paediatrics quizes Flashcards
What factor is most likely to improve the oral health of all pre-school children?
Select one:
a.
Use of 1450ppm toothpaste
b.
Water fluoridation
c.
Fluoridation of fizzy drinks
d.
Use of 1000ppm toothpaste
b.
Water fluoridation
Which treatment is of the highest priority in the following plan?
Select one:
a.
Relief of pain
b.
Oral hygiene instruction
c.
Restoration of pain free permanent teeth
d.
Restoration of pain free primary teeth
a.
Relief of pain
When planning treatment which of the following should be carried out first?
Select one:
a.
Simple restorations requiring LA in the lower jaw
b.
Pulpotomy in the upper jaw
c.
Anterior tooth restoration requireing LA
d.
Simple restorations requiring LA in the upper jaw
d. Simple restorations requiring LA in the upper jaw
What is not wanted from the parents/carers of a small child when treatment planning?
Select one:
a.
Motivation toward appropriate dietary improvements
b.
Showing the child that they are nervous
c.
Consent
d.
Willingness to help aid good oral hygiene
b.
Showing the child that they are nervous
Which factors do we not need to take into consideration when formulating a treatment plan for a child?
Select one:
a.
Medical history
b.
Caries risk
c.
Plan made for child’s best friend
d.
Social background
c.
Plan made for child’s best friend
Which of the following would not alter your treatment plan?
Select one:
a.
Need for prevention
b.
Allergy to latex
c.
Child has congenital cardiac disease
d.
Need for General Anaesthetic
a.
Need for prevention
Which of the following is not important in the social history of a child for dentistry?
Select one:
a.
If they have a best friend
b.
Year at school
c.
Age
d.
Siblings
a.
If they have a best friend
What factors do not need to be considered in the mixed dentition phase?
Select one:
a.
Developing malocclusion
b.
Development of all permanent teeth
c.
Size of the maxillary sinuses
d.
Growth of the child
c.
Size of the maxillary sinuses
What should form the first component of any treatment plan?
Select one:
a.
Diet advice and oral hygiene instruction
b.
Restorative Treatment
c.
Prevention
d.
Relief of pain
d.
Relief of pain
Which of the following is not a major factor in a preventive treatment plan for a child?
Select one:
a.
Fluoride therapy
b.
Oral hygiene instruction
c.
Fissure sealing
d.
Water fluoridation
d.
Water fluoridation
When reading clinical guidelines what does the strength of a strong key recommendation convey?
Select one:
1.
Based on available information, weighing up balance of benefit versus risk, almost all individuals would choose this option.
2.
Based on available information, weighing up balance of benefit versus risk, the majority of individuals would choose this option.
3.
Based on available information, weighing up a finer balance of benefit versus risk, not all individuals would choose this option.
4.
Based on available information, weighing up a finer balance of benefit versus risk, some individuals would choose this option.
1.
Based on available information, weighing up balance of benefit versus risk, almost all individuals would choose this option.
Which of the following is an aim when providing dental care for children:
Select one:
1.
To keep the permanent dentition mainly free from disease
2.
To reduce the risk of the child experiencing pain, infection or treatment induced anxiety
3.
For the child to grow up feeling positive about their oral health but for medical health to be a priority
4.
To safeguard dental neglect only and not to consider wellbeing
2.
To reduce the risk of the child experiencing pain, infection or treatment induced anxiety
A comprehensive assessment of the child does not include the following element for an effective plan to improve oral health:
Select one:
a.
Carer Motivation and Responsibility only
b.
Patient history
c.
Clinical examination
d.
Caries Risk Assessment
a.
Carer Motivation and Responsibility only
An assessment of lesion activity is essential for providing the appropriate level of caries prevention this includes:
Select one:
1.
On one occasion using clinical assessment
2.
One one occasion using radiographic assessment
3.
Progression over time using clinical photographs
4.
Using lesion colour as an indicator
3.
Progression over time using clinical photographs
The broad contact points of the primary dentition make diagnosis of proximal caries difficult using clinical examination alone.At what age should bitewing radiographs start to be taken as an adjunct to visual diagnosis?
Select one:
1.
Age three and above
2.
Age four and above
3.
Age five and above
4.
Age six and above
2.
Age four and above
When assessing toothbrushing and recording visible plaque levels at each examination, a score of eight out of ten indicates:
Select one:
1.
Perfectly clean tooth
2.
Plaque line around the cervical margin
3.
Cervical third of the crown covered
4.
Middle third covered
2.
Plaque line around the cervical margin
Motivational Interviewing is used to translate knowledge into behaviour change, this process involves:
Select one:
1.
Seek permission, Open Questions, Affirmations, Reflective learning, Summarising
2.
Self permission, Open Questions, Affirmations, Reflective listening, Summarising
3.
Seek permission, Open Questions, Affirmations, Reflective listening, Summarising
4.
Self permission, Open Questions, Affirmations, Reflective listening, Summarising
3.
Seek permission, Open Questions, Affirmations, Reflective listening, Summarising
Standard prevention for all children includes the following at least once a year:
Select one:
1.
Toothbrushing demonstration on the child and age appropriate toothpaste advice
2.
spit, don’t rinse and information on supervision of their brushing habits until age nine years old
3.
