TEST BANK
LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE
MEDICALLY COMPROMISED PATIENT
10TH EDITION
,Little: GmDental GmManagement Gmof Gmthe GmMedically GmCompromised GmPatient, Gm10th GmEdition
GmTest GmBank
Table Gmof GmContents
PART GmONE: GmPATIENT GmEVALUATION GmAND GmRISK GmASSESSMENT
Chapter Gm1: GmPatient GmEvaluation Gmand GmRisk GmAssessment
PART GmTWO: GmCARDIOVASCULAR GmDISEASE
Chapter Gm2: GmInfective GmEndocarditis
Chapter Gm3: GmHypertension
Chapter Gm4: GmIschemic GmHeart GmDisease
Chapter Gm5: GmCardiac GmArrhythmias
Chapter Gm6: GmHeart GmFailure Gm(or GmCongestive GmHeart GmFailure)
PART GmTHREE: GmPULMONARY GmDISEASE
Chapter Gm7: GmPulmonary GmDisease
Chapter Gm8: GmSmoking Gmand GmTobacco GmUse GmCessation
Chapter Gm9: GmSleep-Related GmBreathing GmDisorders
PART GmFOUR: GmGASTROINTESTIAL GmDISEASE
Chapter Gm10: GmLiver GmDisease
Chapter Gm11: GmGastrointestinal GmDisease
PART GmFIVE: GmGENITOURINARY GmDISEASE
Chapter Gm12: GmChronic GmKidney GmDisease Gmand GmDialysis
Chapter Gm13: GmSexually GmTransmitted GmDiseases
PART GmSIX: GmENDOCRINE GmAND GmMETABOLIC GmDISEASE
Chapter Gm14: GmDiabetes GmMellitus
Chapter Gm15: GmAdrenal GmInsufficiency
Chapter Gm16: GmThyroid GmDiseases
Chapter Gm17: GmPregnancy Gmand GmBreast GmFeeding
PART GmSEVEN: GmIMMUNOLOGIC GmDISEASE
Chapter Gm18: GmAIDS, GmHIV GmInfection, Gmand GmRelated GmConditions
Chapter Gm19: GmAllergy
Chapter Gm20: GmRheumatologic Gmand GmConnective GmTissue GmDisorders
Chapter Gm21: GmOrgan Gmand GmBone GmMarrow GmTransplantation
PART GmEIGHT: GmHEMATOLOGIC GmAND GmONCOLOGIC GmDISEASE
Chapter Gm22: GmDisorders Gmof GmRed GmBlood GmCells
Chapter Gm23: GmDisorders Gmof GmWhite GmBlood GmCells
Chapter Gm24: GmAcquired GmBleeding Gmand GmHypercoagulable GmDisorders
Chapter Gm25: GmCongenital GmBleeding Gmand GmHypercoagulable GmDisorders
Chapter Gm26: GmCancer Gmand GmOral GmCare Gmof Gmthe GmPatient
PART GmNINE: GmNEUROLOGIC, GmBEHAVIORAL, GmAND GmPSYCHIATRIC
GmDISORDERS
Chapter Gm27: GmNeurologic GmDisorders
Chapter Gm28: GmAnxiety, GmEating GmDisorders, Gmand GmBehavioral GmReactions Gmto GmIllness
Chapter Gm29: GmPsychiatric GmDisorders
Chapter Gm30: GmDrug Gmand GmAlcohol GmAbuse
, WWW.GRADESMORE.COM
Stuvia.com Gm- GmThe GmMarketplace Gmto GmBuy Gmand GmSell Gmyour
GmStudy GmMaterial
Page Gm1 Gmof Gm74
Chapter 01: Patient Evaluation and Risk Assessment
Gm Gm Gm Gm Gm Gm
Little: Dental Management of the Medically Compromised Patient, 9th Edition
Gm Gm Gm Gm Gm Gm Gm Gm Gm
MULTIPLE GmCHOICE
1. Elective Gmdental Gmcare Gmshould Gmbe Gmdeferred Gmfor Gmpatients Gmwith Gmsevere, Gmuncontrolled
Gmhypertension, Gmmeaning Gmthat Gmthe Gmblood Gmpressure Gmis Gmgreater Gmthan Gmor Gmequal Gmto
mm GmHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: G m C
Elective Gmdental Gmcare Gmshould Gmbe Gmdeferred Gmfor Gmpatients Gmwith Gmsevere, Gmuncontrolled
Gmhypertension, Gmwhich Gmis Gmblood Gmpressure Gmgreater Gmthan Gmor Gmequal Gmto Gm180/110 Gmmm
GmHg, Gmuntil Gmthe Gmcondition Gmcan Gmbe Gmbrought Gmunder Gmcontrol.
