TEST BANK n
LITTLE AND FALACE'S DENTAL MAN
n n n n
AGEMENT OF THE MEDICALLYCOM
n n n n
PROMISED PATIENT n
9TH EDITION
n
TEST BANK n
,Little:nDentalnManagementnofnthenMedicallynCompromisednPatient,n9thnEditionnTestnBank
TablenofnContents
PARTnONE:nPATIENTnEVALUATIONnANDnRISKnASSESSMENT
Chaptern1:nPatientnEvaluationnandnRisknAssessment
PARTnTWO:nCARDIOVASCULARnDISEASE
Chaptern2:nInfectivenEndocarditis
Chaptern3:nHypertension
Chaptern4:nIschemicnHeartnDisease
Chaptern5:nCardiacnArrhythmias
Chaptern6:nHeartnFailuren(ornCongestivenHeartnFailure)
PARTnTHREE:nPULMONARYnDISEASE
Chaptern7:nPulmonarynDisease
Chaptern8:nSmokingnandnTobacconUsenCessation
Chaptern9:nSleep-RelatednBreathingnDisorders
PARTnFOUR:nGASTROINTESTIALnDISEASE
Chaptern10:nLivernDisease
Chaptern11:nGastrointestinalnDisease
PARTnFIVE:nGENITOURINARYnDISEASE
Chaptern12:nChronicnKidneynDiseasenandnDialysis
Chaptern13:nSexuallynTransmittednDiseases
PARTnSIX:nENDOCRINEnANDnMETABOLICnDISEASE
Chaptern14:nDiabetesnMellitus
Chaptern15:nAdrenalnInsufficiency
Chaptern16:nThyroidnDiseases
Chaptern17:nPregnancynandnBreastnFeeding
PARTnSEVEN:nIMMUNOLOGICnDISEASE
Chaptern18:nAIDS,nHIVnInfection,nandnRelatednConditions
Chaptern19:nAllergy
Chaptern20:nRheumatologicnandnConnectivenTissuenDisorders
Chaptern21:nOrgannandnBonenMarrownTransplantation
PARTnEIGHT:nHEMATOLOGICnANDnONCOLOGICnDISEASE
Chaptern22:nDisordersnofnRednBloodnCells
Chaptern23:nDisordersnofnWhitenBloodnCells
Chaptern24:nAcquirednBleedingnandnHypercoagulablenDisorders
Chaptern25:nCongenitalnBleedingnandnHypercoagulablenDisorders
Chaptern26:nCancernandnOralnCarenofnthenPatient
PARTnNINE:nNEUROLOGIC,nBEHAVIORAL,nANDnPSYCHIATRICnDISORDERS
Chaptern27:nNeurologicnDisorders
Chaptern28:nAnxiety,nEatingnDisorders,nandnBehavioralnReactionsntonIllness
Chaptern29:nPsychiatricnDisorders
Chaptern30:nDrugnandnAlcoholnAbuse
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nThenMarketplacentonBuynandnSellnyournStudynMaterial
Pagen1nofn74
Chapter 01: Patient Evaluation and Risk Assessment
n n n n n n
Little: Dental Management of the Medically Compromised Patient, 9th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. Electivendentalncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhypertension,n
meaningnthatnthenbloodnpressurenisngreaternthannornequalnto mmnHg.
a. 200/140
b.nnn 180/140
c. 180/110
d.nnn 160/110
ANS:n C
Electivendentalncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhypertension,n
whichnisnbloodnpressurengreaternthannornequalnton180/110nmmnHg,nuntilnthenconditionncannbenb
roughtnunderncontrol.
2. ThenAmericannHeartnAssociationncurrentlynrecommendsnantibioticnprophylaxisnfornanpatientn
withnwhichnofnthenfollowingncardiacnconditions?
a. Mitralnvalvenprolapse
b. Prostheticnheartnvalve
c. Rheumaticnheartndisease
d. Pacemakersnforncardiacnarrhythmias
ANS:n B
Previously,nthenAmericannHeartnAssociationn(AHA)nrecommendednantibioticnprophylaxisnforn
manynpatientsnwithnheartnmurmursncausednbynvalvularndiseasen(e.g.,nmitralnvalvenprolapse,nrhe
umaticnheartndisease)ninnanneffortntonpreventninfectivenendocarditis;nhowever,ncurrentnguideline
snomitnthisnrecommendationnonnthenbasisnofnaccumulatednscientificnevidence.nIfnanmurmurnisndu
entoncertainnspecificncardiacnconditionsn(e.g.,npreviousnendocarditis,nprostheticnheartnvalve,nco
mplexncongenitalncyanoticnheartndisease),nthenAHAncontinuesntonrecommendnantibioticnproph
ylaxisnfornmostndentalnprocedures.
