Test Bank For Little and Falaces Dental Management of The Medically Compromised Patient 9th Edition
Test Bank For Little and Falaces Dental Management of The Medically Compromised Patient 9th Edition
Test Bank For Little and Falaces Dental Management of The Medically Compromised Patient 9th Edition
MULTIPLE CHOICE
1. Elective dental care should be deferred for patients with severe, uncontrolled hypertension, meaning that the blood pressure is
greater than or equal to mm Hg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANS: C
Elective dental care should be deferred for patients with severe, uncontrolled hypertension, which is blood pressure greater than or
equal to 180/110 mm Hg, until the condition can be brought under control.
2. The American Heart Association currently recommends antibiotic prophylaxis for a patient with which of the following cardiac
conditions?
a. Mitral valve prolapse
b. Prosthetic heart valve
c. Rheumatic heart disease
d. Pacemakers for cardiac arrhythmias
ANS: B
Previously, the American Heart Association (AHA) recommended antibiotic prophylaxis for many patients with heart murmurs
caused by valvular disease (e.g., mitral valve prolapse, rheumatic heart disease) in an effort to prevent infective endocarditis;
however, current guidelines omit this recommendation on the basis of accumulated scientific evidence. If a murmur is due to
certain specific cardiac conditions (e.g., previous endocarditis, prosthetic heart valve, complex congenital cyanotic heart disease),
the AHA continues to recommend antibiotic prophylaxis for most dental procedures.
3. One consequence of chronic hepatitis (B or C) or cirrhosis of the liver is decreased ability of the body to certain drugs,
including local anesthetics and analgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANS: C
Patients also may have chronic hepatitis (B or C) or cirrhosis, with impairment of liver function. This deficit may result in
prolonged bleeding and less efficient metabolism of certain drugs, including local anesthetics and analgesics.
4. Which of the following symptoms and signs is most consistent with allergy?
a. Heart palpitations
b. Itching
c. Vomiting
d. Fainting
ANS: B
Symptoms and signs consistent with allergy include itching, urticaria (hives), rash, swelling, wheezing, angioedema, runny nose,
and tearing eyes. Isolated signs and symptoms such as nausea, vomiting, heart palpitations, and fainting generally are not of an
allergic origin but rather are manifestations of drug intolerance, adverse side effects, or psychogenic reactions.
6. Vasoconstrictors should be avoided in patients who cocaine or methamphetamine users because these agents may precipitate
.
a. severe hypotension
b. severe hypertension
c. respiratory depression
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d. cessation of intestinal peristalsis
ANS: B
Vasoconstrictors should be avoided in patients who are cocaine or methamphetamine users because the combination may
precipitate arrhythmias, MI, or severe hypertension.
9. A blood pressure cuff should be placed on the upper arm and inflated until .
a. the radial pulse disappears
b. the radial pulse disappears and then inflated an additional 20 to 30 mm Hg
c. two fingers cannot fit comfortably under the cuff
d. the pulse no longer can be heard with the stethoscope
ANS: B
While the radial pulse is palpated, the cuff is inflated until the radial pulse disappears (approximate systolic pressure); it is then
inflated an additional 20 to 30 mm Hg.
10. Which of the following is true of a patient classified ASA III according to the American Society of Anesthesiologists (ASA)
Physical Status Classification System?
a. Patient has mild systemic disease.
b. Patient’s disease has significant impact on daily activity.
c. Patient’s disease is unlikely to have impact on anesthesia and surgery.
d. Patient is moribund.
ANS: B
Patient with severe systemic disease is a constant threat to life (e.g., recent myocardial infarction, stroke, transient ischemic attach
[<3 months], ongoing cardiac ischemia, severe valve dysfunction, respiratory failure requiring mechanical ventilation). Serious
limitation of daily activity; likely major impact on anesthesia and surgery.