TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Complete Newest Version

Test Bank For Little and Falace's Dental Management
of the Medically Compromised Patient,
10th Edition by Craig Miller,
Chapters 1 - 30

,Little:rDentalrManagementrofrtherMedicallyrCompromisedrPatient,r10thrEditionrTestrBank
TablerofrContents
PARTrONE:rPATIENTrEVALUATIONrANDrRISKrASSESSMENT
Chapterr1:rPatientrEvaluationrandrRiskrAssessment
PARTrTWO:rCARDIOVASCULARrDISEASE
Chapterr2:rInfectiverEndocarditis
Chapterr3:rHypertension
Chapterr4:rIschemicrHeartrDisease
Chapterr5:rCardiacrArrhythmias
Chapterr6:rHeartrFailurer(orrCongestiverHeartrFailure)
PARTrTHREE:rPULMONARYrDISEASE
Chapterr7:rPulmonaryrDisease
Chapterr8:rSmokingrandrTobaccorUserCessation
Chapterr9:rSleep-RelatedrBreathingrDisorders
PARTrFOUR:rGASTROINTESTIALrDISEASE
Chapterr10:rLiverrDisease
Chapterr11:rGastrointestinalrDisease
PARTrFIVE:rGENITOURINARYrDISEASE
Chapterr12:rChronicrKidneyrDiseaserandrDialysis
Chapterr13:rSexuallyrTransmittedrDiseases
PARTrSIX:rENDOCRINErANDrMETABOLICrDISEASE
Chapterr14:rDiabetesrMellitus
Chapterr15:rAdrenalrInsufficiency
Chapterr16:rThyroidrDiseases
Chapterr17:rPregnancyrandrBreastrFeeding
PARTrSEVEN:rIMMUNOLOGICrDISEASE
Chapterr18:rAIDS,rHIVrInfection,randrRelatedrConditions
Chapterr19:rAllergy
Chapterr20:rRheumatologicrandrConnectiverTissuerDisorders
Chapterr21:rOrganrandrBonerMarrowrTransplantation
PARTrEIGHT:rHEMATOLOGICrANDrONCOLOGICrDISEASE
Chapterr22:rDisordersrofrRedrBloodrCells
Chapterr23:rDisordersrofrWhiterBloodrCells
Chapterr24:rAcquiredrBleedingrandrHypercoagulablerDisorders
Chapterr25:rCongenitalrBleedingrandrHypercoagulablerDisorders
Chapterr26:rCancerrandrOralrCarerofrtherPatient
PARTrNINE:rNEUROLOGIC,rBEHAVIORAL,rANDrPSYCHIATRICrDISORDERS
Chapterr27:rNeurologicrDisorders
Chapterr28:rAnxiety,rEatingrDisorders,randrBehavioralrReactionsrtorIllness
Chapterr29:rPsychiatricrDisorders
Chapterr30:rDrugrandrAlcoholrAbuse

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Chapterr01:rPatientrEvaluationrandrRiskrAssessment
Little:rDentalrManagementrofrtherMedicallyrCompromisedrPatient,r10thrEdition


MULTIPLErCHOICE

1. Electiverdentalrcarershouldrberdeferredrforrpatientsrwithrsevere,runcontrolledrhypertension,rm
eaningrthatrtherbloodrpressurerisrgreaterrthanrorrequalrto mmrHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:r C
Electiverdentalrcarershouldrberdeferredrforrpatientsrwithrsevere,runcontrolledrhypertension,rw
hichrisrbloodrpressurergreaterrthanrorrequalrtor180/110rmmrHg,runtilrtherconditionrcanrberbrou
ghtrunderrcontrol.

2. TherAmericanrHeartrAssociationrcurrentlyrrecommendsrantibioticrprophylaxisrforrarpatientrw
ithrwhichrofrtherfollowingrcardiacrconditions?
a. Mitralrvalverprolapse
b. Prostheticrheartrvalve
c. Rheumaticrheartrdisease
d. Pacemakersrforrcardiacrarrhythmias
ANSWER:r B
Previously,rtherAmericanrHeartrAssociationr(AHA)rrecommendedrantibioticrprophylaxisrforrma
nyrpatientsrwithrheartrmurmursrcausedrbyrvalvularrdiseaser(e.g.,rmitralrvalverprolapse,rrheumati
crheartrdisease)rinranreffortrtorpreventrinfectiverendocarditis;rhowever,rcurrentrguidelinesromitrth
isrrecommendationronrtherbasisrofraccumulatedrscientificrevidence.rIfrarmurmurrisrduertorcertainr
specificrcardiacrconditionsr(e.g.,rpreviousrendocarditis,rprostheticrheartrvalve,rcomplexrcongeni
talrcyanoticrheartrdisease),rtherAHArcontinuesrtorrecommendrantibioticrprophylaxisrforrmostrde
ntalrprocedures.

