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TOK Flashcards

1
Q

Which of the following should not be given to asthmatic patients?

A

ibuprofen

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2
Q

Fluconazole and miconazole are contraindicated in patients taking which of the following:

A

warfarin, statins

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3
Q

Which of the following options are suitable to treat a 13-year-old child presenting with mild to moderate toothache?

A
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4
Q

A dentate patient, not taking any other medication, presents with Angular Cheilitis. Which is the most appropriate first line treatment?:

A
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5
Q

Paracetamol…?

A

Is hepatotoxic in overdose.
Is anti-pyretic.
Has a maximum daily dose of 4g for an adult.

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6
Q

As a PAYE registered employer, you should:

A
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7
Q

Which of the following statements are true? The radiation protection adviser…

A
  • is appointed in writing
  • is consulted to advise on compliance with the regulations and all aspects of radiation protection
  • Must have documented evidence of the scope of advice they are required to give
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8
Q

A practitioner profile is available from Practitioner Services to all list numbers in Scotland on an annual basis. Which of the following information does this report contain?

A
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9
Q

With regards to Verifiable CPD, which of the following statements is/are true?

A
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10
Q

Which of the following are true in relation to midazolam (select all that apply):

A
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11
Q

Under the SDR which of the following are correct regarding simple excision of soft tissue to lengthen crowns?

A
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12
Q

Which two of these antibiotics are most suitable for a 50 year old male taking methotrexate 25mg orally once per week?

A
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13
Q

The main recommendations from the 2013 Francis report of the Mid Staffordshire Trust enquiry included which of the following?

A
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14
Q

A ‘domiciliary care dentist’ is eligible for payments for all treatments they provide in their assigned care home, in addition to a Care and Treatment Allowance, Equipment Allowance and payments under SDR item 8 ‘Domiciliary Visit and Recalled Attendance’, true or false?

A

True

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15
Q

Which of the following statements are true regarding patients taking Dabigatran (DOAC)?

A
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16
Q

Instruments should be inspected under an illuminated magnifier

A

After cleaning and before sterilisation.

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17
Q

Which of the following practice expenditures can be claimed as a legitimate business expense?

A
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18
Q

Which of the following routine maintenance checks should you carry out on a regular basis?

A
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19
Q

If a Dental Practitioner is unsure if a patient who is deemed incompetent under the Adults with Incapacity (Scotland) Act 2000 has a welfare proxy, he/she could establish the identity of any proxy by contacting a number of authorities. These include:

A
  • Social Services
  • The patient’s doctor
  • The Office of the Public Guardian (Scotland)
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20
Q

NSAIDS eg aspirin or Ibuprofen have an increased bleeding risk due to which effect?

A
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21
Q

The subscription fee to some Professional Indemnity Organisations…?:

A
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22
Q

According to the SDCEP guidelines:

A
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23
Q

NHS Scotland complaints handling procedure recommends that straightforward complaints should be dealt with:

A

By “early resolution” within 5 days

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24
Q

In patients having daily injections of Tinzaparin Sodium for prophylaxis of deep vein thrombosis who require a surgical extraction

A
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25
Q

Which of the following are GDC registered dentists required to do annually?:

A
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26
Q

Which statement is true?

In a collapsed adult patient who is unresponsive

A

and breathing normally, the recovery position may be indicated

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27
Q

Which of the following used items can you legally dispose of in the non-healthcare waste (black stream) system?

A

None of the above

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28
Q

In the event of death in service, members of the NHS Pension Scheme are entitled to which of the following benefits:-

A
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29
Q

Which of the following should the first aid box in your dental practice contain?

A
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30
Q

Miconazole cream 2% for angular chelitis can:

A

be applied twice daily to the angles of the mouth

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31
Q

As defined in the Statement of Dental Remuneration, what is the prior approval limit?

A

£600 ​

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32
Q

A General Dental Practitioner would be required to notify which of the following incidents to the Health & Safety Executive?

A
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33
Q

The correct initial response to a patient’s complaint which requires investigation is…?

A
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34
Q

The in-practice complaints management process requires that all complaints are initially made in writing.

A

False

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35
Q

A claim for orthodontic assessment should be written on which form?