2. The GmAmerican GmHeart GmAssociation Gmcurrently Gmrecommends Gmantibiotic Gmprophylaxis Gmfor
a Gmpatient Gmwith Gmwhich Gmof Gmthe Gmfollowing Gmcardiac Gmconditions?
Gm
a. Mitral Gmvalve Gmprolapse
b. Prosthetic Gmheart Gmvalve
c. Rheumatic Gmheart Gmdisease
d. Pacemakers Gmfor Gmcardiac Gmarrhythmias
ANS: G m B
Previously, Gmthe GmAmerican GmHeart GmAssociation Gm(AHA) Gmrecommended Gmantibiotic
Gmprophylaxis Gmfor Gmmany Gmpatients Gmwith Gmheart Gmmurmurs Gmcaused Gmby Gmvalvular Gmdisease
Gm(e.g., Gmmitral Gmvalve Gmprolapse, Gmrheumatic Gmheart Gmdisease) Gmin Gman Gmeffort Gmto Gmprevent
Gminfective Gmendocarditis; Gmhowever, Gmcurrent Gmguidelines Gmomit Gmthis Gmrecommendation Gmon
Gmthe Gmbasis Gmof Gmaccumulated Gmscientific Gmevidence. GmIf Gma Gmmurmur Gmis Gmdue Gmto Gmcertain
Gmspecific Gmcardiac Gmconditions Gm(e.g., Gmprevious Gmendocarditis, Gmprosthetic Gmheart Gmvalve,
Gmcomplex Gmcongenital Gmcyanotic Gmheart Gmdisease), Gmthe GmAHA Gmcontinues Gmto Gmrecommend
Gmantibiotic Gmprophylaxis Gmfor Gmmost Gmdental Gmprocedures.
3. One Gmconsequence Gmof Gmchronic Gmhepatitis Gm(B Gmor GmC) Gmor Gmcirrhosis Gmof Gmthe Gmliver Gmis
Gmdecreased Gmability Gmof Gmthe Gmbody Gmto certain Gmdrugs, Gmincluding Gmlocal Gmanesthetics
Gmand Gmanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: G m C
Patients Gmalso Gmmay Gmhave Gmchronic Gmhepatitis Gm(B Gmor GmC) Gmor Gmcirrhosis, Gmwith
Gmimpairment Gmof Gmliver Gmfunction. GmThis Gmdeficit Gmmay Gmresult Gmin Gmprolonged
Gmbleeding Gmand Gmless Gmefficient Gmmetabolism Gmof Gmcertain Gmdrugs, Gmincluding Gmlocal
Gmanesthetics Gmand Gmanalgesics.
4. Which Gmof Gmthe Gmfollowing Gmsymptoms Gmand Gmsigns Gmis Gmmost Gmconsistent Gmwith Gmallergy?
a. Heart Gmpalpitations
b. Itching
Page 3 of 191
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GmStudy GmMaterial
Page Gm1 Gmof Gm74
c. Vomiting
d. Fainting
ANS: G m B
Symptoms Gmand Gmsigns Gmconsistent Gmwith Gmallergy Gminclude Gmitching, Gmurticaria Gm(hives),
Gmrash, Gmswelling, Gmwheezing, Gmangioedema, Gmrunny Gmnose, Gmand Gmtearing Gmeyes. GmIsolated
Gmsigns Gmand Gmsymptoms Gmsuch Gmas Gmnausea, Gmvomiting, Gmheart Gmpalpitations, Gmand Gmfainting
Gmgenerally Gmare Gmnot Gmof Gman Gmallergic Gmorigin Gmbut Gmrather Gmare Gmmanifestations Gmof Gmdrug
Gmintolerance, Gmadverse Gmside Gmeffects, Gmor Gmpsychogenic Gmreactions.
