacquiredzimmunodeficiencyzsyndromez(AIDS)zhavezazhighzincidencezo
fztuberculosis.
d. AzdiagnosiszofzactivezTBziszmadezbyzazpurifiedzproteinzderivativez(PPD)zskinztest.
ANS:z C
Thezpotentialzcoexistencezofztuberculosiszandzacquiredzimmunodeficiencyzsyndromez(AIDS)zs
houldzbezexploredzbecausezpatientszwithzAIDSzhavezazhighzincidencezofztuberculosis.zAzpositiv
ezresultzonzskinztestingzmeanszspecificallyzthatzthezpersonzhaszatzsomeztimezbeenzinfectedzwithzT
B,znotznecessarilyzthatzactivezdiseaseziszpresent.zMostzpatientszwhozbecomezpositivezskinztesters
zdoznotzdevelopzactivezdisease.zAzdiagnosiszofzactivezTBziszmadezbyzchestzx-

ray,zimaging,zsputumzculture,zandzclinicalzexamination.

6. Vasoconstrictorszshouldzbezavoidedzinzpatientszwhozcocainezorzmethamphetaminezuserszb
ecausezthesezagentszmayzprecipitate .
a. severezhypotension
b. severezhypertension
c. respiratoryzdepression
d. cessationzofzintestinalzperistalsis
ANS:zB
Vasoconstrictorszshouldzbezavoidedzinzpatientszwhozarezcocainezorzmethamphetaminezuserszbecause
zthezcombinationzmayzprecipitatezarrhythmias,zMI,zorzseverezhypertension.




7. Itzhaszbeenzshownzthatzthezriskzforzoccurrencezofzazseriouszperioperativezcardiovascularzeventz(e.
g.,zMI,zheartzfailure)ziszincreasedzinzpatientszwhozarezunableztozmeetzaz-
METz(metaboliczequivalentzofztask)zdemandzduringznormalzdailyzactivity.
a. 4
b. 6
c. 8
d. 10
ANS:zA
Dailyzactivitieszrequiringz4zMETszincludezlevelzwalkingzatz4zmiles/hourzorzclimbingzazflightzofzstairs
.zActivitieszrequiringzgreaterzthanz10zMETszincludezswimmingzandzsinglesztennis.zAnzexercisezcap
acityzofz10ztoz13zMETszindicateszexcellentzphysicalzconditioning.

8. Whichzofzthezfollowingzalterationszinzthezfingernailsziszassociatedzwithzcirrhosis?
a. Yellowing
b. Clubbing
c. Whitezdiscoloration
d. Splinterzhemorrhages




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