Test Bank For Little and Falace's Dental Managementof
o o o o o o o o o
the Medically Compromised Patient,
o o o
10th Edition by Craig Miller,Cha
o o o o o
pters 1 - 30
o o o
,Little:oDentaloManagementoofotheoMedicallyoCompromisedoPatient,o10thoEditionoTest
oBank
TableoofoContents
PARToONE:oPATIENToEVALUATIONoANDoRISKoASSESSMENT
Chaptero1:oPatientoEvaluationoandoRiskoAssessment
PARToTWO:oCARDIOVASCULARoDISEASE
Chaptero2:oInfectiveoEndocarditiso
Chaptero3:oHypertension
Chaptero4:oIschemicoHeartoDiseaseo
Chaptero5:oCardiacoArrhythmias
Chaptero6:oHeartoFailureo(oroCongestiveoHeartoFailure)
PARToTHREE:oPULMONARYoDISEASE
Chaptero7:oPulmonaryoDisease
Chaptero8:oSmokingoandoTobaccooUseoCessationo
Chaptero9:oSleep-
RelatedoBreathingoDisordersoPARToFOUR:oGAS
TROINTESTIALoDISEASE
Chaptero10:oLiveroDisease
Chaptero11:oGastrointestinaloDisease
PARToFIVE:oGENITOURINARYoDISEASE
Chaptero12:oChronicoKidneyoDiseaseoandoDialysisoChapter
o13:oSexuallyoTransmittedoDiseases
PARToSIX:oENDOCRINEoANDoMETABOLICoDISEASE
Chaptero14:oDiabetesoMellitusoCh
aptero15:oAdrenaloInsufficiencyoCh
aptero16:oThyroidoDiseases
Chaptero17:oPregnancyoandoBreastoFeeding
PARToSEVEN:oIMMUNOLOGICoDISEASE
Chaptero18:oAIDS,oHIVoInfection,oandoRelatedoConditionso
Chaptero19:oAllergy
Chaptero20:oRheumatologicoandoConnectiveoTissueoDisorderso
Chaptero21:oOrganoandoBoneoMarrowoTransplantation
PARToEIGHT:oHEMATOLOGICoANDoONCOLOGICoDISEASE
Chaptero22:oDisordersoofoRedoBloodoCellsoC
haptero23:oDisordersoofoWhiteoBloodoCells
Chaptero24:oAcquiredoBleedingoandoHypercoagulableoDisordersoChapte
ro25:oCongenitaloBleedingoandoHypercoagulableoDisordersoChaptero26:oC
anceroandoOraloCareoofotheoPatient
PARToNINE:oNEUROLOGIC,oBEHAVIORAL,oANDoPSYCHIATRICoDISORDERS
Chaptero27:oNeurologicoDisorders
Chaptero28:oAnxiety,oEatingoDisorders,oandoBehavioraloReactionsotooIllnessoChaptero
29:oPsychiatricoDisorders
Chaptero30:oDrugoandoAlcoholoAbuse
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Chapter 01: Patient Evaluation and Risk Assessment
o o o o o o
Little: Dental Management of the Medically Compromised Patient, 10th Edition
o o o o o o o o o
MULTIPLEoCHOICE
1. Electiveodentalocareoshouldobeodeferredoforopatientsowithosevere,ouncontrolledohyper
tension,omeaningothatotheobloodopressureoisogreaterothanooroequalotoo mmoHg.oa.
200/140
b.ooo 180/140
c. 180/110
d.ooo 160/110
ANSWER:o C
Electiveodentalocareoshouldobeodeferredoforopatientsowithosevere,ouncontrolledohypert
ension,owhichoisobloodopressureogreaterothanooroequalotoo180/110ommoHg,ountilotheoc
onditionocanobeobroughtounderocontrol.
2. TheoAmericanoHeartoAssociationocurrentlyorecommendsoantibioticoprophylaxisoforoao
patientowithowhichoofotheofollowingocardiacoconditions?
a. Mitralovalveoprolapse
b. Prostheticoheartovalve
c. Rheumaticoheartodisease
d. Pacemakersoforocardiacoarrhythmias
ANSWER:o B
Previously,otheoAmericanoHeartoAssociationo(AHA)orecommendedoantibioticoprophyla
xisoforomanyopatientsowithoheartomurmursocausedobyovalvularodiseaseo(e.g.,omitralovalv
eoprolapse,orheumaticoheartodisease)oinoanoeffortotoopreventoinfectiveoendocarditis;oho
wever,ocurrentoguidelinesoomitothisorecommendationoonotheobasisoofoaccumulatedoscie
ntificoevidence.oIfoaomurmuroisodueotoocertainospecificocardiacoconditionso(e.g.,opreviou
soendocarditis,oprostheticoheartovalve,ocomplexocongenitalocyanoticoheartodisease),oth
eoAHAocontinuesotoorecommendoantibioticoprophylaxisoforomostodentaloprocedures.
