Test Bank For Little and Falace's Dental Managementof t
l l l l l l l l l
he Medically Compromised Patient,
l l l
10th Edition by Craig Miller,Cha
l l l l l
pters 1 -30 l l l
,Little:lDentallManagementloflthelMedicallylCompromisedlPatient,l10thlEditionlTestlB
ank
TableloflContents
PARTlONE:lPATIENTlEVALUATIONlANDlRISKlASSESSMENT
Chapterl1:lPatientlEvaluationlandlRisklAssessment
PARTlTWO:lCARDIOVASCULARlDISEASE
Chapterl2:lInfectivelEndocarditisl
Chapterl3:lHypertension
Chapterl4:lIschemiclHeartlDiseaselC
hapterl5:lCardiaclArrhythmias
Chapterl6:lHeartlFailurel(orlCongestivelHeartlFailure)
PARTlTHREE:lPULMONARYlDISEASE
Chapterl7:lPulmonarylDisease
Chapterl8:lSmokinglandlTobaccolUselCessationlC
hapterl9:lSleep-
RelatedlBreathinglDisorderslPARTlFOUR:lGAST
ROINTESTIALlDISEASE
Chapterl10:lLiverlDisease
Chapterl11:lGastrointestinallDisease
PARTlFIVE:lGENITOURINARYlDISEASE
Chapterl12:lChroniclKidneylDiseaselandlDialysislChapterl1
3:lSexuallylTransmittedlDiseases
PARTlSIX:lENDOCRINElANDlMETABOLIClDISEASE
Chapterl14:lDiabeteslMellituslCha
pterl15:lAdrenallInsufficiencylChap
terl16:lThyroidlDiseases
Chapterl17:lPregnancylandlBreastlFeeding
PARTlSEVEN:lIMMUNOLOGIClDISEASE
Chapterl18:lAIDS,lHIVlInfection,landlRelatedlConditionslCh
apterl19:lAllergy
Chapterl20:lRheumatologiclandlConnectivelTissuelDisorderslC
hapterl21:lOrganlandlBonelMarrowlTransplantation
PARTlEIGHT:lHEMATOLOGIClANDlONCOLOGIClDISEASE
Chapterl22:lDisordersloflRedlBloodlCellslCh
apterl23:lDisordersloflWhitelBloodlCells
Chapterl24:lAcquiredlBleedinglandlHypercoagulablelDisorderslChapterl2
5:lCongenitallBleedinglandlHypercoagulablelDisorderslChapterl26:lCance
rlandlOrallCareloflthelPatient
PARTlNINE:lNEUROLOGIC,lBEHAVIORAL,lANDlPSYCHIATRIClDISORDERS
Chapterl27:lNeurologiclDisorders
Chapterl28:lAnxiety,lEatinglDisorders,landlBehaviorallReactionsltolIllnesslChapterl29:l
PsychiatriclDisorders
Chapterl30:lDruglandlAlcohollAbuse
, WWW.GRADESMORE.COM
Stuvia.coml -l Thel Marketplacel tol Buyl andl Selll yourl Studyl Material
Pagel1lofl74
Chapter 01: Patient Evaluation and Risk Assessment
l l l l l l
Little: Dental Management of the Medically Compromised Patient, 10th Edition
l l l l l l l l l
MULTIPLElCHOICE
1. Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhyperten
sion,lmeaninglthatlthelbloodlpressurelislgreaterlthanlorlequalltol mmlHg.la.
200/140
b.lll 180/140
c. 180/110
d.lll 160/110
ANSWER:l C
Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhypertens
ion,lwhichlislbloodlpressurelgreaterlthanlorlequalltol180/110lmmlHg,luntillthelconditionl
canlbelbroughtlunderlcontrol.
2. ThelAmericanlHeartlAssociationlcurrentlylrecommendslantibioticlprophylaxislforlalpati
entlwithlwhichloflthelfollowinglcardiaclconditions?
a. Mitrallvalvelprolapse
b. Prostheticlheartlvalve
c. Rheumaticlheartldisease
d. Pacemakerslforlcardiaclarrhythmias
ANSWER:l B
Previously,lthelAmericanlHeartlAssociationl(AHA)lrecommendedlantibioticlprophylaxisl
forlmanylpatientslwithlheartlmurmurslcausedlbylvalvularldiseasel(e.g.,lmitrallvalvelprola
pse,lrheumaticlheartldisease)linlanleffortltolpreventlinfectivelendocarditis;lhowever,lcurr
entlguidelineslomitlthislrecommendationlonlthelbasisloflaccumulatedlscientificlevidence
.lIflalmurmurlisldueltolcertainlspecificlcardiaclconditionsl(e.g.,lpreviouslendocarditis,lpros
theticlheartlvalve,lcomplexlcongenitallcyanoticlheartldisease),lthelAHAlcontinuesltolreco
mmendlantibioticlprophylaxislforlmostldentallprocedures.
