2019 paper

Question 1

What are the short term effects of child neglect

Answer 1

Physical health
Emotional health
Social development
Cognititve development

Question 2

What are the long term effects of child neglect

Answer 2

Arrest
Suicide attempt
Heart Disease
Diabetes
Depression

Question 3

What is the management of child neglect

Answer 3

Preventitive dental team management
Preventitive multi agency management
Child protection referral

Question 4

What are the causes of congestive heart failure

Answer 4

Heart attack
Diabetes
Myocardial infarction
Hypertension
Cornoary artery disease

Question 5

What are the symptoms of congestive heart disease

Answer 5

Rapid irregular heart beat
Fatigue and weakness
Shortness of breath
Chest pain when breathing
Cough, wheezing

Question 6

What is the treatment for cogestive heart failure

Answer 6

Lifestyle changes
Medicaiton - ACE inhibitors, beta blockers, diuretics
Heart valve surgery

Question 7

What are reasons for liver cirrohosis

Answer 7

Alcohol abuse
Viral hepatitis
Cycstic fibrosis
Non alcoholic fatty liver disease
Iron buildup in the body (hemochomatosis)
Primary bilary cirrhosis

Question 8

Why has a person with liver cirrohosis have thrombocytopenia

Answer 8

Reduced production of thrombopoetin (regulates platelet production)
Anti cancer agents
Bone marrow suppression by hep C virus
Due to splenomegagly associated with portal hypertension
Antiviral treatment with inteferon blind therapy or increased destruction of platelets through phagocytosis in enlarged spleen

Question 9

What are the 5 key principles of adults with incapacity act

Answer 9

Benefit
Minimium neessary intervention
Take account of the wishes of the adult
Consultation with relveant others
Encourage the adult to exercise residual capacity

Question 10

Who can give agreement for treatment

Answer 10

Patients with capacity
Medical and dental practiioners under section 47 of AWI act
Welfare Guardians
Welfare Power of Attorney

Question 11

How many canals in upper first premolar

Answer 11

2

Question 12

What is the corrected working length

Answer 12

It is a specific length measured from the apical terminus to a specific predefined point on the cornal area of the tooth

Question 13

What radiograph are used for endo

Answer 13

PA - green

Question 14

3 reasons to do non surgical before surgical therapy

Answer 14

Allows evaluation of patient motivation and plq control (reduces failure risk of surgery due to poor OH)
Deep pocket may heal following non surgical therapy
Improve soft tissue consistency for easier surgical management
Surgery is more invasive and has long term complications

Question 15

What are 2 indications for surgical re-evaluation of therapy

Answer 15

Pocket >5mm persist
Furcation involvement
Excellent OH

Question 16

Aim of surgical therapy

Answer 16

To arrest the disease by gaining access to complete root surface debridement
It is used to regenerate lost perio tissue

Question 17

What can a dentist do afterwards to support patient

Answer 17

Review OH and TIPPS
Review supra and subging calc routinely
Carry out RSD routinely
Reappraise mechanical plq control
Perio pocket chart annually and include plq and bleeding levels

Question 18

When do you reevalute non surgical therypy?

Answer 18

4-6weeks (some say 6-8weeks)