3. Oneoconsequenceoofochronicohepatitiso(BooroC)oorocirrhosisoofotheoliveroisodecreasedoa
bilityoofotheobodyotoo certainodrugs,oincludingolocaloanestheticsoandoanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:o C
Patientsoalsoomayohaveochronicohepatitiso(BooroC)oorocirrhosis,owithoimpairmentoof
oliverofunction.oThisodeficitomayoresultoinoprolongedobleedingoandolessoefficientome
tabolismoofocertainodrugs,oincludingolocaloanestheticsoandoanalgesics.
4. Whichoofotheofollowingosymptomsoandosignsoisomostoconsistentowithoallergy?
a. Heartopalpitations
b. Itching
c. Vomiting
d. Fainting
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ANSWER:o B
Symptomsoandosignsoconsistentowithoallergyoincludeoitching,ourticariao(hives),orash,osw
elling,owheezing,oangioedema,orunnyonose,oandotearingoeyes.oIsolatedosignsoandosymp
tomsosuchoasonausea,ovomiting,oheartopalpitations,oandofaintingogenerallyoareonotoofoa
noallergicooriginobutoratheroareomanifestationsoofodrugointolerance,oadverseosideoeffect
s,ooropsychogenicoreactions.
5. Whichoofotheofollowingoisotrueoofotheopatientowithoaohistoryoofotuberculosis?
a. AopositiveoresultoonoskinotestingomeansothatotheopersonohasoactiveoTB.
b. Mostopatientsowhoobecomeopositiveoskinotestersodevelopoactiveodisease.
c. Patientsowithoacquiredoimmunodeficiencyosyndromeo(AIDS)ohaveoaohighoi
ncidenceoofotuberculosis.
d. AodiagnosisoofoactiveoTBoisomadeobyoaopurifiedoproteinoderivativeo(PPD)oskinotest.
ANSWER:o C
Theopotentialocoexistenceoofotuberculosisoandoacquiredoimmunodeficiencyosyndromeo(
AIDS)oshouldobeoexploredobecauseopatientsowithoAIDSohaveoaohighoincidenceoofotuber
culosis.oAopositiveoresultoonoskinotestingomeansospecificallyothatotheopersonohasoatosom
eotimeobeenoinfectedowithoTB,onotonecessarilyothatoactiveodiseaseoisopresent.oMostopati
entsowhoobecomeopositiveoskinotestersodoonotodevelopoactiveodisease.oAodiagnosisoofo
activeoTBoisomadeobyochestox-ray,oimaging,osputumoculture,oandoclinicaloexamination.
6. Vasoconstrictorsoshouldobeoavoidedoinopatientsowhoococaineoorometh
amphetamineousersobecauseotheseoagentsomayoprecipitate .
a.severeohypotension
b.severeohypertension
c.respiratoryodepression
d.cessationoofointestinaloperistalsis
ANSWER:o B
Vasoconstrictorsoshouldobeoavoidedoinopatientsowhooareococaineooromethamphetamin
eousersobecauseotheocombinationomayoprecipitateoarrhythmias,oMI,oorosevereohyperten
sion.
7. Itohasobeenoshownothatotheoriskoforooccurrenceoofoaoseriousoperioperativeocardiovascul
aroevento(e.g.,oMI,oheartofailure)oisoincreasedoinopatientsowhooareounableotoomeetoao-
METo(metabolicoequivalentoofotask)odemandoduringonormalodailyoactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:o A
Dailyoactivitiesorequiringo4oMETsoincludeolevelowalkingoato4omiles/hourooroclimbingoaoflighto
ofostairs.oActivitiesorequiringogreaterothano10oMETsoincludeoswimmingoandosinglesotennis.
oAnoexerciseocapacityoofo10otoo13oMETsoindicatesoexcellentophysicaloconditioning.
