, Little: Dental Management of the Medically Compromised Patient, 8thEdit
f f f f f f f f f
ion
Chapterf01:fPatientfEvaluationfandfRiskfAssessmentfT
estfBank
MULTIPLEfCHOICE
1. Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertension
,fmeaningfthatfthefbloodfpressurefisfgreaterfthanforfequalfto
mmfHg.
A.f 200/140
B.f 180/140
C.f 180/110
D.f 160/110
ANS:f C
Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertensio
n,fwhichfisfbloodfpressurefoffgreaterfthanforfequalftof180/110fmmfHg,funtilfthefconditionfca
nfbefbroughtfunderfcontrol.
PTS: 1 REF: p.f4
2. ThefAmericanfHeartfAssociationfcurrentlyfrecommendsfantibioticfprophylaxisfforfafpa
tientfwithfwhichfofftheffollowingfcardiacfconditions?
A. mitralfvalvefprolapse
B. prostheticfheartfvalve
C. rheumaticfheartfdisease
D. pacemakersfforfcardiacfarrhythmias
ANS:f B
Previously,fthefAmericanfHeartfAssociationf(AHA)frecommendedfantibioticfprophylaxisffor
fmanyfpatients fwithfheartfmurmursfcausedfbyfvalvularfdiseasef(e.g.,fmitralfvalvefprolapse,frh
eumaticfheartfdisease)finfanfeffortftofpreventfinfectivefendocarditis;fcurrentfguidelinesfomitft
hisfrecommendationfonfthefbasisfoffaccumulatedfscientificfevidence.fIffafmurmurfisfdueftofsp
ecificfcardiacfconditionsf(e.g.,fpreviousfendocarditis,fprostheticfheartfvalve,fcomplexfcongen
italfcyanoticfheartfdisease),fthefAHAfcontinuesftofrecommendfantibioticfprophylaxisfforfmos
tfdentalfprocedures.fPatientsfwithfpacemakersfdofnotfrequirefantibioticfprophylaxis.
Copyrightf©f2013fbyfMosby,fanfimprintfoffElsevierfInc.
, TestfBank 1-2
PTS: 1 REF: pp.f4-5
3. Onefconsequencefoffchronicfhepatitisf(BforfC)forfcirrhosisfoffthefliverfisfdecreasedfabilityfoffth
efbodyfto certainfdrugs,fincludingflocalfanestheticsfandfanalgesics.
A. absorb
B. distribute
C. metabolize
D. excrete
ANS:f C
Patientsfwithfchronicfhepatitisf(BforfC)forfcirrhosisfhavefanfassociatedfimpairmentfoffliverffu
nction.fThisfdeficitfmayfresultfinfprolongedfbleedingfandflessfefficientfmetabolismfoffcertainf
drugs,fincludingflocalfanestheticsfandfanalgesics.
PTS: 1 REF: p.f6
4. Whichfofftheffollowingfsymptomsfandfsignsfisfmostfconsistentfwithfallergy?
A. heartfpalpitations
B. itching
C. vomiting
D. fainting
ANS:f B
Symptomsfandfsignsfconsistentfwithfallergyfincludefitching,furticariaf(hives),frash,fswelling,f
wheezing,fangioedema,frunnyfnose,fandftearingfeyes.fIsolatedfsignsfandfsymptomsfsuchfasfn
ausea,fvomiting,fheartfpalpitations,fandffaintingfgenerallyfarefnotfoffanfallergicforiginfbutfrath
erfarefmanifestationsfoffdrugfintolerance,fadversefsidefeffects,forfpsychogenicfreactions.
PTS: 1 REF: p.f6
5. Whichfofftheffollowingfisftruefoffthefpatientfwithfafhistoryfofftuberculosis?
A. AfpositivefresultfonfskinftestingfmeansfthatfthefpersonfhasfactivefTB.
B. Mostfpatientsfwhofbecomefpositivefskinftestersfdevelopfactivefdisease.
C. Patientsfwithfacquiredfimmunodeficiencyfsyndromef(AIDS)fhavefafhighfin
cidencefofftuberculosis.
D. AfdiagnosisfoffactivefTBfisfmadefbyfafpurifiedfproteinfderivativef(PPD)fskinftest.
ANS:f C
Copyrightf©f2013fbyfMosby,fanfimprintfoffElsevierfInc.