3. Onenconsequencenofnchronicnhepatitisn(BnornC)norncirrhosisnofnthenlivernisndecreasednabilitynofnt
henbodynto certainndrugs,nincludingnlocalnanestheticsnandnanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS:n C
Patientsnalsonmaynhavenchronicnhepatitisn(BnornC)norncirrhosis,nwithnimpairmentnofnlivernf
unction.nThisndeficitnmaynresultninnprolongednbleedingnandnlessnefficientnmetabolismnofnce
rtainndrugs,nincludingnlocalnanestheticsnandnanalgesics.
4. Whichnofnthenfollowingnsymptomsnandnsignsnisnmostnconsistentnwithnallergy?
a. Heartnpalpitations
b. Itching
c. Vomiting
d. Fainting
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nThenMarketplacentonBuynandnSellnyournStudynMaterial
Pagen1nofn74
ANS:n B
Symptomsnandnsignsnconsistentnwithnallergynincludenitching,nurticarian(hives),nrash,nswelling,n
wheezing,nangioedema,nrunnynnose,nandntearingneyes.nIsolatednsignsnandnsymptomsnsuchnasnna
usea,nvomiting,nheartnpalpitations,nandnfaintingngenerallynarennotnofnannallergicnoriginnbutnrathe
rnarenmanifestationsnofndrugnintolerance,nadversensideneffects,nornpsychogenicnreactions.
5. Whichnofnthenfollowingnisntruenofnthenpatientnwithnanhistorynofntuberculosis?
a. AnpositivenresultnonnskinntestingnmeansnthatnthenpersonnhasnactivenTB.
b. Mostnpatientsnwhonbecomenpositivenskinntestersndevelopnactivendisease.
c. Patientsnwithnacquirednimmunodeficiencynsyndromen(AIDS)nhavenanhighnincidencen
ofntuberculosis.
d. AndiagnosisnofnactivenTBnisnmadenbynanpurifiednproteinnderivativen(PPD)nskinntest.
ANS:n C
Thenpotentialncoexistencenofntuberculosisnandnacquirednimmunodeficiencynsyndromen(AIDS)ns
houldnbenexplorednbecausenpatientsnwithnAIDSnhavenanhighnincidencenofntuberculosis.nAnpositi
venresultnonnskinntestingnmeansnspecificallynthatnthenpersonnhasnatnsomentimenbeenninfectednwith
nTB,nnotnnecessarilynthatnactivendiseasenisnpresent.nMostnpatientsnwhonbecomenpositivenskinntest
ersndonnotndevelopnactivendisease.nAndiagnosisnofnactivenTBnisnmadenbynchestnx-
ray,nimaging,nsputumnculture,nandnclinicalnexamination.
6. Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhoncocainenornmethamphetaminenusersn
becausenthesenagentsnmaynprecipitate .
a. severenhypotension
b. severenhypertension
c. respiratoryndepression
d. cessationnofnintestinalnperistalsis
ANS:n B
Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhonarencocainenornmethamphetaminenusersnb
ecausenthencombinationnmaynprecipitatenarrhythmias,nMI,nornseverenhypertension.
7. Itnhasnbeennshownnthatnthenrisknfornoccurrencenofnanseriousnperioperativencardiovascularneventn(
e.g.,nMI,nheartnfailure)nisnincreasedninnpatientsnwhonarenunablentonmeetnan-
METn(metabolicnequivalentnofntask)ndemandnduringnnormalndailynactivity.
a. 4
b. 6
c. 8
d. 10
ANS:n A
Dailynactivitiesnrequiringn4nMETsnincludenlevelnwalkingnatn4nmiles/hournornclimbingnanflightnofnst
airs.nActivitiesnrequiringngreaternthann10nMETsnincludenswimmingnandnsinglesntennis.nAnnexerci
sencapacitynofn10nton13nMETsnindicatesnexcellentnphysicalnconditioning.
