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DENTALMANAGEMENT OF THE MEDICALLY
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COMPROMISED PATIENT 9TH EDITION
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(VERSION 2023/2024).
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COMPLETE GUIDE ff
ALL CHAPTERS 1-
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34. ISBN:978032344355
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5
ORIGINAL FILE VERSION 2023.
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,TEST BANK
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74
Chapter 01: Patient Evaluation and Risk Assessment
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Little: Dental Management of the Medically Compromised Patient, 9th Edition
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MULTIPLE CHOICE gg
1. Elective dental care should be deferred for patients with severe, uncontrolled
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hypertension, meaning that the blood pressure is greater than or equal to mm
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Hg.
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a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C gg
Elective dental care should be deferred for patients with severe, uncontrolled
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hypertension,which is blood pressure greater than or equal to 180/110 mm Hg, until
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the condition can bebrought under control.
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2. The American Heart Association currently recommends antibiotic prophylaxis
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ggfor a patient with which of the following cardiac conditions?
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a. Mitral valve prolapse gg gg
b. Prosthetic heart valve gg gg
c. Rheumatic heart disease gg gg
d. Pacemakers for cardiac arrhythmias gg gg gg
ANS: B gg
Previously, the American Heart Association (AHA) recommended antibiotic
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prophylaxis formany patients with heart murmurs caused by valvular disease (e.g.,
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mitral valve prolapse, rheumatic heart disease) in an effort to prevent infective
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endocarditis; however, current guidelines omit this recommendation on the basis of
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accumulated scientific evidence. If a murmur is due to certain specific cardiac
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conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital
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cyanotic heart disease), the AHA continues to recommend antibiotic prophylaxis for
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most dental procedures.
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3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased
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ggability of the body to certain drugs, including local anesthetics and analgesics.
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a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C gg
Patients also may have chronic hepatitis (B or C) or cirrhosis, with
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impairment of liver function. This deficit may result in prolonged bleeding and
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less efficient metabolism ofcertain drugs, including local anesthetics and
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analgesics.
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4. Which of the following symptoms and signs is most consistent with allergy?
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a. Heart palpitations gg
b. Itching
c. Vomiting
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d. Fainting 74
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