Test Bank For Little and Falace's Dental Management o
n n n n n n n n
f the Medically Compromised Patient,
n n n n
10thEditionby Craig Miller, Ch
n n n n nn
apters 1 - 30 n n n
,Little:nDentalnManagementnofnthenMedicallynCompromisednPatient,n10thnEditionnTes
tnBank
TablenofnContents
PARTnONE:nPATIENTnEVALUATION nAND nRISK nASSESSMENT
Chaptern1:nPatientnEvaluationnandnRisknAssessment
PARTnTWO:nCARDIOVASCULAR nDISEASE
Chaptern2:nInfectivenEndocarditisnCha
ptern3:nHypertension
Chaptern4:nIschemicnHeartnDiseasenC
haptern5:nCardiacnArrhythmias
Chaptern6:nHeartnFailuren(ornCongestivenHeartnFailure)
PARTnTHREE:nPULMONARY nDISEASE
Chaptern7:nPulmonarynDisease
Chaptern8:nSmokingnandnTobacconUsenCessationn
Chaptern9:nSleep-
RelatednBreathingnDisordersnPARTnFOUR:nGAS
TROINTESTIALnDISEASE
Chaptern10:nLivernDisease
Chaptern11:nGastrointestinal nDisease
PARTnFIVE:nGENITOURINARY nDISEASE
Chaptern12:nChronicnKidneynDiseasenandnDialysisn
Chaptern13:nSexuallynTransmittednDiseases
PARTnSIX:nENDOCRINE nAND nMETABOLIC nDISEASE
Chaptern14:nDiabetesnMellitusnChapte
rn15:nAdrenal nInsufficiencynChaptern16:
nThyroid nDiseases
Chaptern17:nPregnancynandnBreastnFeeding
PARTnSEVEN:nIMMUNOLOGIC nDISEASE
Chaptern18:nAIDS,nHIVnInfection,nandnRelatednConditionsnChapter
n19:nAllergy
Chaptern20:nRheumatologicnandnConnectivenTissuenDisordersnChapte
rn21:nOrgannandnBonenMarrownTransplantation
PARTnEIGHT:nHEMATOLOGIC nAND nONCOLOGIC nDISEASE
Chaptern22:nDisordersnofnRednBloodnCellsnChapte
rn23:nDisordersnofnWhitenBloodnCells
Chaptern24:nAcquirednBleedingnandnHypercoagulablenDisordersnChap
tern25:nCongenital nBleedingnandnHypercoagulablenDisordersnChaptern2
6:nCancernandnOral nCarenofnthenPatient
PARTnNINE:nNEUROLOGIC,nBEHAVIORAL,nAND nPSYCHIATRIC nDISORDERS
Chaptern27:nNeurologicnDisorders
Chaptern28:nAnxiety,nEatingnDisorders,nandnBehavioral nReactionsntonIllnessnChapter
n29:nPsychiatricnDisorders
Chaptern30:nDrugnandnAlcohol nAbuse
, WWW.GRADESMORE.COM
Stuvia.comn-
nThenMarketplacento nBuy nand nSell nyour nStudy nMaterial
Pagen1nof n74
Chaptern01:nPatientnEvaluationnandnRisknAssessment
Little:nDentalnManagementnofnthenMedicallynCompromisednPatient,n10thnEdition
MULTIPLEnCHOICE
1. Electivendental ncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhyper
tension,nmeaningnthatnthenbloodnpressurenisngreaternthannornequal nto mm nHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:n C
Electivendental ncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhypert
ension,nwhichnisnbloodnpressurengreaternthannornequalnton180/110nmmnHg,nuntil nthenc
onditionncannbenbroughtnunderncontrol.
2. ThenAmericannHeartnAssociationncurrentlynrecommendsnantibioticnprophylaxisnfornan
patientnwithnwhichnofnthenfollowingncardiacnconditions?
a. Mitral nvalvenprolapse
b. Prostheticnheartnvalve
c. Rheumaticnheartndisease
d. Pacemakersnforncardiacnarrhythmias
ANSWER:n B
Previously,nthenAmericannHeartnAssociationn(AHA)nrecommendednantibioticnprophylax
isnfornmanynpatientsnwithnheartnmurmursncausednbynvalvularndiseasen(e.g.,nmitral nvalven
prolapse,nrheumaticnheartndisease)ninnanneffortntonpreventninfectivenendocarditis;nhowe
ver,ncurrentnguidelinesnomitnthisnrecommendationnonnthenbasisnofnaccumulatednscientifi
cnevidence.nIfnanmurmurnisnduentoncertainnspecificncardiacnconditionsn(e.g.,npreviousnen
docarditis,nprostheticnheartnvalve,ncomplexncongenital ncyanoticnheartndisease),nthenAH
Ancontinuesntonrecommendnantibioticnprophylaxisnfornmostndental nprocedures.
