Test Bank - Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition - Miller - All 30 Chapters and Rationales Included

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

,Little:cxDentalcxManagementcxofcxthecxMedicallycxCompromisedcxPatient,cx10thcxEditioncxTestcx
Bank
TablecxofcxContents
PARTcxONE:cxPATIENTcxEVALUATIONcxANDcxRISKcxASSESSMENT
Chaptercx1:cxPatientcxEvaluationcxandcxRiskcxAssessment
PARTcxTWO:cxCARDIOVASCULARcxDISEASE
Chaptercx2:cxInfectivecxEndocarditis
Chaptercx3:cxHypertension
Chaptercx4:cxIschemiccxHeartcxDisease
Chaptercx5:cxCardiaccxArrhythmias
Chaptercx6:cxHeartcxFailurecx(orcxCongestivecxHeartcxFailure)
PARTcxTHREE:cxPULMONARYcxDISEASE
Chaptercx7:cxPulmonarycxDisease
Chaptercx8:cxSmokingcxandcxTobaccocxUsecxCessation
Chaptercx9:cxSleep-RelatedcxBreathingcxDisorders
PARTcxFOUR:cxGASTROINTESTIALcxDISEASE
Chaptercx10:cxLivercxDisease
Chaptercx11:cxGastrointestinalcxDisease
PARTcxFIVE:cxGENITOURINARYcxDISEASE
Chaptercx12:cxChroniccxKidneycxDiseasecxandcxDialysis
Chaptercx13:cxSexuallycxTransmittedcxDiseases
PARTcxSIX:cxENDOCRINEcxANDcxMETABOLICcxDISEASE
Chaptercx14:cxDiabetescxMellitus
Chaptercx15:cxAdrenalcxInsufficiency
Chaptercx16:cxThyroidcxDiseases
Chaptercx17:cxPregnancycxandcxBreastcxFeeding
PARTcxSEVEN:cxIMMUNOLOGICcxDISEASE
Chaptercx18:cxAIDS,cxHIVcxInfection,cxandcxRelatedcxConditions
Chaptercx19:cxAllergy
Chaptercx20:cxRheumatologiccxandcxConnectivecxTissuecxDisorders
Chaptercx21:cxOrgancxandcxBonecxMarrowcxTransplantation
PARTcxEIGHT:cxHEMATOLOGICcxANDcxONCOLOGICcxDISEASE
Chaptercx22:cxDisorderscxofcxRedcxBloodcxCells
Chaptercx23:cxDisorderscxofcxWhitecxBloodcxCells
Chaptercx24:cxAcquiredcxBleedingcxandcxHypercoagulablecxDisorders
Chaptercx25:cxCongenitalcxBleedingcxandcxHypercoagulablecxDisorders
Chaptercx26:cxCancercxandcxOralcxCarecxofcxthecxPatient
PARTcxNINE:cxNEUROLOGIC,cxBEHAVIORAL,cxANDcxPSYCHIATRICcxDISORDERS
Chaptercx27:cxNeurologiccxDisorders
Chaptercx28:cxAnxiety,cxEatingcxDisorders,cxandcxBehavioralcxReactionscxtocxIllness
Chaptercx29:cxPsychiatriccxDisorders
Chaptercx30:cxDrugcxandcxAlcoholcxAbuse

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Chaptercx01:cxPatientcxEvaluationcxandcxRiskcxAssessment
Little:cxDentalcxManagementcxofcxthecxMedicallycxCompromisedcxPatient,cx10thcxEdition


MULTIPLEcxCHOICE

1. Electivecxdentalcxcarecxshouldcxbecxdeferredcxforcxpatientscxwithcxsevere,cxuncontrolledcxhyperte
nsion,cxmeaningcxthatcxthecxbloodcxpressurecxiscxgreatercxthancxorcxequalcxto mmcxHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:c x C
Electivecxdentalcxcarecxshouldcxbecxdeferredcxforcxpatientscxwithcxsevere,cxuncontrolledcxhyperte
nsion,cxwhichcxiscxbloodcxpressurecxgreatercxthancxorcxequalcxtocx180/110cxmmcxHg,cxuntilcxthecxc
onditioncxcancxbecxbroughtcxundercxcontrol.

2. ThecxAmericancxHeartcxAssociationcxcurrentlycxrecommendscxantibioticcxprophylaxiscxforcxacxp
atientcxwithcxwhichcxofcxthecxfollowingcxcardiaccxconditions?
a. Mitralcxvalvecxprolapse
b. Prostheticcxheartcxvalve
c. Rheumaticcxheartcxdisease
d. Pacemakerscxforcxcardiaccxarrhythmias
ANSWER:c x B
Previously,cxthecxAmericancxHeartcxAssociationcx(AHA)cxrecommendedcxantibioticcxprophylaxiscx
forcxmanycxpatientscxwithcxheartcxmurmurscxcausedcxbycxvalvularcxdiseasecx(e.g.,cxmitralcxvalvecxpr
olapse,cxrheumaticcxheartcxdisease)cxincxancxeffortcxtocxpreventcxinfectivecxendocarditis;cxhowever,c
xcurrentcxguidelinescxomitcxthiscxrecommendationcxoncxthecxbasiscxofcxaccumulatedcxscientificcxevi

dence.cxIfcxacxmurmurcxiscxduecxtocxcertaincxspecificcxcardiaccxconditionscx(e.g.,cxpreviouscxendocar
ditis,cxprostheticcxheartcxvalve,cxcomplexcxcongenitalcxcyanoticcxheartcxdisease),cxthecxAHAcxconti
nuescxtocxrecommendcxantibioticcxprophylaxiscxforcxmostcxdentalcxprocedures.