5. Which Gmof Gmthe Gmfollowing Gmis Gmtrue Gmof Gmthe Gmpatient Gmwith Gma Gmhistory Gmof Gmtuberculosis?
a. A Gmpositive Gmresult Gmon Gmskin Gmtesting Gmmeans Gmthat Gmthe Gmperson Gmhas Gmactive GmTB.
b. Most Gmpatients Gmwho Gmbecome Gmpositive Gmskin Gmtesters Gmdevelop Gmactive Gmdisease.
c. Patients Gmwith Gmacquired Gmimmunodeficiency Gmsyndrome Gm(AIDS) Gmhave Gma Gmhigh
Gm incidence Gmof Gmtuberculosis.
d. A Gmdiagnosis Gmof Gmactive GmTB Gmis Gmmade Gmby Gma Gmpurified Gmprotein Gmderivative Gm(PPD) Gmskin
Gm test.
ANS: G m C
The Gmpotential Gmcoexistence Gmof Gmtuberculosis Gmand Gmacquired Gmimmunodeficiency
Gmsyndrome Gm(AIDS) Gmshould Gmbe Gmexplored Gmbecause Gmpatients Gmwith GmAIDS Gmhave Gma Gmhigh
Gmincidence Gmof Gmtuberculosis. GmA Gmpositive Gmresult Gmon Gmskin Gmtesting Gmmeans Gmspecifically
Gmthat Gmthe Gmperson Gmhas Gmat Gmsome Gmtime Gmbeen Gminfected Gmwith GmTB, Gmnot Gmnecessarily Gmthat
Gmactive Gmdisease Gmis Gmpresent. GmMost Gmpatients Gmwho Gmbecome Gmpositive Gmskin Gmtesters Gmdo
Gmnot Gmdevelop Gmactive Gmdisease. GmA Gmdiagnosis Gmof Gmactive GmTB Gmis Gmmade Gmby Gmchest Gmx-ray,
Gmimaging, Gmsputum Gmculture, Gmand Gmclinical Gmexamination.
6. Vasoconstrictors Gmshould Gmbe Gmavoided Gmin Gmpatients Gmwho Gmcocaine Gmor
Gmmethamphetamine Gmusers Gmbecause Gmthese Gmagents Gmmay Gmprecipitate .
a. severe Gmhypotension
b. severe Gmhypertension
c. respiratory Gmdepression
d. cessation Gmof Gmintestinal Gmperistalsis
ANS: G m B
Vasoconstrictors Gmshould Gmbe Gmavoided Gmin Gmpatients Gmwho Gmare Gmcocaine Gmor
Gmmethamphetamine Gmusers Gmbecause Gmthe Gmcombination Gmmay Gmprecipitate Gmarrhythmias,
GmMI, Gmor Gmsevere Gmhypertension.
7. It has Gmbeen Gmshown Gmthat Gmthe Gmrisk Gmfor Gmoccurrence Gmof Gma Gmserious Gmperioperative
Gm
Gmcardiovascular Gmevent Gm(e.g., GmMI, Gmheart Gmfailure) Gmis Gmincreased Gmin Gmpatients Gmwho Gmare
Gmunable Gmto Gmmeet Gma Gm-MET Gm(metabolic Gmequivalent Gmof Gmtask) Gmdemand Gmduring Gmnormal
Gmdaily Gmactivity.