, TestfBank 1-3
Thefpotentialfcoexistencefofftuberculosisfandfacquiredfimmunodeficiencyfsyndromef(AI
DS)fshouldfbefexploredfbecausefpatientsfwithfAIDSfhavefafhighfincidencefofftuberculosis.f
Afpositivefresultfonfskinftestingfmeansfspecificallyfthatfthefpersonfhasfatfsomeftimefbeenfin
fectedfwithfTB,fnotfnecessarilyfthatfactivefdiseasefisfpresent.fMostfpatientsfwhofbecomefp
ositivefskinftestersfdofnotfdevelopfactivefdisease.fAfdiagnosisfoffactivefTBfisfmadefbyfchestf
x-ray,fimaging,fsputumfculture,fandfclinicalfexamination.
PTS: 1 REF: p.f6-7
6. Vasoconstrictorsfshouldfbefavoidedfinfpatientsfwhofarefusingfcocaineforfm
ethamphetaminefbecausefthesefagentsfmayfprecipitate .
A. severefhypotension
B. severefhypertension
C. respiratoryfdepression
D. cessationfoffintestinalfperistalsis
ANS:f B
Vasoconstrictorsfmayfprecipitatefcardiacfarrhythmiasforfseverefhypertensionfinfpatientsfw
hofarefusingfcocaineforfmethamphetamine.fRespiratoryfdepressionfisfassociatedfwithfthefu
sefoffopioids.
PTS: 1 REF: p.f8
7. Itfhasfbeenfshownfthatfthefriskfforfoccurrencefoffafseriousfperioperativefcardiovascularfeven
tfisfincreasedfinfpatientsfwhofarefunableftofmeetfaffff -
METf(metabolicfequivalentfofftask)fdemandfduringfnormalfdailyfactivity.
A. 4
B. 6
C. 8
D. 10
ANS:f A
Riskfisfincreasedfinfpatientsfunableftofmeetfaf4-
METfdemand.fDailyfactivitiesfrequiringf4fMETsfincludeflevelfwalkingfatf4fmiles/hourforfclimb
ingfafflightfoffstairs.fActivitiesfrequiringfgreaterfthanf10fMETsfincludefswimmingfandfsinglesft
ennis.
PTS: 1 REF: p.f9
8. Whichfofftheffollowingfalterationsfinftheffingernailsfisfassociatedfwithfcirrhosis?
A. yellowing
B. clubbing
Copyrightf©f2013fbyfMosby,fanfimprintfoffElsevierfInc.
f f f f f f f f f
ion
Chapterf01:fPatientfEvaluationfandfRiskfAssessmentfT
estfBank
MULTIPLEfCHOICE
1. Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertension
,fmeaningfthatfthefbloodfpressurefisfgreaterfthanforfequalfto
mmfHg.
A.f 200/140
B.f 180/140
C.f 180/110
D.f 160/110
ANS:f C
Electivefdentalfcarefshouldfbefdeferredfforfpatientsfwithfsevere,funcontrolledfhypertensio
n,fwhichfisfbloodfpressurefoffgreaterfthanforfequalftof180/110fmmfHg,funtilfthefconditionfca
nfbefbroughtfunderfcontrol.
PTS: 1 REF: p.f4
2. ThefAmericanfHeartfAssociationfcurrentlyfrecommendsfantibioticfprophylaxisfforfafpa
tientfwithfwhichfofftheffollowingfcardiacfconditions?
A. mitralfvalvefprolapse
B. prostheticfheartfvalve
C. rheumaticfheartfdisease
D. pacemakersfforfcardiacfarrhythmias
ANS:f B
Previously,fthefAmericanfHeartfAssociationf(AHA)frecommendedfantibioticfprophylaxisffor
fmanyfpatients fwithfheartfmurmursfcausedfbyfvalvularfdiseasef(e.g.,fmitralfvalvefprolapse,frh
eumaticfheartfdisease)finfanfeffortftofpreventfinfectivefendocarditis;fcurrentfguidelinesfomitft
hisfrecommendationfonfthefbasisfoffaccumulatedfscientificfevidence.fIffafmurmurfisfdueftofsp
ecificfcardiacfconditionsf(e.g.,fpreviousfendocarditis,fprostheticfheartfvalve,fcomplexfcongen
italfcyanoticfheartfdisease),fthefAHAfcontinuesftofrecommendfantibioticfprophylaxisfforfmos
tfdentalfprocedures.fPatientsfwithfpacemakersfdofnotfrequirefantibioticfprophylaxis.
Copyrightf©f2013fbyfMosby,fanfimprintfoffElsevierfInc.
, TestfBank 1-2
PTS: 1 REF: pp.f4-5
3. Onefconsequencefoffchronicfhepatitisf(BforfC)forfcirrhosisfoffthefliverfisfdecreasedfabilityfoffth
efbodyfto certainfdrugs,fincludingflocalfanestheticsfandfanalgesics.