3. Onerconsequencerofrchronicrhepatitisr(BrorrC)rorrcirrhosisrofrtherliverrisrdecreasedrabilityrofrthe
bodyrto
r certainrdrugs,rincludingrlocalranestheticsrandranalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:r C
Patientsralsormayrhaverchronicrhepatitisr(BrorrC)rorrcirrhosis,rwithrimpairmentrofrliverrfu
nction.rThisrdeficitrmayrresultrinrprolongedrbleedingrandrlessrefficientrmetabolismrofrcert
ainrdrugs,rincludingrlocalranestheticsrandranalgesics.

4. Whichrofrtherfollowingrsymptomsrandrsignsrisrmostrconsistentrwithrallergy?
a. Heartrpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANSWER:r B
Symptomsrandrsignsrconsistentrwithrallergyrincluderitching,rurticariar(hives),rrash,rswelling,rwh
eezing,rangioedema,rrunnyrnose,randrtearingreyes.rIsolatedrsignsrandrsymptomsrsuchrasrnausea,r
vomiting,rheartrpalpitations,randrfaintingrgenerallyrarernotrofranrallergicroriginrbutrratherrarerma
nifestationsrofrdrugrintolerance,radversersidereffects,rorrpsychogenicrreactions.

5. Whichrofrtherfollowingrisrtruerofrtherpatientrwithrarhistoryrofrtuberculosis?
a. ArpositiverresultronrskinrtestingrmeansrthatrtherpersonrhasractiverTB.
b. Mostrpatientsrwhorbecomerpositiverskinrtestersrdevelopractiverdisease.
c. Patientsrwithracquiredrimmunodeficiencyrsyndromer(AIDS)rhaverarhighrincidencero
frtuberculosis.
d. ArdiagnosisrofractiverTBrisrmaderbyrarpurifiedrproteinrderivativer(PPD)rskinrtest.
ANSWER:r C
Therpotentialrcoexistencerofrtuberculosisrandracquiredrimmunodeficiencyrsyndromer(AIDS)rsh
ouldrberexploredrbecauserpatientsrwithrAIDSrhaverarhighrincidencerofrtuberculosis.rArpositiverr
esultronrskinrtestingrmeansrspecificallyrthatrtherpersonrhasratrsomertimerbeenrinfectedrwithrTB,r
notrnecessarilyrthatractiverdiseaserisrpresent.rMostrpatientsrwhorbecomerpositiverskinrtestersrdor
notrdevelopractiverdisease.rArdiagnosisrofractiverTBrisrmaderbyrchestrx-
ray,rimaging,rsputumrculture,randrclinicalrexamination.

6. Vasoconstrictorsrshouldrberavoidedrinrpatientsrwhorcocainerorrmethamphetaminerusersrb
ecausertheseragentsrmayrprecipitate .
a. severerhypotension
b. severerhypertension
c. respiratoryrdepression
d. cessationrofrintestinalrperistalsis
ANSWER:r B
Vasoconstrictorsrshouldrberavoidedrinrpatientsrwhorarercocainerorrmethamphetaminerusersrbec
auserthercombinationrmayrprecipitaterarrhythmias,rMI,rorrsevererhypertension.

7. Itrhasrbeenrshownrthatrtherriskrforroccurrencerofrarseriousrperioperativercardiovascularreventr(e.
g.,rMI,rheartrfailure)risrincreasedrinrpatientsrwhorarerunablertormeetrar-
METr(metabolicrequivalentrofrtask)rdemandrduringrnormalrdailyractivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:r A
Dailyractivitiesrrequiringr4rMETsrincluderlevelrwalkingratr4rmiles/hourrorrclimbingrarflightrofrstair
s.rActivitiesrrequiringrgreaterrthanr10rMETsrincluderswimmingrandrsinglesrtennis.rAnrexercisercap
acityrofr10rtor13rMETsrindicatesrexcellentrphysicalrconditioning.

8. Whichrofrtherfollowingralterationsrinrtherfingernailsrisrassociatedrwithrcirrhosis?
a. Yellowing
b. Clubbing
c. Whiterdiscoloration
d. Splinterrhemorrhages




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