A

GP17(O)

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36
Q

If a patient is hypoglycaemic and becomes unconscious or uncooperative, which of the following are indicated

A

i.m. glucagon

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37
Q

In relation to giving advice to a patient taking oral bisphosphonates, before the commencement of your treatment which of the four statements is false?

A

Explain to the patient that they should have drug holidays during dental treatment

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38
Q

In regards to CBCT, which of the following is / are correct?​

A
  • Additional training is required in order to justify, perform or interpret CBCT examinations
  • Practical training in use of the imaging software will be required
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39
Q

A radiographic report for a patient undergoing periodontal assessment should include

A
  • Presence of sub-gingival calculus
  • The degree of bone loss
  • The presence of any furcation defects
  • The type of bone loss - horizontal or angular
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40
Q

As defined in the Statement of Dental Remuneration, stainless steel crowns may only be placed on deciduous molar teeth.​

A

False

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41
Q

GDPR stands for

A

General Data Protection Regulations

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42
Q

Employees of your dental practice with at least 6 months continuous service are entitled to which of the following?

A
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43
Q

Which of the following is/are true of Fire Risk Management in Dental Practices:​

A
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44
Q

If you suspect a child patient may be suffering neglect, which of the following is/are an appropriate course(s) of action?

A
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45
Q

A patient presents to your practice with what you think is undiagnosed trigeminal neuragia. Which of the following is/are true:

A
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46
Q

Which of the following injuries are reportable to the Health and Safety Executive?

A
  • An injury resulting from electric shock in the practice
  • An employee contracts a work related disease
  • An employee is killed at work
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47
Q

A patient attends for the provision of F/F dentures but does not return after the try-in stage. What is the minimum number of complete calendar months from when the patient last attended that you should wait before claiming your fee?

A
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48
Q

In Scotland, you can re-use endo files on the same patient after they have been autoclaved.

A

False

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49
Q

Under normal circumstances your local Health Board has a responsibility to investigate in the event a patient makes a complaint directly to them about your service.

A
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50
Q

The dental nurse you have just interviewed and appointed then informs you that she is 2 months pregnant. What should you do? Select all that apply.

A
  • Inform the unsuccessful candidates that you appreciated their attendance at interview but that they were unfortunately unsuccessful.
  • Provide them with a written contract within the normal time frame.
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51
Q

Where should waste amalgam be stored in the dental surgery?

A

In a specific controlled waste container, lined with Mercury-absorbing foam

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52
Q

What statements are true for patients presenting with trigeminal neuralgia in general practice?​

A
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53
Q

What measures are appropriate after a mercury spillage?

A
  • Wear rubber gloves and a mask
  • Place all spillage into a sealed container
  • Spread flowers of sulphur over affected area
  • Remove gross spillage with small brush and scoop
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54
Q

Automated external defibrillation requires placing one electrode 1cm below the left clavicle and one electrode on the right side of the chest of the patient

A

False

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55
Q

A patient informs you that they have changed their name and/or sex when they chose to live in a changed gender and that they have had their CHI number changed via their GP. How can you ensure their records remain up to date?

A
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56
Q

How often can adrenaline be administered to a patient in anaphylaxis?

A

Every 5 minutes

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57
Q

GDPR gives data subjects which of the following

A
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58
Q

Following a needlestick injury, what is the first thing that should be done?

A

Encourage bleeding by squeezing above the wound and wash injury thoroughly with warm water and soap

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59
Q

Abatement percentage for Continuing Professional Development Allowance (CPDA) depends on which of the following?

A
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60
Q

A patient wants a bridge to replace an upper central incisor that has yet to be extracted. What is the minimum time that the SDR states you should normally wait between the extraction and the construction of the permanent bridge?

A

6 months

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61
Q

Which of the following is an appropriate antifungal medication for a patient taking warfarin?

A

Nystatin

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62
Q

In a 23 year old patient with severe ANUG

A

An appropriate drug regimen would be Metronidazole tablets 400mg, three times daily for 3 days

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63
Q

If drug treatment is required to treat a dental abscess in an adult patient who is allergic to penicillin, which drug is recommended as an appropriate first-line alternative?