Brush thoroughly twice daily, including first thing in the morning and appropriate amount of toothpaste
4.
information on supervision of their brushing habits until age nine years old and spit, don’t rinse
1.
Toothbrushing demonstration on the child and age appropriate toothpaste advice
Enhanced prevention for children at increased risk of caries should include the following at each recall visit:
Select one:
1.
Standard prevention and hands on toothbrushing to child only at each recall visit
2.
Standard prevention and 1350-1500 ppmF advice for children up to 9 years old
3.
Standard prevention and 2800 ppmF advice for children aged 9-16 years old
4.
Standard prevention and hands on toothbrushing to child and parent/carer at each recall visit
4.
Standard prevention and hands on toothbrushing to child and parent/carer at each recall visit
Standard prevention for all children should include the following at least once per year:
Select one:
1.
Restricting sugar containing food and drinks x4 per day and drink only flavoured water or milk between meals
2.
Restricting sugar containing food and drinks x3 per day and drink only water or milk between meals
3.
Snack on sugar free foods such as digestive biscuits and be aware of hidden sugars in foods
4.
Snack on sugar free foods such as oatcakes and be aware if acid content of drinks
4.
Snack on sugar free foods such as oatcakes and be aware if acid content of drinks
Which of the following would be a suspicious indicator of child abuse or neglect?
Select one:
a.
Parent shows interest in the treatment of their child
b.
All dental appointments kept
c.
Delayed presentation of dental trauma
d.
There is a loving relationship between the parent and child
c.
Delayed presentation of dental trauma
Your adult patient attend their appointment heavily under the influence of drugs or alcohol. You realise that they they have also brought a child along with them who is sitting in the waiting room. Which of the following would NOT be an appropraite course of action?
Select one:
a.
Let the child leave with the intoxicated parent, after all they are not your patient.
b.
Contact the local police station to help deal with the situation.
c.
Call the duty social worker at the local social services department to see if they can look after the child as the parent is unfit to do so.
d.
Find out if another family member or friend can pick up the child and care for them until the parent is able to do so.
a.
Let the child leave with the intoxicated parent, after all they are not your patient.
Which of the following in isolation would NOT be a suspicious indicator of child abuse/neglect?
Select one:
a.
A child who is clearly dirty and smells of unwashed clothes first thing on a monday morning.
b.
Late presentation of an injury
c.
A torn upper labial fraenum
d.
Multiple injuries in different locations
c.
A torn upper labial fraenum
The Criminal Justice (Scotland) Act has NOT made it illegal to:
Select one:
a.
Hit a child anywhere on the head
b.
Hit a child with any kind of object
c.
Smack a child
d.
Shake a child
c.
Smack a child
Who are the main agency concerned with coordinating child protection procedures?
Select one:
a.
General Medical Practitioners
b.
Police
c.
Social Services
d.
Health Visitors
c.
Social Services
All dental professionals who are registered with the general dental Council have a responsibility to….?
Select one or more:
a.
Raise concerns about the possible abuse or neglect of children
b.
Know who to contact for further advice about abuse or neglect of children.
c.
Know how to refer concerns about abuse or neglect.
d.
Diagnose abuse or neglect in children
a.
Raise concerns about the possible abuse or neglect of children
b.
Know who to contact for further advice about abuse or neglect of children.
c.
Know how to refer concerns about abuse or neglect.
Which of the following is the accepted definition of child protection?
Select one:
a.
Activity undertaken to protect specific children who are suffering or are at risk of suffering significant harm
b.
Preventing the impairment of children’s health
c.
Measures taken to minimise the risk of harm to children
d.
Ensuring children grow up in a safe and caring environment
a.
Activity undertaken to protect specific children who are suffering or are at risk of suffering significant harm
Which of the following are the biggest three parenting capacity concerns that are contributing factors in child abuse/neglect cases?
Select one:
a.
Step parents, drug/ alcohol misuse, mental health problems
b.
Domestic violence, drug/ alcohol misuse, mental health problems
c.
Domestic violence, drug/ alcohol misuse, poverty
d.
Poverty, mental health problems, unemployment
b.
Domestic violence, drug/ alcohol misuse, mental health problems
How many children in Scotland are killed by a parent/ parent substitute?
Select one:
a.
1 - 2 per week
b.
52 per year
c.
10 per year
d.
80 per month
c.
10 per year
Why is it possible that ‘neglect of neglect’ might occur?
Select one:
a.
Because neglect is less incident focussed
b.
Because neglect is rare
c.
Because neglect does not damage children
d.
Because children don’t die from neglect
a.
Because neglect is less incident focussed
Which of the following is NOT a long term effect for adults who were neglected as children?
Select one:
a.
Greater incidence of epilepsy
b.
Greater incidence of diabetes
c.
Greater incidence of heart disease
d.
Greater incidence of arrest
a.
Greater incidence of epilepsy
What 3 stages in managining dental neglect are suggested by “Child Protection and the Dental Team” website?
Select one:
a.
Examination, diagnosis, review
b.
Preventive dental team management, referral to local dental hospital, preventive multi-agency management
c.
Referral to local dental hospital, speak to child protection advisor, child protection referral
d.
Preventive dental team management, preventive multi-agency management, child protection referral
d.
Preventive dental team management, preventive multi-agency management, child protection referral