a. 4
b. 6
c. 8
d. 10
ANS: G m A
Daily Gmactivities Gmrequiring Gm4 GmMETs Gminclude Gmlevel Gmwalking Gmat Gm4 Gmmiles/hour Gmor
Page 4 of 191
LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE
MEDICALLY COMPROMISED PATIENT
10TH EDITION
,Little: GmDental GmManagement Gmof Gmthe GmMedically GmCompromised GmPatient, Gm10th GmEdition
GmTest GmBank
Table Gmof GmContents
PART GmONE: GmPATIENT GmEVALUATION GmAND GmRISK GmASSESSMENT
Chapter Gm1: GmPatient GmEvaluation Gmand GmRisk GmAssessment
PART GmTWO: GmCARDIOVASCULAR GmDISEASE
Chapter Gm2: GmInfective GmEndocarditis
Chapter Gm3: GmHypertension
Chapter Gm4: GmIschemic GmHeart GmDisease
Chapter Gm5: GmCardiac GmArrhythmias
Chapter Gm6: GmHeart GmFailure Gm(or GmCongestive GmHeart GmFailure)
PART GmTHREE: GmPULMONARY GmDISEASE
Chapter Gm7: GmPulmonary GmDisease
Chapter Gm8: GmSmoking Gmand GmTobacco GmUse GmCessation
Chapter Gm9: GmSleep-Related GmBreathing GmDisorders
PART GmFOUR: GmGASTROINTESTIAL GmDISEASE
Chapter Gm10: GmLiver GmDisease
Chapter Gm11: GmGastrointestinal GmDisease
PART GmFIVE: GmGENITOURINARY GmDISEASE
Chapter Gm12: GmChronic GmKidney GmDisease Gmand GmDialysis
Chapter Gm13: GmSexually GmTransmitted GmDiseases
PART GmSIX: GmENDOCRINE GmAND GmMETABOLIC GmDISEASE
Chapter Gm14: GmDiabetes GmMellitus
Chapter Gm15: GmAdrenal GmInsufficiency
Chapter Gm16: GmThyroid GmDiseases
Chapter Gm17: GmPregnancy Gmand GmBreast GmFeeding
PART GmSEVEN: GmIMMUNOLOGIC GmDISEASE
Chapter Gm18: GmAIDS, GmHIV GmInfection, Gmand GmRelated GmConditions
Chapter Gm19: GmAllergy
Chapter Gm20: GmRheumatologic Gmand GmConnective GmTissue GmDisorders
Chapter Gm21: GmOrgan Gmand GmBone GmMarrow GmTransplantation
PART GmEIGHT: GmHEMATOLOGIC GmAND GmONCOLOGIC GmDISEASE
Chapter Gm22: GmDisorders Gmof GmRed GmBlood GmCells
Chapter Gm23: GmDisorders Gmof GmWhite GmBlood GmCells
Chapter Gm24: GmAcquired GmBleeding Gmand GmHypercoagulable GmDisorders
Chapter Gm25: GmCongenital GmBleeding Gmand GmHypercoagulable GmDisorders
Chapter Gm26: GmCancer Gmand GmOral GmCare Gmof Gmthe GmPatient
PART GmNINE: GmNEUROLOGIC, GmBEHAVIORAL, GmAND GmPSYCHIATRIC
GmDISORDERS
Chapter Gm27: GmNeurologic GmDisorders
Chapter Gm28: GmAnxiety, GmEating GmDisorders, Gmand GmBehavioral GmReactions Gmto GmIllness
Chapter Gm29: GmPsychiatric GmDisorders
Chapter Gm30: GmDrug Gmand GmAlcohol GmAbuse
, WWW.GRADESMORE.COM
Stuvia.com Gm- GmThe GmMarketplace Gmto GmBuy Gmand GmSell Gmyour
GmStudy GmMaterial
Page Gm1 Gmof Gm74
Chapter 01: Patient Evaluation and Risk Assessment
Gm Gm Gm Gm Gm Gm
Little: Dental Management of the Medically Compromised Patient, 9th Edition
Gm Gm Gm Gm Gm Gm Gm Gm Gm
MULTIPLE GmCHOICE
1. Elective Gmdental Gmcare Gmshould Gmbe Gmdeferred Gmfor Gmpatients Gmwith Gmsevere, Gmuncontrolled
Gmhypertension, Gmmeaning Gmthat Gmthe Gmblood Gmpressure Gmis Gmgreater Gmthan Gmor Gmequal Gmto
mm GmHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: G m C
Elective Gmdental Gmcare Gmshould Gmbe Gmdeferred Gmfor Gmpatients Gmwith Gmsevere, Gmuncontrolled
Gmhypertension, Gmwhich Gmis Gmblood Gmpressure Gmgreater Gmthan Gmor Gmequal Gmto Gm180/110 Gmmm
GmHg, Gmuntil Gmthe Gmcondition Gmcan Gmbe Gmbrought Gmunder Gmcontrol.