8. Whichnofnthenfollowingnalterationsninnthenfingernailsnisnassociatednwithncirrhosis?
a. Yellowing
b. Clubbing
c. Whitendiscoloration
d. Splinternhemorrhages
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LITTLE AND FALACE'S DENTAL MAN
n n n n
AGEMENT OF THE MEDICALLYCOM
n n n n
PROMISED PATIENT n
9TH EDITION
n
TEST BANK n
,Little:nDentalnManagementnofnthenMedicallynCompromisednPatient,n9thnEditionnTestnBank
TablenofnContents
PARTnONE:nPATIENTnEVALUATIONnANDnRISKnASSESSMENT
Chaptern1:nPatientnEvaluationnandnRisknAssessment
PARTnTWO:nCARDIOVASCULARnDISEASE
Chaptern2:nInfectivenEndocarditis
Chaptern3:nHypertension
Chaptern4:nIschemicnHeartnDisease
Chaptern5:nCardiacnArrhythmias
Chaptern6:nHeartnFailuren(ornCongestivenHeartnFailure)
PARTnTHREE:nPULMONARYnDISEASE
Chaptern7:nPulmonarynDisease
Chaptern8:nSmokingnandnTobacconUsenCessation
Chaptern9:nSleep-RelatednBreathingnDisorders
PARTnFOUR:nGASTROINTESTIALnDISEASE
Chaptern10:nLivernDisease
Chaptern11:nGastrointestinalnDisease
PARTnFIVE:nGENITOURINARYnDISEASE
Chaptern12:nChronicnKidneynDiseasenandnDialysis
Chaptern13:nSexuallynTransmittednDiseases
PARTnSIX:nENDOCRINEnANDnMETABOLICnDISEASE
Chaptern14:nDiabetesnMellitus
Chaptern15:nAdrenalnInsufficiency
Chaptern16:nThyroidnDiseases
Chaptern17:nPregnancynandnBreastnFeeding
PARTnSEVEN:nIMMUNOLOGICnDISEASE
Chaptern18:nAIDS,nHIVnInfection,nandnRelatednConditions
Chaptern19:nAllergy
Chaptern20:nRheumatologicnandnConnectivenTissuenDisorders
Chaptern21:nOrgannandnBonenMarrownTransplantation
PARTnEIGHT:nHEMATOLOGICnANDnONCOLOGICnDISEASE
Chaptern22:nDisordersnofnRednBloodnCells
Chaptern23:nDisordersnofnWhitenBloodnCells
Chaptern24:nAcquirednBleedingnandnHypercoagulablenDisorders
Chaptern25:nCongenitalnBleedingnandnHypercoagulablenDisorders
Chaptern26:nCancernandnOralnCarenofnthenPatient
PARTnNINE:nNEUROLOGIC,nBEHAVIORAL,nANDnPSYCHIATRICnDISORDERS
Chaptern27:nNeurologicnDisorders
Chaptern28:nAnxiety,nEatingnDisorders,nandnBehavioralnReactionsntonIllness
Chaptern29:nPsychiatricnDisorders
Chaptern30:nDrugnandnAlcoholnAbuse
, WWW.GRADESMORE.COM
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Pagen1nofn74
Chapter 01: Patient Evaluation and Risk Assessment
n n n n n n
Little: Dental Management of the Medically Compromised Patient, 9th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. Electivendentalncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhypertension,n
meaningnthatnthenbloodnpressurenisngreaternthannornequalnto mmnHg.
a. 200/140
b.nnn 180/140
c. 180/110
d.nnn 160/110
ANS:n C
Electivendentalncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhypertension,n
whichnisnbloodnpressurengreaternthannornequalnton180/110nmmnHg,nuntilnthenconditionncannbenb
roughtnunderncontrol.
2. ThenAmericannHeartnAssociationncurrentlynrecommendsnantibioticnprophylaxisnfornanpatientn
withnwhichnofnthenfollowingncardiacnconditions?
a. Mitralnvalvenprolapse
b. Prostheticnheartnvalve
c. Rheumaticnheartndisease
d. Pacemakersnforncardiacnarrhythmias
ANS:n B
Previously,nthenAmericannHeartnAssociationn(AHA)nrecommendednantibioticnprophylaxisnforn
manynpatientsnwithnheartnmurmursncausednbynvalvularndiseasen(e.g.,nmitralnvalvenprolapse,nrhe
umaticnheartndisease)ninnanneffortntonpreventninfectivenendocarditis;nhowever,ncurrentnguideline
snomitnthisnrecommendationnonnthenbasisnofnaccumulatednscientificnevidence.nIfnanmurmurnisndu
entoncertainnspecificncardiacnconditionsn(e.g.,npreviousnendocarditis,nprostheticnheartnvalve,nco
mplexncongenitalncyanoticnheartndisease),nthenAHAncontinuesntonrecommendnantibioticnproph
ylaxisnfornmostndentalnprocedures.