8. Whichoofotheofollowingoalterationsoinotheofingernailsoisoassociatedowithocirrhosis?
a. Yellowing
b. Clubbing
c. Whiteodiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
o o o o o o o o o
the Medically Compromised Patient,
o o o
10th Edition by Craig Miller,Cha
o o o o o
pters 1 - 30
o o o
,Little:oDentaloManagementoofotheoMedicallyoCompromisedoPatient,o10thoEditionoTest
oBank
TableoofoContents
PARToONE:oPATIENToEVALUATIONoANDoRISKoASSESSMENT
Chaptero1:oPatientoEvaluationoandoRiskoAssessment
PARToTWO:oCARDIOVASCULARoDISEASE
Chaptero2:oInfectiveoEndocarditiso
Chaptero3:oHypertension
Chaptero4:oIschemicoHeartoDiseaseo
Chaptero5:oCardiacoArrhythmias
Chaptero6:oHeartoFailureo(oroCongestiveoHeartoFailure)
PARToTHREE:oPULMONARYoDISEASE
Chaptero7:oPulmonaryoDisease
Chaptero8:oSmokingoandoTobaccooUseoCessationo
Chaptero9:oSleep-
RelatedoBreathingoDisordersoPARToFOUR:oGAS
TROINTESTIALoDISEASE
Chaptero10:oLiveroDisease
Chaptero11:oGastrointestinaloDisease
PARToFIVE:oGENITOURINARYoDISEASE
Chaptero12:oChronicoKidneyoDiseaseoandoDialysisoChapter
o13:oSexuallyoTransmittedoDiseases
PARToSIX:oENDOCRINEoANDoMETABOLICoDISEASE
Chaptero14:oDiabetesoMellitusoCh
aptero15:oAdrenaloInsufficiencyoCh
aptero16:oThyroidoDiseases
Chaptero17:oPregnancyoandoBreastoFeeding
PARToSEVEN:oIMMUNOLOGICoDISEASE
Chaptero18:oAIDS,oHIVoInfection,oandoRelatedoConditionso
Chaptero19:oAllergy
Chaptero20:oRheumatologicoandoConnectiveoTissueoDisorderso
Chaptero21:oOrganoandoBoneoMarrowoTransplantation
PARToEIGHT:oHEMATOLOGICoANDoONCOLOGICoDISEASE
Chaptero22:oDisordersoofoRedoBloodoCellsoC
haptero23:oDisordersoofoWhiteoBloodoCells
Chaptero24:oAcquiredoBleedingoandoHypercoagulableoDisordersoChapte
ro25:oCongenitaloBleedingoandoHypercoagulableoDisordersoChaptero26:oC
anceroandoOraloCareoofotheoPatient
PARToNINE:oNEUROLOGIC,oBEHAVIORAL,oANDoPSYCHIATRICoDISORDERS
Chaptero27:oNeurologicoDisorders
Chaptero28:oAnxiety,oEatingoDisorders,oandoBehavioraloReactionsotooIllnessoChaptero
29:oPsychiatricoDisorders
Chaptero30:oDrugoandoAlcoholoAbuse
, WWW.GRADESMORE.COM
Stuvia.como -
o Theo Marketplaceo too Buyo ando Sello youro Studyo Material
Pageo1oofo74
Chapter 01: Patient Evaluation and Risk Assessment
o o o o o o
Little: Dental Management of the Medically Compromised Patient, 10th Edition
o o o o o o o o o
MULTIPLEoCHOICE
1. Electiveodentalocareoshouldobeodeferredoforopatientsowithosevere,ouncontrolledohyper
tension,omeaningothatotheobloodopressureoisogreaterothanooroequalotoo mmoHg.oa.
200/140
b.ooo 180/140
c. 180/110
d.ooo 160/110
ANSWER:o C
Electiveodentalocareoshouldobeodeferredoforopatientsowithosevere,ouncontrolledohypert
ension,owhichoisobloodopressureogreaterothanooroequalotoo180/110ommoHg,ountilotheoc
onditionocanobeobroughtounderocontrol.
2. TheoAmericanoHeartoAssociationocurrentlyorecommendsoantibioticoprophylaxisoforoao
patientowithowhichoofotheofollowingocardiacoconditions?
a. Mitralovalveoprolapse
b. Prostheticoheartovalve
c. Rheumaticoheartodisease
d. Pacemakersoforocardiacoarrhythmias
ANSWER:o B
Previously,otheoAmericanoHeartoAssociationo(AHA)orecommendedoantibioticoprophyla
xisoforomanyopatientsowithoheartomurmursocausedobyovalvularodiseaseo(e.g.,omitralovalv
eoprolapse,orheumaticoheartodisease)oinoanoeffortotoopreventoinfectiveoendocarditis;oho
wever,ocurrentoguidelinesoomitothisorecommendationoonotheobasisoofoaccumulatedoscie
ntificoevidence.oIfoaomurmuroisodueotoocertainospecificocardiacoconditionso(e.g.,opreviou
soendocarditis,oprostheticoheartovalve,ocomplexocongenitalocyanoticoheartodisease),oth
eoAHAocontinuesotoorecommendoantibioticoprophylaxisoforomostodentaloprocedures.