3. Onelconsequenceloflchroniclhepatitisl(BlorlC)lorlcirrhosisloflthelliverlisldecreasedlabilityl
oflthelbodyltol certainldrugs,lincludingllocallanestheticslandlanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:l C
Patientslalsolmaylhavelchroniclhepatitisl(BlorlC)lorlcirrhosis,lwithlimpairmentlofllive
rlfunction.lThisldeficitlmaylresultlinlprolongedlbleedinglandllesslefficientlmetabolis
mloflcertainldrugs,lincludingllocallanestheticslandlanalgesics.
4. Whichloflthelfollowinglsymptomslandlsignslislmostlconsistentlwithlallergy?
a. Heartlpalpitations
b. Itching
c. Vomiting
d. Fainting
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GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.coml -l Thel Marketplacel tol Buyl andl Selll yourl Studyl Material
Pagel1lofl74
ANSWER:l B
Symptomslandlsignslconsistentlwithlallergylincludelitching,lurticarial(hives),lrash,lswelli
ng,lwheezing,langioedema,lrunnylnose,landltearingleyes.lIsolatedlsignslandlsymptomsls
uchlaslnausea,lvomiting,lheartlpalpitations,landlfaintinglgenerallylarelnotloflanlallergiclori
ginlbutlratherlarelmanifestationslofldruglintolerance,ladverselsideleffects,lorlpsychogeni
clreactions.
5. Whichloflthelfollowinglisltrueloflthelpatientlwithlalhistorylofltuberculosis?
a. AlpositivelresultlonlskinltestinglmeanslthatlthelpersonlhaslactivelTB.
b. Mostlpatientslwholbecomelpositivelskinltestersldeveloplactiveldisease.
c. Patientslwithlacquiredlimmunodeficiencylsyndromel(AIDS)lhavelalhighlinci
dencelofltuberculosis.
d. AldiagnosisloflactivelTBlislmadelbylalpurifiedlproteinlderivativel(PPD)lskinltest.
ANSWER:l C
Thelpotentiallcoexistencelofltuberculosislandlacquiredlimmunodeficiencylsyndromel(AI
DS)lshouldlbelexploredlbecauselpatientslwithlAIDSlhavelalhighlincidencelofltuberculosi
s.lAlpositivelresultlonlskinltestinglmeanslspecificallylthatlthelpersonlhaslatlsomeltimelbee
nlinfectedlwithlTB,lnotlnecessarilylthatlactiveldiseaselislpresent.lMostlpatientslwholbeco
melpositivelskinltestersldolnotldeveloplactiveldisease.lAldiagnosisloflactivelTBlislmadelb
ylchestlx-ray,limaging,lsputumlculture,landlclinicallexamination.
6. Vasoconstrictorslshouldlbelavoidedlinlpatientslwholcocainelorlmetham
phetamineluserslbecauseltheselagentslmaylprecipitate .
a. severelhypotension
b. severelhypertension
c. respiratoryldepression
d. cessationloflintestinallperistalsis
ANSWER:l B
Vasoconstrictorslshouldlbelavoidedlinlpatientslwholarelcocainelorlmethamphetaminelu
serslbecauselthelcombinationlmaylprecipitatelarrhythmias,lMI,lorlseverelhypertension.
7. Itlhaslbeenlshownlthatlthelrisklforloccurrenceloflalseriouslperioperativelcardiovascularle
ventl(e.g.,lMI,lheartlfailure)lislincreasedlinlpatientslwholarelunableltolmeetlal-
METl(metaboliclequivalentlofltask)ldemandlduringlnormalldailylactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:l A
Dailylactivitieslrequiringl4lMETslincludellevellwalkinglatl4lmiles/hourlorlclimbinglalflightloflst
airs.lActivitieslrequiringlgreaterlthanl10lMETslincludelswimminglandlsinglesltennis.lAnlexer
ciselcapacitylofl10ltol13lMETslindicateslexcellentlphysicallconditioning.