2. The GmAmerican GmHeart GmAssociation Gmcurrently Gmrecommends Gmantibiotic Gmprophylaxis Gmfor
a Gmpatient Gmwith Gmwhich Gmof Gmthe Gmfollowing Gmcardiac Gmconditions?
Gm
a. Mitral Gmvalve Gmprolapse
b. Prosthetic Gmheart Gmvalve
c. Rheumatic Gmheart Gmdisease
d. Pacemakers Gmfor Gmcardiac Gmarrhythmias
ANS: G m B
Previously, Gmthe GmAmerican GmHeart GmAssociation Gm(AHA) Gmrecommended Gmantibiotic
Gmprophylaxis Gmfor Gmmany Gmpatients Gmwith Gmheart Gmmurmurs Gmcaused Gmby Gmvalvular Gmdisease
Gm(e.g., Gmmitral Gmvalve Gmprolapse, Gmrheumatic Gmheart Gmdisease) Gmin Gman Gmeffort Gmto Gmprevent
Gminfective Gmendocarditis; Gmhowever, Gmcurrent Gmguidelines Gmomit Gmthis Gmrecommendation Gmon
Gmthe Gmbasis Gmof Gmaccumulated Gmscientific Gmevidence. GmIf Gma Gmmurmur Gmis Gmdue Gmto Gmcertain
Gmspecific Gmcardiac Gmconditions Gm(e.g., Gmprevious Gmendocarditis, Gmprosthetic Gmheart Gmvalve,
Gmcomplex Gmcongenital Gmcyanotic Gmheart Gmdisease), Gmthe GmAHA Gmcontinues Gmto Gmrecommend
Gmantibiotic Gmprophylaxis Gmfor Gmmost Gmdental Gmprocedures.
3. One Gmconsequence Gmof Gmchronic Gmhepatitis Gm(B Gmor GmC) Gmor Gmcirrhosis Gmof Gmthe Gmliver Gmis
Gmdecreased Gmability Gmof Gmthe Gmbody Gmto certain Gmdrugs, Gmincluding Gmlocal Gmanesthetics
Gmand Gmanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: G m C
Patients Gmalso Gmmay Gmhave Gmchronic Gmhepatitis Gm(B Gmor GmC) Gmor Gmcirrhosis, Gmwith
Gmimpairment Gmof Gmliver Gmfunction. GmThis Gmdeficit Gmmay Gmresult Gmin Gmprolonged
Gmbleeding Gmand Gmless Gmefficient Gmmetabolism Gmof Gmcertain Gmdrugs, Gmincluding Gmlocal
Gmanesthetics Gmand Gmanalgesics.
4. Which Gmof Gmthe Gmfollowing Gmsymptoms Gmand Gmsigns Gmis Gmmost Gmconsistent Gmwith Gmallergy?
a. Heart Gmpalpitations
b. Itching
Page 3 of 191
, WWW.GRADESMORE.COM
Stuvia.com Gm- GmThe GmMarketplace Gmto GmBuy Gmand GmSell Gmyour
GmStudy GmMaterial
Page Gm1 Gmof Gm74
c. Vomiting
d. Fainting
ANS: G m B
Symptoms Gmand Gmsigns Gmconsistent Gmwith Gmallergy Gminclude Gmitching, Gmurticaria Gm(hives),
Gmrash, Gmswelling, Gmwheezing, Gmangioedema, Gmrunny Gmnose, Gmand Gmtearing Gmeyes. GmIsolated
Gmsigns Gmand Gmsymptoms Gmsuch Gmas Gmnausea, Gmvomiting, Gmheart Gmpalpitations, Gmand Gmfainting
Gmgenerally Gmare Gmnot Gmof Gman Gmallergic Gmorigin Gmbut Gmrather Gmare Gmmanifestations Gmof Gmdrug
Gmintolerance, Gmadverse Gmside Gmeffects, Gmor Gmpsychogenic Gmreactions.