A. absorb
B. distribute
C. metabolize
D. excrete
ANS:f C
Patientsfwithfchronicfhepatitisf(BforfC)forfcirrhosisfhavefanfassociatedfimpairmentfoffliverffu
nction.fThisfdeficitfmayfresultfinfprolongedfbleedingfandflessfefficientfmetabolismfoffcertainf
drugs,fincludingflocalfanestheticsfandfanalgesics.
PTS: 1 REF: p.f6
4. Whichfofftheffollowingfsymptomsfandfsignsfisfmostfconsistentfwithfallergy?
A. heartfpalpitations
B. itching
C. vomiting
D. fainting
ANS:f B
Symptomsfandfsignsfconsistentfwithfallergyfincludefitching,furticariaf(hives),frash,fswelling,f
wheezing,fangioedema,frunnyfnose,fandftearingfeyes.fIsolatedfsignsfandfsymptomsfsuchfasfn
ausea,fvomiting,fheartfpalpitations,fandffaintingfgenerallyfarefnotfoffanfallergicforiginfbutfrath
erfarefmanifestationsfoffdrugfintolerance,fadversefsidefeffects,forfpsychogenicfreactions.
PTS: 1 REF: p.f6
5. Whichfofftheffollowingfisftruefoffthefpatientfwithfafhistoryfofftuberculosis?
A. AfpositivefresultfonfskinftestingfmeansfthatfthefpersonfhasfactivefTB.
B. Mostfpatientsfwhofbecomefpositivefskinftestersfdevelopfactivefdisease.
C. Patientsfwithfacquiredfimmunodeficiencyfsyndromef(AIDS)fhavefafhighfin
cidencefofftuberculosis.
D. AfdiagnosisfoffactivefTBfisfmadefbyfafpurifiedfproteinfderivativef(PPD)fskinftest.
ANS:f C
Copyrightf©f2013fbyfMosby,fanfimprintfoffElsevierfInc.
, TestfBank 1-3
Thefpotentialfcoexistencefofftuberculosisfandfacquiredfimmunodeficiencyfsyndromef(AI
DS)fshouldfbefexploredfbecausefpatientsfwithfAIDSfhavefafhighfincidencefofftuberculosis.f
Afpositivefresultfonfskinftestingfmeansfspecificallyfthatfthefpersonfhasfatfsomeftimefbeenfin
fectedfwithfTB,fnotfnecessarilyfthatfactivefdiseasefisfpresent.fMostfpatientsfwhofbecomefp
ositivefskinftestersfdofnotfdevelopfactivefdisease.fAfdiagnosisfoffactivefTBfisfmadefbyfchestf
x-ray,fimaging,fsputumfculture,fandfclinicalfexamination.
PTS: 1 REF: p.f6-7
6. Vasoconstrictorsfshouldfbefavoidedfinfpatientsfwhofarefusingfcocaineforfm
ethamphetaminefbecausefthesefagentsfmayfprecipitate .
A. severefhypotension
B. severefhypertension
C. respiratoryfdepression
D. cessationfoffintestinalfperistalsis
ANS:f B
Vasoconstrictorsfmayfprecipitatefcardiacfarrhythmiasforfseverefhypertensionfinfpatientsfw
hofarefusingfcocaineforfmethamphetamine.fRespiratoryfdepressionfisfassociatedfwithfthefu
sefoffopioids.
PTS: 1 REF: p.f8
7. Itfhasfbeenfshownfthatfthefriskfforfoccurrencefoffafseriousfperioperativefcardiovascularfeven
tfisfincreasedfinfpatientsfwhofarefunableftofmeetfaffff -
METf(metabolicfequivalentfofftask)fdemandfduringfnormalfdailyfactivity.
A. 4
B. 6
C. 8
D. 10
ANS:f A
Riskfisfincreasedfinfpatientsfunableftofmeetfaf4-
METfdemand.fDailyfactivitiesfrequiringf4fMETsfincludeflevelfwalkingfatf4fmiles/hourforfclimb
ingfafflightfoffstairs.fActivitiesfrequiringfgreaterfthanf10fMETsfincludefswimmingfandfsinglesft
ennis.
PTS: 1 REF: p.f9
8. Whichfofftheffollowingfalterationsfinftheffingernailsfisfassociatedfwithfcirrhosis?
A. yellowing
B. clubbing
Copyrightf©f2013fbyfMosby,fanfimprintfoffElsevierfInc.