8. Whichloflthelfollowinglalterationslinlthelfingernailslislassociatedlwithlcirrhosis?
a. Yellowing
b. Clubbing
c. Whiteldiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
l l l l l l l l l
he Medically Compromised Patient,
l l l
10th Edition by Craig Miller,Cha
l l l l l
pters 1 -30 l l l
,Little:lDentallManagementloflthelMedicallylCompromisedlPatient,l10thlEditionlTestlB
ank
TableloflContents
PARTlONE:lPATIENTlEVALUATIONlANDlRISKlASSESSMENT
Chapterl1:lPatientlEvaluationlandlRisklAssessment
PARTlTWO:lCARDIOVASCULARlDISEASE
Chapterl2:lInfectivelEndocarditisl
Chapterl3:lHypertension
Chapterl4:lIschemiclHeartlDiseaselC
hapterl5:lCardiaclArrhythmias
Chapterl6:lHeartlFailurel(orlCongestivelHeartlFailure)
PARTlTHREE:lPULMONARYlDISEASE
Chapterl7:lPulmonarylDisease
Chapterl8:lSmokinglandlTobaccolUselCessationlC
hapterl9:lSleep-
RelatedlBreathinglDisorderslPARTlFOUR:lGAST
ROINTESTIALlDISEASE
Chapterl10:lLiverlDisease
Chapterl11:lGastrointestinallDisease
PARTlFIVE:lGENITOURINARYlDISEASE
Chapterl12:lChroniclKidneylDiseaselandlDialysislChapterl1
3:lSexuallylTransmittedlDiseases
PARTlSIX:lENDOCRINElANDlMETABOLIClDISEASE
Chapterl14:lDiabeteslMellituslCha
pterl15:lAdrenallInsufficiencylChap
terl16:lThyroidlDiseases
Chapterl17:lPregnancylandlBreastlFeeding
PARTlSEVEN:lIMMUNOLOGIClDISEASE
Chapterl18:lAIDS,lHIVlInfection,landlRelatedlConditionslCh
apterl19:lAllergy
Chapterl20:lRheumatologiclandlConnectivelTissuelDisorderslC
hapterl21:lOrganlandlBonelMarrowlTransplantation
PARTlEIGHT:lHEMATOLOGIClANDlONCOLOGIClDISEASE
Chapterl22:lDisordersloflRedlBloodlCellslCh
apterl23:lDisordersloflWhitelBloodlCells
Chapterl24:lAcquiredlBleedinglandlHypercoagulablelDisorderslChapterl2
5:lCongenitallBleedinglandlHypercoagulablelDisorderslChapterl26:lCance
rlandlOrallCareloflthelPatient
PARTlNINE:lNEUROLOGIC,lBEHAVIORAL,lANDlPSYCHIATRIClDISORDERS
Chapterl27:lNeurologiclDisorders
Chapterl28:lAnxiety,lEatinglDisorders,landlBehaviorallReactionsltolIllnesslChapterl29:l
PsychiatriclDisorders
Chapterl30:lDruglandlAlcohollAbuse
, WWW.GRADESMORE.COM
Stuvia.coml -l Thel Marketplacel tol Buyl andl Selll yourl Studyl Material
Pagel1lofl74
Chapter 01: Patient Evaluation and Risk Assessment
l l l l l l
Little: Dental Management of the Medically Compromised Patient, 10th Edition
l l l l l l l l l
MULTIPLElCHOICE
1. Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhyperten
sion,lmeaninglthatlthelbloodlpressurelislgreaterlthanlorlequalltol mmlHg.la.
200/140
b.lll 180/140
c. 180/110
d.lll 160/110
ANSWER:l C
Electiveldentallcarelshouldlbeldeferredlforlpatientslwithlsevere,luncontrolledlhypertens
ion,lwhichlislbloodlpressurelgreaterlthanlorlequalltol180/110lmmlHg,luntillthelconditionl
canlbelbroughtlunderlcontrol.
2. ThelAmericanlHeartlAssociationlcurrentlylrecommendslantibioticlprophylaxislforlalpati
entlwithlwhichloflthelfollowinglcardiaclconditions?
a. Mitrallvalvelprolapse
b. Prostheticlheartlvalve
c. Rheumaticlheartldisease
d. Pacemakerslforlcardiaclarrhythmias
ANSWER:l B
Previously,lthelAmericanlHeartlAssociationl(AHA)lrecommendedlantibioticlprophylaxisl
forlmanylpatientslwithlheartlmurmurslcausedlbylvalvularldiseasel(e.g.,lmitrallvalvelprola
pse,lrheumaticlheartldisease)linlanleffortltolpreventlinfectivelendocarditis;lhowever,lcurr
entlguidelineslomitlthislrecommendationlonlthelbasisloflaccumulatedlscientificlevidence
.lIflalmurmurlisldueltolcertainlspecificlcardiaclconditionsl(e.g.,lpreviouslendocarditis,lpros
theticlheartlvalve,lcomplexlcongenitallcyanoticlheartldisease),lthelAHAlcontinuesltolreco
mmendlantibioticlprophylaxislforlmostldentallprocedures.