3. Onenconsequencenofnchronicnhepatitisn(BnornC)norncirrhosisnofnthenlivernisndecreasedna
bilitynofnthenbodynto certainndrugs,nincludingnlocal nanestheticsnandnanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:n C
Patientsnalsonmaynhavenchronicnhepatitisn(BnornC)norncirrhosis,nwithnimpairmentnof
nlivernfunction.nThisndeficitnmaynresultninnprolongednbleeding nandnlessnefficientnme
tabolism nofncertainndrugs,nincludingnlocal nanestheticsnandnanalgesics.
4. Whichnofnthenfollowingnsymptomsnandnsignsnisnmostnconsistentnwithnallergy?
a. Heartnpalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comn-
nThenMarketplacento nBuy nand nSell nyour nStudy nMaterial
Pagen1nof n74
ANSWER:n B
Symptomsnandnsignsnconsistentnwithnallergynincludenitching,nurticarian(hives),nrash,nsw
elling,nwheezing,nangioedema,nrunnynnose,nandntearingneyes.nIsolatednsignsnandnsymp
tomsnsuchnasnnausea,nvomiting,nheartnpalpitations,nandnfaintingngenerallynarennotnofnan
nallergicnorigin nbutnrathernarenmanifestationsnofndrugnintolerance,nadversensideneffects,n
ornpsychogenicnreactions.
5. Whichnofnthenfollowingnisntruenofnthenpatientnwithnanhistorynofntuberculosis?
a. AnpositivenresultnonnskinntestingnmeansnthatnthenpersonnhasnactivenTB.
b. Mostnpatientsnwhonbecomenpositivenskinntestersndevelopnactivendisease.
c. Patientsnwithnacquirednimmunodeficiencynsyndromen(AIDS)nhavenanhighni
ncidencenofntuberculosis.
d. AndiagnosisnofnactivenTBnisnmadenbynanpurifiednproteinnderivativen(PPD)nskinntest.
ANSWER:n C
Thenpotential ncoexistencenofntuberculosisnandnacquirednimmunodeficiencynsyndromen(
AIDS)nshouldnbenexplorednbecausenpatientsnwithnAIDSnhavenanhighnincidencenofntuber
culosis.nAnpositivenresultnonnskinntestingnmeansnspecificallynthatnthenpersonnhasnatnsom
entimenbeenninfectednwithnTB,nnotnnecessarilynthatnactivendiseasenisnpresent.nMostnpati
entsnwhonbecomenpositivenskinntestersndonnotndevelopnactivendisease.nAndiagnosisnofna
ctivenTBnisnmadenbynchestnx-ray,nimaging,nsputum nculture,nandnclinical nexamination.
6. Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhoncocainenornmeth
amphetaminenusersnbecausenthesenagentsnmaynprecipitate .
a. severenhypotension
b. severenhypertension
c. respiratoryndepression
d. cessationnofnintestinal nperistalsis
ANSWER:n B
Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhonarencocainenornmethamphetamin
enusersnbecausenthencombinationnmaynprecipitatenarrhythmias,nMI,nornseverenhyperten
sion.
7. Itnhasnbeennshownnthatnthenrisknfornoccurrencenofnanseriousnperioperativencardiovascul
arneventn(e.g.,nMI,nheartnfailure)nisnincreasedninnpatientsn whonarenunablentonmeetnan-
METn(metabolicnequivalentnofntask)ndemandnduringnnormal ndailynactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:nA
Dailynactivitiesnrequiringn4nMETsnincludenlevel nwalkingnatn4nmiles/hournornclimbingnanflightn
ofnstairs.nActivitiesnrequiringngreaternthann10nMETsnincludenswimmingnandnsinglesntennis.
nAnnexercise ncapacitynofn10nton13nMETsnindicatesnexcellentnphysical nconditioning.
