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Question 1

A torn maxillary frenum is a rare injury for a child to experience and should raise significant concern about the possibility of non-accidental injury, especially when other bruises have been identified.

who should you contact

Answer 1

safeguarding

Question 2

A 47-year-old-female presents to her normal diabetic outpatient appointment as part of her regular check up. She is a type two diabetic with a body mass index of 24kg/m². She is currently on full dose metformin monotherapy. Her HbA1c is 59mmol/mol. She reports that she is compliant with her medications. After discussion the patient feels there is not much more she can do with lifestyle modification or diet and is willing to add extra therapeutics to her management as needed. Which of the following would be the most appropriate management options?

Answer 2

gliclazide

Gliclazide is the preferred option when there is no concern about weight gain
If there was concern, sitagliptin (DPP-4 inhibitor) would be used as it does not cause weight gain
Insulin is not used until very far down the treatment pathway