3. Onelconsequenceloflchroniclhepatitisl(BlorlC)lorlcirrhosisloflthelliverlisldecreasedlabilityl
oflthelbodyltol certainldrugs,lincludingllocallanestheticslandlanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:l C
Patientslalsolmaylhavelchroniclhepatitisl(BlorlC)lorlcirrhosis,lwithlimpairmentlofllive
rlfunction.lThisldeficitlmaylresultlinlprolongedlbleedinglandllesslefficientlmetabolis
mloflcertainldrugs,lincludingllocallanestheticslandlanalgesics.
4. Whichloflthelfollowinglsymptomslandlsignslislmostlconsistentlwithlallergy?
a. Heartlpalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.coml -l Thel Marketplacel tol Buyl andl Selll yourl Studyl Material
Pagel1lofl74
ANSWER:l B
Symptomslandlsignslconsistentlwithlallergylincludelitching,lurticarial(hives),lrash,lswelli
ng,lwheezing,langioedema,lrunnylnose,landltearingleyes.lIsolatedlsignslandlsymptomsls
uchlaslnausea,lvomiting,lheartlpalpitations,landlfaintinglgenerallylarelnotloflanlallergiclori
ginlbutlratherlarelmanifestationslofldruglintolerance,ladverselsideleffects,lorlpsychogeni
clreactions.
5. Whichloflthelfollowinglisltrueloflthelpatientlwithlalhistorylofltuberculosis?
a. AlpositivelresultlonlskinltestinglmeanslthatlthelpersonlhaslactivelTB.
b. Mostlpatientslwholbecomelpositivelskinltestersldeveloplactiveldisease.
c. Patientslwithlacquiredlimmunodeficiencylsyndromel(AIDS)lhavelalhighlinci
dencelofltuberculosis.
d. AldiagnosisloflactivelTBlislmadelbylalpurifiedlproteinlderivativel(PPD)lskinltest.
ANSWER:l C
Thelpotentiallcoexistencelofltuberculosislandlacquiredlimmunodeficiencylsyndromel(AI
DS)lshouldlbelexploredlbecauselpatientslwithlAIDSlhavelalhighlincidencelofltuberculosi
s.lAlpositivelresultlonlskinltestinglmeanslspecificallylthatlthelpersonlhaslatlsomeltimelbee
nlinfectedlwithlTB,lnotlnecessarilylthatlactiveldiseaselislpresent.lMostlpatientslwholbeco
melpositivelskinltestersldolnotldeveloplactiveldisease.lAldiagnosisloflactivelTBlislmadelb
ylchestlx-ray,limaging,lsputumlculture,landlclinicallexamination.
6. Vasoconstrictorslshouldlbelavoidedlinlpatientslwholcocainelorlmetham
phetamineluserslbecauseltheselagentslmaylprecipitate .
a. severelhypotension
b. severelhypertension
c. respiratoryldepression
d. cessationloflintestinallperistalsis
ANSWER:l B
Vasoconstrictorslshouldlbelavoidedlinlpatientslwholarelcocainelorlmethamphetaminelu
serslbecauselthelcombinationlmaylprecipitatelarrhythmias,lMI,lorlseverelhypertension.
7. Itlhaslbeenlshownlthatlthelrisklforloccurrenceloflalseriouslperioperativelcardiovascularle
ventl(e.g.,lMI,lheartlfailure)lislincreasedlinlpatientslwholarelunableltolmeetlal-
METl(metaboliclequivalentlofltask)ldemandlduringlnormalldailylactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:l A
Dailylactivitieslrequiringl4lMETslincludellevellwalkinglatl4lmiles/hourlorlclimbinglalflightloflst
airs.lActivitieslrequiringlgreaterlthanl10lMETslincludelswimminglandlsinglesltennis.lAnlexer
ciselcapacitylofl10ltol13lMETslindicateslexcellentlphysicallconditioning.
8. Whichloflthelfollowinglalterationslinlthelfingernailslislassociatedlwithlcirrhosis?
a. Yellowing
b. Clubbing
c. Whiteldiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
