Title: Chapter 66: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: A sac formed by dilation of the wall of a blood vessel or heart is known as:
- infarct
- stenosis
- lumen
- thrombus
- aneurysm
A: aneurysm

Q: Secondary hypertension can be caused in women who are taking oral contraceptives. In persons with secondary hypertension, the systolic pressure is elevated while the diastolic pressure remains normal.
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- Both statements are true
- Both statements are false
A: The first statement is true and the second statement is false

Q: A sudden drop in arterial blood pressure when a person stands up quickly from a supine position is called:
- low blood pressure
- secondary hypotension
- postural hypotension
- essential hypertension
- prehypertension
A: postural hypotension

Q: Coumarin derivatives, such as warfarin (Coumadin), are used in anticoagulant therapy to prevent blood clots. Dental patients on Coumadin should have their prothrombin time checked no more than 1 hour before their dental appointment to determine blood clotting time.
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- Both statements are true
- Both statements are false
A: The first statement is true and the second statement is false

Q: All of the following are true about rheumatic heart disease except:
- it is an outcome of rheumatic fever
- cardiac valve damage is present
- antibiotic premedication is recommended before dental treatment
- it is caused by sensitization to Streptococcus A antigens
- it permanently affects all body joints with arthritis
A: it permanently affects all body joints with arthritis

Q: Case Study 1
Mr. Matton presents as a new patient wanting to have his teeth cleaned. He takes captopril (Capoten) every morning and has allergies to bananas, kiwis, and tomatoes. You record his blood pressure at 155/92 mmHg, pulse at 74 beats per minute, and respirations at 16 per minute. He has not received any dental treatment for 5 years. He also says that he is having constant pain in tooth #30. His intraoral exam reveals generalized marginal inflammation, moderate plaque accumulation, and subgingival deposits. Probing depths are 4 to 6 mm on the posterior teeth with bleeding upon probing. Radiographs show carious lesions on the mesial of #14; mesial, occlusal, and distal surfaces of #30; and mesial surface of #19. There is also a periapical pathology on the buccal surface of tooth #30. There is horizontal bone loss in the posterior regions and Class II furcations on #3, 14, and 19.

Reference: Ref 66-1

Open and read the attached case to answer the following question. Based on Mr. Matton's blood pressure reading, his blood pressure classification is:
- normal range
- prehypertension
- Stage 1 hypertension
- Stage 2 hypertension
A: Stage 1 hypertension

Q: Case Study 1
Mr. Matton presents as a new patient wanting to have his teeth cleaned. He takes captopril (Capoten) every morning and has allergies to bananas, kiwis, and tomatoes. You record his blood pressure at 155/92 mmHg, pulse at 74 beats per minute, and respirations at 16 per minute. He has not received any dental treatment for 5 years. He also says that he is having constant pain in tooth #30. His intraoral exam reveals generalized marginal inflammation, moderate plaque accumulation, and subgingival deposits. Probing depths are 4 to 6 mm on the posterior teeth with bleeding upon probing. Radiographs show carious lesions on the mesial of #14; mesial, occlusal, and distal surfaces of #30; and mesial surface of #19. There is also a periapical pathology on the buccal surface of tooth #30. There is horizontal bone loss in the posterior regions and Class II furcations on #3, 14, and 19.

Reference: Ref 66-1

Open and read the attached case to answer the following question. All of the following are important lifestyle modifications that may impact blood pressure and should be discussed with the patient except:
- limiting salt in the diet
- more frequent dental visits
- regular exercise
- reduce stress
A: more frequent dental visits

Q: Case Study 1
Mr. Matton presents as a new patient wanting to have his teeth cleaned. He takes captopril (Capoten) every morning and has allergies to bananas, kiwis, and tomatoes. You record his blood pressure at 155/92 mmHg, pulse at 74 beats per minute, and respirations at 16 per minute. He has not received any dental treatment for 5 years. He also says that he is having constant pain in tooth #30. His intraoral exam reveals generalized marginal inflammation, moderate plaque accumulation, and subgingival deposits. Probing depths are 4 to 6 mm on the posterior teeth with bleeding upon probing. Radiographs show carious lesions on the mesial of #14; mesial, occlusal, and distal surfaces of #30; and mesial surface of #19. There is also a periapical pathology on the buccal surface of tooth #30. There is horizontal bone loss in the posterior regions and Class II furcations on #3, 14, and 19.

