Rachael Eleanor Alexandra
Quiz by , created more than 1 year ago

Dental students leeds 4th yr.

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Rachael Eleanor Alexandra
Created by Rachael Eleanor Alexandra over 8 years ago
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Dental OSCE Quiz 2

Question 1 of 32

1

Fill the blank spaces to complete the text.

When taking a history from a medically compromised child you must ensure you get a definitive from the parents, and ask them what it means for the child.
The medical condition may affect visits and life. Ask the parents how they this condition daily. The child may require for a condition and you should be aware of the of this for dental treatment.

It is important to gauge the of the condition. Is the condition ? Get information about the condition was diagnosed, and any relating to the condition. Is the child under the care of a ?
Does look after the child?

Explanation

Question 2 of 32

1

Fill the blank spaces to complete the text.

For an epileptic child the following information must be gathered:
- What of epilepsy?
- How do they fit?
- How do they usually fit for?
- When was their ?
- Do they take any ? has there been any to this?
- What is the ?
- Are they under the care of a ?

Explanation

Question 3 of 32

1

Fill the blank spaces to complete the text.

For a child with a cardiac problem you must get the following information:
- Definitive
- Is the child under the care of a ?
- Does the child experience from their condition?
- Does it have an effect on their ?
- Have they ever had any ? Do they have any planned?

Explanation

Question 4 of 32

1

A dentist treating a medically compromised child does not necessarily have to remain in correspondence with the child's specialist, if it is for routine treatment.

Select one of the following:

  • True
  • False

Explanation

Question 5 of 32

1

Fill the blank spaces to complete the text.

A child with congenital heart disease presents a few problems in the dental setting. Their risk is higher and they may have enamel . During treatment, these children may be more than usual, may be on therapy or have and there is an increased risk during procedures under anaesthetic (you may need to liaise with the and should this be required)

In these children, therapy is .
You should take caution with local anaesthetics
Always be aware of ABC when assessing signs during treatment.

Explanation

Question 6 of 32

1

Fill the blank spaces to complete the text.

In asthmatic children, the effect of local inhalers may increase their risk of and dental . In these children we would generally avoid anaesthesia. Steroid therapy means the child is .

In practice, make sure the child brings their to appointments. Avoid prescribing to these children as it may precipitate an , as well as .

Explanation

Question 7 of 32

1

Fill the blank spaces to complete the text.

In children with cystic fibrosis, the following implications should be considered:

- defects
- Delayed
- anaesthesia should be
- Narcotics or sedatives are avoided as these cause
- Avoid appointments

Explanation

Question 8 of 32

1

True or false: Cystic fibrosis patients have a decreased risk of dental caries?

Select one of the following:

  • True
  • False

Explanation

Question 9 of 32

1

True or false? Cystic fibrosis patients may have less plaque?

Select one of the following:

  • True
  • False

Explanation

Question 10 of 32

1

ID blocks are contraindicated in which patients?

Select one of the following:

  • Congenital heart disease

  • Asthma

  • Epilepsy

  • Diabetes

  • Haemophilia

Explanation

Question 11 of 32

1

True or false? Extractions for epileptics and asthmatics are indicated for hospital treatment?

Select one of the following:

  • True
  • False

Explanation

Question 12 of 32

1

Extractions for haemophiliacs should be undertaken in hospital

Select one of the following:

  • True
  • False

Explanation

Question 13 of 32

1

Diabetes, wether well controlled or not, ALWAYS has an impact on dental treatment

Select one of the following:

  • True
  • False

Explanation

Question 14 of 32

1

Which of the following are diabetic patients at greater risk of?

Select one or more of the following:

  • Caries

  • Periodontal disease

  • Fits

  • Hypoglycaemia

  • Delayed wound healing

  • Ulcers

Explanation

Question 15 of 32

1

Fill the blank spaces to complete the text.

Patients undergoing treatment for cancer (therapy and therapy) may experience the following problems in the dental setting:

- Increased risk of thrush ( infection)
- Oral ation
- Dry mouth ( from radiation of )
- Increased risk of disease
- Destruction of bone from radiation - or ORN

Explanation

Question 16 of 32

1

Fill the blank spaces to complete the text.

When you gain consent for an extraction (surgical or not) you need to make the patient aware of the following risks:

- Post operative (pt to take analgesia)
- Post operative , bleeding or bruising
- of teeth
- or post operative infection of socket
- Damage to
- Excessive
- Damage to
- Creating an between oral cavity and maxillary (oral-antral or oral-antral fistula)
- of the mandible
- Fracture of maxillary

Explanation

Question 17 of 32

1

What does the C stand for in the cage questions?