3. Oneoconsequenceoofochronicohepatitiso(BooroC)oorocirrhosisoofotheoliveroisodecreasedoa
bilityoofotheobodyotoo certainodrugs,oincludingolocaloanestheticsoandoanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:o C
Patientsoalsoomayohaveochronicohepatitiso(BooroC)oorocirrhosis,owithoimpairmentoof
oliverofunction.oThisodeficitomayoresultoinoprolongedobleedingoandolessoefficientome
tabolismoofocertainodrugs,oincludingolocaloanestheticsoandoanalgesics.
4. Whichoofotheofollowingosymptomsoandosignsoisomostoconsistentowithoallergy?
a. Heartopalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.como -
o Theo Marketplaceo too Buyo ando Sello youro Studyo Material
Pageo1oofo74
ANSWER:o B
Symptomsoandosignsoconsistentowithoallergyoincludeoitching,ourticariao(hives),orash,osw
elling,owheezing,oangioedema,orunnyonose,oandotearingoeyes.oIsolatedosignsoandosymp
tomsosuchoasonausea,ovomiting,oheartopalpitations,oandofaintingogenerallyoareonotoofoa
noallergicooriginobutoratheroareomanifestationsoofodrugointolerance,oadverseosideoeffect
s,ooropsychogenicoreactions.
5. Whichoofotheofollowingoisotrueoofotheopatientowithoaohistoryoofotuberculosis?
a. AopositiveoresultoonoskinotestingomeansothatotheopersonohasoactiveoTB.
b. Mostopatientsowhoobecomeopositiveoskinotestersodevelopoactiveodisease.
c. Patientsowithoacquiredoimmunodeficiencyosyndromeo(AIDS)ohaveoaohighoi
ncidenceoofotuberculosis.
d. AodiagnosisoofoactiveoTBoisomadeobyoaopurifiedoproteinoderivativeo(PPD)oskinotest.
ANSWER:o C
Theopotentialocoexistenceoofotuberculosisoandoacquiredoimmunodeficiencyosyndromeo(
AIDS)oshouldobeoexploredobecauseopatientsowithoAIDSohaveoaohighoincidenceoofotuber
culosis.oAopositiveoresultoonoskinotestingomeansospecificallyothatotheopersonohasoatosom
eotimeobeenoinfectedowithoTB,onotonecessarilyothatoactiveodiseaseoisopresent.oMostopati
entsowhoobecomeopositiveoskinotestersodoonotodevelopoactiveodisease.oAodiagnosisoofo
activeoTBoisomadeobyochestox-ray,oimaging,osputumoculture,oandoclinicaloexamination.
6. Vasoconstrictorsoshouldobeoavoidedoinopatientsowhoococaineoorometh
amphetamineousersobecauseotheseoagentsomayoprecipitate .
a.severeohypotension
b.severeohypertension
c.respiratoryodepression
d.cessationoofointestinaloperistalsis
ANSWER:o B
Vasoconstrictorsoshouldobeoavoidedoinopatientsowhooareococaineooromethamphetamin
eousersobecauseotheocombinationomayoprecipitateoarrhythmias,oMI,oorosevereohyperten
sion.
7. Itohasobeenoshownothatotheoriskoforooccurrenceoofoaoseriousoperioperativeocardiovascul
aroevento(e.g.,oMI,oheartofailure)oisoincreasedoinopatientsowhooareounableotoomeetoao-
METo(metabolicoequivalentoofotask)odemandoduringonormalodailyoactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:o A
Dailyoactivitiesorequiringo4oMETsoincludeolevelowalkingoato4omiles/hourooroclimbingoaoflighto
ofostairs.oActivitiesorequiringogreaterothano10oMETsoincludeoswimmingoandosinglesotennis.
oAnoexerciseocapacityoofo10otoo13oMETsoindicatesoexcellentophysicaloconditioning.
8. Whichoofotheofollowingoalterationsoinotheofingernailsoisoassociatedowithocirrhosis?
a. Yellowing
b. Clubbing
c. Whiteodiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