5. Which Gmof Gmthe Gmfollowing Gmis Gmtrue Gmof Gmthe Gmpatient Gmwith Gma Gmhistory Gmof Gmtuberculosis?
a. A Gmpositive Gmresult Gmon Gmskin Gmtesting Gmmeans Gmthat Gmthe Gmperson Gmhas Gmactive GmTB.
b. Most Gmpatients Gmwho Gmbecome Gmpositive Gmskin Gmtesters Gmdevelop Gmactive Gmdisease.
c. Patients Gmwith Gmacquired Gmimmunodeficiency Gmsyndrome Gm(AIDS) Gmhave Gma Gmhigh
Gm incidence Gmof Gmtuberculosis.
d. A Gmdiagnosis Gmof Gmactive GmTB Gmis Gmmade Gmby Gma Gmpurified Gmprotein Gmderivative Gm(PPD) Gmskin
Gm test.
ANS: G m C
The Gmpotential Gmcoexistence Gmof Gmtuberculosis Gmand Gmacquired Gmimmunodeficiency
Gmsyndrome Gm(AIDS) Gmshould Gmbe Gmexplored Gmbecause Gmpatients Gmwith GmAIDS Gmhave Gma Gmhigh
Gmincidence Gmof Gmtuberculosis. GmA Gmpositive Gmresult Gmon Gmskin Gmtesting Gmmeans Gmspecifically
Gmthat Gmthe Gmperson Gmhas Gmat Gmsome Gmtime Gmbeen Gminfected Gmwith GmTB, Gmnot Gmnecessarily Gmthat
Gmactive Gmdisease Gmis Gmpresent. GmMost Gmpatients Gmwho Gmbecome Gmpositive Gmskin Gmtesters Gmdo
Gmnot Gmdevelop Gmactive Gmdisease. GmA Gmdiagnosis Gmof Gmactive GmTB Gmis Gmmade Gmby Gmchest Gmx-ray,
Gmimaging, Gmsputum Gmculture, Gmand Gmclinical Gmexamination.
6. Vasoconstrictors Gmshould Gmbe Gmavoided Gmin Gmpatients Gmwho Gmcocaine Gmor
Gmmethamphetamine Gmusers Gmbecause Gmthese Gmagents Gmmay Gmprecipitate .
a. severe Gmhypotension
b. severe Gmhypertension
c. respiratory Gmdepression
d. cessation Gmof Gmintestinal Gmperistalsis
ANS: G m B
Vasoconstrictors Gmshould Gmbe Gmavoided Gmin Gmpatients Gmwho Gmare Gmcocaine Gmor
Gmmethamphetamine Gmusers Gmbecause Gmthe Gmcombination Gmmay Gmprecipitate Gmarrhythmias,
GmMI, Gmor Gmsevere Gmhypertension.
7. It has Gmbeen Gmshown Gmthat Gmthe Gmrisk Gmfor Gmoccurrence Gmof Gma Gmserious Gmperioperative
Gm
Gmcardiovascular Gmevent Gm(e.g., GmMI, Gmheart Gmfailure) Gmis Gmincreased Gmin Gmpatients Gmwho Gmare
Gmunable Gmto Gmmeet Gma Gm-MET Gm(metabolic Gmequivalent Gmof Gmtask) Gmdemand Gmduring Gmnormal
Gmdaily Gmactivity.
a. 4
b. 6
c. 8
d. 10
ANS: G m A
Daily Gmactivities Gmrequiring Gm4 GmMETs Gminclude Gmlevel Gmwalking Gmat Gm4 Gmmiles/hour Gmor
Page 4 of 191