8. Whichnofnthenfollowingnalterationsninnthenfingernailsnisnassociatednwithncirrhosis?
a. Yellowing
b. Clubbing
c. Whitendiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
n n n n n n n n
f the Medically Compromised Patient,
n n n n
10thEditionby Craig Miller, Ch
n n n n nn
apters 1 - 30 n n n
,Little:nDentalnManagementnofnthenMedicallynCompromisednPatient,n10thnEditionnTes
tnBank
TablenofnContents
PARTnONE:nPATIENTnEVALUATION nAND nRISK nASSESSMENT
Chaptern1:nPatientnEvaluationnandnRisknAssessment
PARTnTWO:nCARDIOVASCULAR nDISEASE
Chaptern2:nInfectivenEndocarditisnCha
ptern3:nHypertension
Chaptern4:nIschemicnHeartnDiseasenC
haptern5:nCardiacnArrhythmias
Chaptern6:nHeartnFailuren(ornCongestivenHeartnFailure)
PARTnTHREE:nPULMONARY nDISEASE
Chaptern7:nPulmonarynDisease
Chaptern8:nSmokingnandnTobacconUsenCessationn
Chaptern9:nSleep-
RelatednBreathingnDisordersnPARTnFOUR:nGAS
TROINTESTIALnDISEASE
Chaptern10:nLivernDisease
Chaptern11:nGastrointestinal nDisease
PARTnFIVE:nGENITOURINARY nDISEASE
Chaptern12:nChronicnKidneynDiseasenandnDialysisn
Chaptern13:nSexuallynTransmittednDiseases
PARTnSIX:nENDOCRINE nAND nMETABOLIC nDISEASE
Chaptern14:nDiabetesnMellitusnChapte
rn15:nAdrenal nInsufficiencynChaptern16:
nThyroid nDiseases
Chaptern17:nPregnancynandnBreastnFeeding
PARTnSEVEN:nIMMUNOLOGIC nDISEASE
Chaptern18:nAIDS,nHIVnInfection,nandnRelatednConditionsnChapter
n19:nAllergy
Chaptern20:nRheumatologicnandnConnectivenTissuenDisordersnChapte
rn21:nOrgannandnBonenMarrownTransplantation
PARTnEIGHT:nHEMATOLOGIC nAND nONCOLOGIC nDISEASE
Chaptern22:nDisordersnofnRednBloodnCellsnChapte
rn23:nDisordersnofnWhitenBloodnCells
Chaptern24:nAcquirednBleedingnandnHypercoagulablenDisordersnChap
tern25:nCongenital nBleedingnandnHypercoagulablenDisordersnChaptern2
6:nCancernandnOral nCarenofnthenPatient
PARTnNINE:nNEUROLOGIC,nBEHAVIORAL,nAND nPSYCHIATRIC nDISORDERS
Chaptern27:nNeurologicnDisorders
Chaptern28:nAnxiety,nEatingnDisorders,nandnBehavioral nReactionsntonIllnessnChapter
n29:nPsychiatricnDisorders
Chaptern30:nDrugnandnAlcohol nAbuse
, WWW.GRADESMORE.COM
Stuvia.comn-
nThenMarketplacento nBuy nand nSell nyour nStudy nMaterial
Pagen1nof n74
Chaptern01:nPatientnEvaluationnandnRisknAssessment
Little:nDentalnManagementnofnthenMedicallynCompromisednPatient,n10thnEdition
MULTIPLEnCHOICE
1. Electivendental ncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhyper
tension,nmeaningnthatnthenbloodnpressurenisngreaternthannornequal nto mm nHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:n C
Electivendental ncarenshouldnbendeferrednfornpatientsnwithnsevere,nuncontrollednhypert
ension,nwhichnisnbloodnpressurengreaternthannornequalnton180/110nmmnHg,nuntil nthenc
onditionncannbenbroughtnunderncontrol.
2. ThenAmericannHeartnAssociationncurrentlynrecommendsnantibioticnprophylaxisnfornan
patientnwithnwhichnofnthenfollowingncardiacnconditions?
a. Mitral nvalvenprolapse
b. Prostheticnheartnvalve
c. Rheumaticnheartndisease
d. Pacemakersnforncardiacnarrhythmias
ANSWER:n B
Previously,nthenAmericannHeartnAssociationn(AHA)nrecommendednantibioticnprophylax
isnfornmanynpatientsnwithnheartnmurmursncausednbynvalvularndiseasen(e.g.,nmitral nvalven
prolapse,nrheumaticnheartndisease)ninnanneffortntonpreventninfectivenendocarditis;nhowe
ver,ncurrentnguidelinesnomitnthisnrecommendationnonnthenbasisnofnaccumulatednscientifi
cnevidence.nIfnanmurmurnisnduentoncertainnspecificncardiacnconditionsn(e.g.,npreviousnen
docarditis,nprostheticnheartnvalve,ncomplexncongenital ncyanoticnheartndisease),nthenAH
Ancontinuesntonrecommendnantibioticnprophylaxisnfornmostndental nprocedures.