Reference: Ref 66-1

Open and read the attached case to answer the following question. To determine a care plan that is best for this client, which of the following should be completed first?
- Periodontal debridement for the entire mouth
- Consultation and treatment for the areas of pain
- Nutritional counseling to reduce caries
- Consultation for periodontal surgery
A: Consultation and treatment for the areas of pain

Q: Case Study 1
Mr. Matton presents as a new patient wanting to have his teeth cleaned. He takes captopril (Capoten) every morning and has allergies to bananas, kiwis, and tomatoes. You record his blood pressure at 155/92 mmHg, pulse at 74 beats per minute, and respirations at 16 per minute. He has not received any dental treatment for 5 years. He also says that he is having constant pain in tooth #30. His intraoral exam reveals generalized marginal inflammation, moderate plaque accumulation, and subgingival deposits. Probing depths are 4 to 6 mm on the posterior teeth with bleeding upon probing. Radiographs show carious lesions on the mesial of #14; mesial, occlusal, and distal surfaces of #30; and mesial surface of #19. There is also a periapical pathology on the buccal surface of tooth #30. There is horizontal bone loss in the posterior regions and Class II furcations on #3, 14, and 19.

Reference: Ref 66-1

Open and read the attached case to answer the following question. Which of the following would represent the most accurate disease classification of the patient's periodontal status?
- Chronic plaque-induced gingivitis
- Chronic periodontitis
- Aggressive periodontitis
- Periodontitis associated with systemic disease
A: Chronic periodontitis

Q: A 60-year-old male client complains of crushing chest pain, shortness of breath, and profuse sweating. His symptoms are only slightly improved by resting. The client has a history of angina pectoris and has his nitroglycerin tablets with him. Which of the following is the usual protocol for taking his nitroglycerin medication?
- Three tablets sublingually every 2 to 3 minutes until the pain subsides
- One tablet sublingually every 2 to 3 minutes until systolic blood pressure drops by 10 mmHg
- One tablet sublingually every 2 to 3 minutes until the pain is relieved, giving two doses before starting emergency response procedures
- One tablet sublingually every 10 to 15 minutes until the pain subsides
A: One tablet sublingually every 2 to 3 minutes until the pain is relieved, giving two doses before starting emergency response procedures

Q: An elderly male client with a history of high blood pressure and coronary heart disease complains of sudden loss of vision in one eye and a severe headache. You observe that the client has slurred speech and appears confused. What other signs and symptoms are most likely to occur in this client as this condition evolves to a cerebrovascular accident (stroke)?
- Weakness on one side
- Nausea and wheezing
- Hallucinations
- Asthma
A: Asthma

Q: The dental patient who is experiencing heart failure is usually unconscious. The patient should be placed in a supine position to prepare for initiation of emergency response procedures.
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- Both statements are true
- Both statements are false
A: Both statements are false

Q: Which of the following is an example of a genetic cause of a congenital heart defect?
- Thalidomide
- Rubella infection from the mother
- Down syndrome
- Cytomegalovirus infection from the mother
A: Down syndrome

Q: All of the following are symptoms of a pacemaker malfunction except:
- difficult breathing
- syncope
- tingling of fingertips
- chest pain
- prolonged hiccoughing
A: tingling of fingertips

Q: The type of heart disease that arises from restricted blood supply to the myocardium is known as:
- angina
- hypertensive
- infarction
- ischemic
A: ischemic