Select one of the following:

  • Can't get up in the morning

  • Do you drink more than 10 Cans a day of alcohol?

  • Have you ever thought of Cutting down on your drinking?

Explanation

Question 18 of 32

1

What does the A stand for in the CAGE questions?

Select one of the following:

  • Have people Annoyed you by criticising your drinking?

  • Has Alcohol impacted your life in a negative way?

  • Have you been unAble to go to work as a result of drinking?

Explanation

Question 19 of 32

1

What does the G stand for in the CAGE questions?

Select one of the following:

  • Have you ever Gotten ill from drinking?

  • Have you every felt guilty about drinking?

  • Do you still get a Good feeling from drinking?

Explanation

Question 20 of 32

1

What does the E stand for in the CAGE questionnaire?

Select one of the following:

  • Do you ever feel Exhausted from the amount you drink?

  • Does your family EXPECT you to stop drinking?

  • Have you ever had an eye opener or a drink firsts thing to steady your nerves?

Explanation

Question 21 of 32

1

What is the NHS recommended level of drinking for an adult per week?

Select one of the following:

  • 15 units women 20 units men

  • 20 units women 23 units men

  • 14 units women 14 units men

Explanation

Question 22 of 32

1

How many units of alcohol does a large glass of wine have?

Select one of the following:

  • 1.6 units

  • 2.3 units

  • 3.3 units

Explanation

Question 23 of 32

1

True or false, a pint of beer always contains 3 units of alcohol

Select one of the following:

  • True
  • False

Explanation

Question 24 of 32

1

Fill the blank spaces to complete the text.

A patient has arrived with a failed crown you have to explain why this may have happened and what options they have.

Why?
- There may be under the crown margin, due to . The tooth or crown may have as well.
- We would need to the crown. This involves the existing crown and removing any on the tooth. We may need to the tooth a little more and take some more so a new crown can be made. This may take a few .
- If there is not much tooth left, we may need to place a in the tooth and build up the tooth above the gum in order to place a on top. This procedure has a higher risk of however and may result in a root in time.
- Depending on the state of the tooth underneath, we may have to take an and possibly carry out treatment on the tooth before we can place a crown on top.
- If the tooth underneath is we may have to it and replace it with a , partial , or an implant.

Explanation

Question 25 of 32

1

The four principles of preventative advice are:

Select one or more of the following:

  • Brush after every time you eat

  • Brush with fluoride twice daily

  • 3 snacks a day with 2 main meals

  • 3 meals a day with 2 snacks

  • Reduce sugar intake and avoid sugary drinks/snacks between meals

  • Visit the dentist when you have a problem

  • Visit the dentist regularly

Explanation

Question 26 of 32

1

It is the amount of sugar in your diet rather than how often you eat sugar that makes the most impact on your dental health

Select one of the following:

  • True
  • False

Explanation

Question 27 of 32

1

Fill the blank spaces to complete the text.

You're giving a parent advice about their child's diet to prevent further decay as their child has white spot lesions.

What are white spot lesions?
- The beginning of , where the tooth has been by sugar from food.
- Sugar is converted into by in our mouths
- The less we eat, the less attacks we have
- Sugar attacks can cause a in the tooth

Without oral hygiene improvement and diet changes, these white spot lesions may progress into and cause the child

Explanation

Question 28 of 32

1

What does ALARA stand for?

Select one of the following:

  • As little as relatively achievable

  • As long as reasonably allowed

  • As low as reasonably achievable

Explanation

Question 29 of 32

1

Who does ALARA aim to protect?

Select one of the following:

  • Patient

  • Dentist

  • Radiographers

  • All of the above

Explanation

Question 30 of 32

1

Which of the following techniques can achieve ALARA in practice? (tick all that apply)

Select one or more of the following:

  • Using protective equipment

  • Minimising repeats of x-rays

  • Basing diagnoses purely on clinical inspection

  • Giving good patient instruction

  • Using digital phosphor plates

  • Using up to date equipment

Explanation

Question 31 of 32

1

True or false: patient positioning can have an effect on the dose of radiation they receive?

Select one of the following:

  • True
  • False

Explanation

Question 32 of 32

1

True or false? There are no readily-available precautions we can take to reduce radiation dose during DPTs

Select one of the following:

  • True
  • False

Explanation