3. Onenconsequencenofnchronicnhepatitisn(BnornC)norncirrhosisnofnthenlivernisndecreasedna
bilitynofnthenbodynto certainndrugs,nincludingnlocal nanestheticsnandnanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:n C
Patientsnalsonmaynhavenchronicnhepatitisn(BnornC)norncirrhosis,nwithnimpairmentnof
nlivernfunction.nThisndeficitnmaynresultninnprolongednbleeding nandnlessnefficientnme
tabolism nofncertainndrugs,nincludingnlocal nanestheticsnandnanalgesics.
4. Whichnofnthenfollowingnsymptomsnandnsignsnisnmostnconsistentnwithnallergy?
a. Heartnpalpitations
b. Itching
c. Vomiting
d. Fainting
WWW.NURSYLAB.COM
GRADESMORE.COM
, WWW.GRADESMORE.COM
Stuvia.comn-
nThenMarketplacento nBuy nand nSell nyour nStudy nMaterial
Pagen1nof n74
ANSWER:n B
Symptomsnandnsignsnconsistentnwithnallergynincludenitching,nurticarian(hives),nrash,nsw
elling,nwheezing,nangioedema,nrunnynnose,nandntearingneyes.nIsolatednsignsnandnsymp
tomsnsuchnasnnausea,nvomiting,nheartnpalpitations,nandnfaintingngenerallynarennotnofnan
nallergicnorigin nbutnrathernarenmanifestationsnofndrugnintolerance,nadversensideneffects,n
ornpsychogenicnreactions.
5. Whichnofnthenfollowingnisntruenofnthenpatientnwithnanhistorynofntuberculosis?
a. AnpositivenresultnonnskinntestingnmeansnthatnthenpersonnhasnactivenTB.
b. Mostnpatientsnwhonbecomenpositivenskinntestersndevelopnactivendisease.
c. Patientsnwithnacquirednimmunodeficiencynsyndromen(AIDS)nhavenanhighni
ncidencenofntuberculosis.
d. AndiagnosisnofnactivenTBnisnmadenbynanpurifiednproteinnderivativen(PPD)nskinntest.
ANSWER:n C
Thenpotential ncoexistencenofntuberculosisnandnacquirednimmunodeficiencynsyndromen(
AIDS)nshouldnbenexplorednbecausenpatientsnwithnAIDSnhavenanhighnincidencenofntuber
culosis.nAnpositivenresultnonnskinntestingnmeansnspecificallynthatnthenpersonnhasnatnsom
entimenbeenninfectednwithnTB,nnotnnecessarilynthatnactivendiseasenisnpresent.nMostnpati
entsnwhonbecomenpositivenskinntestersndonnotndevelopnactivendisease.nAndiagnosisnofna
ctivenTBnisnmadenbynchestnx-ray,nimaging,nsputum nculture,nandnclinical nexamination.
6. Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhoncocainenornmeth
amphetaminenusersnbecausenthesenagentsnmaynprecipitate .
a. severenhypotension
b. severenhypertension
c. respiratoryndepression
d. cessationnofnintestinal nperistalsis
ANSWER:n B
Vasoconstrictorsnshouldnbenavoidedninnpatientsnwhonarencocainenornmethamphetamin
enusersnbecausenthencombinationnmaynprecipitatenarrhythmias,nMI,nornseverenhyperten
sion.
7. Itnhasnbeennshownnthatnthenrisknfornoccurrencenofnanseriousnperioperativencardiovascul
arneventn(e.g.,nMI,nheartnfailure)nisnincreasedninnpatientsn whonarenunablentonmeetnan-
METn(metabolicnequivalentnofntask)ndemandnduringnnormal ndailynactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:nA
Dailynactivitiesnrequiringn4nMETsnincludenlevel nwalkingnatn4nmiles/hournornclimbingnanflightn
ofnstairs.nActivitiesnrequiringngreaternthann10nMETsnincludenswimmingnandnsinglesntennis.
nAnnexercise ncapacitynofn10nton13nMETsnindicatesnexcellentnphysical nconditioning.
8. Whichnofnthenfollowingnalterationsninnthenfingernailsnisnassociatednwithncirrhosis?
a. Yellowing
b. Clubbing
c. Whitendiscoloration
WWW.NURSYLAB.COM
GRADESMORE.COM