3. Onenconsequencenofnchronicnhepatitisn(BnornC)norncirrhosisnofnthenlivernisndecreasednabilitynofnt
henbodynto certainndrugs,nincludingnlocalnanestheticsnandnanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS:n C
Patientsnalsonmaynhavenchronicnhepatitisn(BnornC)norncirrhosis,nwithnimpairmentnofnlivernf
unction.nThisndeficitnmaynresultninnprolongednbleedingnandnlessnefficientnmetabolismnofnce
rtainndrugs,nincludingnlocalnanestheticsnandnanalgesics.
4. Whichnofnthenfollowingnsymptomsnandnsignsnisnmostnconsistentnwithnallergy?
a. Heartnpalpitations
b. Itching
c. Vomiting
d. Fainting
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, WWW.GRADESMORE.COM
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Pagen1nofn74
ANS:n B
Symptomsnandnsignsnconsistentnwithnallergynincludenitching,nurticarian(hives),nrash,nswelling,n
wheezing,nangioedema,nrunnynnose,nandntearingneyes.nIsolatednsignsnandnsymptomsnsuchnasnna
usea,nvomiting,nheartnpalpitations,nandnfaintingngenerallynarennotnofnannallergicnoriginnbutnrathe
rnarenmanifestationsnofndrugnintolerance,nadversensideneffects,nornpsychogenicnreactions.
5. Whichnofnthenfollowingnisntruenofnthenpatientnwithnanhistorynofntuberculosis?
a. AnpositivenresultnonnskinntestingnmeansnthatnthenpersonnhasnactivenTB.
b. Mostnpatientsnwhonbecomenpositivenskinntestersndevelopnactivendisease.
c. Patientsnwithnacquirednimmunodeficiencynsyndromen(AIDS)nhavenanhighnincidencen
ofntuberculosis.
d. AndiagnosisnofnactivenTBnisnmadenbynanpurifiednproteinnderivativen(PPD)nskinntest.
ANS:n C
Thenpotentialncoexistencenofntuberculosisnandnacquirednimmunodeficiencynsyndromen(AIDS)ns
houldnbenexplorednbecausenpatientsnwithnAIDSnhavenanhighnincidencenofntuberculosis.nAnpositi
venresultnonnskinntestingnmeansnspecificallynthatnthenpersonnhasnatnsomentimenbeenninfectednwith
nTB,nnotnnecessarilynthatnactivendiseasenisnpresent.nMostnpatientsnwhonbecomenpositivenskinntest
ersndonnotndevelopnactivendisease.nAndiagnosisnofnactivenTBnisnmadenbynchestnx-
ray,nimaging,nsputumnculture,nandnclinicalnexamination.
6. Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhoncocainenornmethamphetaminenusersn
becausenthesenagentsnmaynprecipitate .
a. severenhypotension
b. severenhypertension
c. respiratoryndepression
d. cessationnofnintestinalnperistalsis
ANS:n B
Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhonarencocainenornmethamphetaminenusersnb
ecausenthencombinationnmaynprecipitatenarrhythmias,nMI,nornseverenhypertension.
7. Itnhasnbeennshownnthatnthenrisknfornoccurrencenofnanseriousnperioperativencardiovascularneventn(
e.g.,nMI,nheartnfailure)nisnincreasedninnpatientsnwhonarenunablentonmeetnan-
METn(metabolicnequivalentnofntask)ndemandnduringnnormalndailynactivity.
a. 4
b. 6
c. 8
d. 10
ANS:n A
Dailynactivitiesnrequiringn4nMETsnincludenlevelnwalkingnatn4nmiles/hournornclimbingnanflightnofnst
airs.nActivitiesnrequiringngreaternthann10nMETsnincludenswimmingnandnsinglesntennis.nAnnexerci
sencapacitynofn10nton13nMETsnindicatesnexcellentnphysicalnconditioning.
8. Whichnofnthenfollowingnalterationsninnthenfingernailsnisnassociatednwithncirrhosis?
a. Yellowing
b. Clubbing
c. Whitendiscoloration
d. Splinternhemorrhages
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