3. Onecxconsequencecxofcxchroniccxhepatitiscx(BcxorcxC)cxorcxcirrhosiscxofcxthecxlivercxiscxdecreasedcxa
bilitycxofcxthecxbodycxto certaincxdrugs,cxincludingcxlocalcxanestheticscxandcxanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:c x C
Patientscxalsocxmaycxhavecxchroniccxhepatitiscx(BcxorcxC)cxorcxcirrhosis,cxwithcximpairmentcx
ofcxlivercxfunction.cxThiscxdeficitcxmaycxresultcxincxprolongedcxbleedingcxandcxlesscxefficientcx
metabolismcxofcxcertaincxdrugs,cxincludingcxlocalcxanestheticscxandcxanalgesics.

4. Whichcxofcxthecxfollowingcxsymptomscxandcxsignscxiscxmostcxconsistentcxwithcxallergy?
a. Heartcxpalpitations
b. Itching
c. Vomiting
d. Fainting




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ANSWER:c x B
Symptomscxandcxsignscxconsistentcxwithcxallergycxincludecxitching,cxurticariacx(hives),cxrash,cxswell
ing,cxwheezing,cxangioedema,cxrunnycxnose,cxandcxtearingcxeyes.cxIsolatedcxsignscxandcxsymptomsc
xsuchcxascxnausea,cxvomiting,cxheartcxpalpitations,cxandcxfaintingcxgenerallycxarecxnotcxofcxancxallerg

iccxorigincxbutcxrathercxarecxmanifestationscxofcxdrugcxintolerance,cxadversecxsidecxeffects,cxorcxpsyc
hogeniccxreactions.

5. Whichcxofcxthecxfollowingcxiscxtruecxofcxthecxpatientcxwithcxacxhistorycxofcxtuberculosis?
a. AcxpositivecxresultcxoncxskincxtestingcxmeanscxthatcxthecxpersoncxhascxactivecxTB.
b. Mostcxpatientscxwhocxbecomecxpositivecxskincxtesterscxdevelopcxactivecxdisease.
c. Patientscxwithcxacquiredcximmunodeficiencycxsyndromecx(AIDS)cxhavecxacxhighcxincid
encecxofcxtuberculosis.
d. AcxdiagnosiscxofcxactivecxTBcxiscxmadecxbycxacxpurifiedcxproteincxderivativecx(PPD)cxskincxtest.
ANSWER:c x C
Thecxpotentialcxcoexistencecxofcxtuberculosiscxandcxacquiredcximmunodeficiencycxsyndromecx(A
IDS)cxshouldcxbecxexploredcxbecausecxpatientscxwithcxAIDScxhavecxacxhighcxincidencecxofcxtuberc
ulosis.cxAcxpositivecxresultcxoncxskincxtestingcxmeanscxspecificallycxthatcxthecxpersoncxhascxatcxsom
ecxtimecxbeencxinfectedcxwithcxTB,cxnotcxnecessarilycxthatcxactivecxdiseasecxiscxpresent.cxMostcxpati
entscxwhocxbecomecxpositivecxskincxtesterscxdocxnotcxdevelopcxactivecxdisease.cxAcxdiagnosiscxofcxa
ctivecxTBcxiscxmadecxbycxchestcxx-ray,cximaging,cxsputumcxculture,cxandcxclinicalcxexamination.

6. Vasoconstrictorscxshouldcxbecxavoidedcxincxpatientscxwhocxcocainecxorcxmethamphetaminecx
userscxbecausecxthesecxagentscxmaycxprecipitate .
a. severecxhypotension
b. severecxhypertension
c. respiratorycxdepression
d. cessationcxofcxintestinalcxperistalsis
ANSWER:c x B
Vasoconstrictorscxshouldcxbecxavoidedcxincxpatientscxwhocxarecxcocainecxorcxmethamphetaminecxu
serscxbecausecxthecxcombinationcxmaycxprecipitatecxarrhythmias,cxMI,cxorcxseverecxhypertension.

7. Itcxhascxbeencxshowncxthatcxthecxriskcxforcxoccurrencecxofcxacxseriouscxperioperativecxcardiovascula
rcxeventcx(e.g.,cxMI,cxheartcxfailure)cxiscxincreasedcxincxpatientscxwhocxarecxunablecxtocxmeetcxacx-
METcx(metaboliccxequivalentcxofcxtask)cxdemandcxduringcxnormalcxdailycxactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:c x A
Dailycxactivitiescxrequiringcx4cxMETscxincludecxlevelcxwalkingcxatcx4cxmiles/hourcxorcxclimbingcxacxfli
ghtcxofcxstairs.cxActivitiescxrequiringcxgreatercxthancx10cxMETscxincludecxswimmingcxandcxsinglescxte
nnis.cxAncxexercisecxcapacitycxofcx10cxtocx13cxMETscxindicatescxexcellentcxphysicalcxconditioning.

8. Whichcxofcxthecxfollowingcxalterationscxincxthecxfingernailscxiscxassociatedcxwithcxcirrhosis?
a. Yellowing
b. Clubbing
c. Whitecxdiscoloration
d. Splintercxhemorrhages



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