A

Metronidazole

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64
Q

A fit and healthy 24-year-old patient has the prodromal symptoms of a cold sore on the lower lip.
What would be most appropriate to prescribe?

A

Aciclovir cream

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65
Q

What are suitable topical treatments for herpes labialis in adults?

A

Aciclovir cream

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66
Q

The correct order of doffing PPE is:

A
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67
Q

When taking a dental radiograph, the operator must be able to?​

A

Observe the x-ray warning lights and audible exposure and ensure the exposure terminates

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68
Q

Which of the following is/are true of the Health and Safety at Work Act (HSW act)?

A
  • All employed staff are covered by the act whilst on the practice premises
  • Employees of utility companies or suppliers are covered by the act whilst on the premises
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69
Q

A warfarinised, pain free, patient requires an extraction and can attend any day and at any time.

The patient has a stable INR reading 3.8.

Best management would be to treat this patient:

A

In the early part of the day and early in the working week within 72 hours of having their INR checked

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70
Q

Which of the following is/are true of NHS complaints procedures in Scotland?

A
  • A complaint should normally be made within 6 months of the date of discovery provided that it is within 12 months of the incident.
  • Send the complainant a written acknowledgement of the complaint within 3 working days of the date on which the complaint is received, or as soon as reasonably practicable.
  • All details of the complaint should be recorded in writing
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71
Q

A dentist with an NHS list number must notify the Health Board if he/she intends to be absent from the practice for a period exceeding?

A

28 Days

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72
Q

Doxycycline dispersible tablets

A
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73
Q

Under prescription, which of the following treatments can be carried out by therapists?

A
  • Pulpotomies on primary teeth
  • Root surface debridement
  • Extractions of primary teeth
  • Single surface fillings in any tooth
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74
Q

Which Certificate of Insurance must be clearly displayed within a dental practice?:

A

Employers Liability Insurance

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75
Q

Which of the following drugs are Vitamin K Antagonists?

A

Warfarin

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76
Q

If a retiring NHS GDP cannot find another dentist to take on patients, what happens?

A
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77
Q

Following a DRO examination of an NHS dental patient, a code 4 or D would indicate which of the following?

A

The Dental Reference Officer has concerns relating to the clinical care provided or proposed that are of such concern that the matter should be discussed with/referred to the Health Board

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78
Q

You have agreed to provide a root canal treatment for an NHS registered patient for their lower left second molar tooth. This tooth will require a crown as a final restoration. The patient has requested that a metal shell crown should not be placed on this tooth following root treatment and has requested a tooth-coloured crown. As defined in the Statement of Dental Remuneration, which of the following is/are correct?​

A
  • You should provide a written treatment plan, including a cost estimate for any proposed treatment ensuring that NHS and private options are clearly stated.​
  • You should discuss with the patient the options they have, indicating that they may receive a mixture of NHS and private care for the treatment of this tooth if they wish.
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79
Q

CPD participation is only verifiable if

A

CPD providers quality assure the content delivery of CPD

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80
Q

Who has responsibility for Health and Safety in your dental practice?

A
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81
Q

For a patient’s consent to be valid, which of the following must apply?

A
  • The patient must be informed of the risks involved in a procedure.
  • You have to believe they are able to understand what is involved in a procedure.
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82
Q

The maximum duration for a certificate of incapacity is:

A
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83
Q

Which of the following are recognised as being ‘key stages’ in the Duty of Candour procedure?

A
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84
Q

As defined in the Statement of Dental Remuneration, which of the following is/are true about sedation under NHS arrangements?​

A

Item 6(b) Sedation may be claimed for each visit in which a patient requires sedation for dental treatment​

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85
Q

An ‘HC1’ form is used…

A
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86
Q

Which of the following topics do the GDC recommend or highly recommend for CPD in the dentists 5 year cycle? ​

A
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87
Q

What does PAYE stand for?

A

Pay As You Earn

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88
Q

Which of the following are true?
- Confidential information about patients may be shared freely after their death

  • Under normal circumstances, patient information can be shared with their general medical practitioner without first explaining what information is being shared and why
  • Under normal circumstances, patients should be allowed to withhold their information from others who will be involved in their healthcare
  • Talking about patients in a place where you may be overheard could constitute a breach of confidentiality
A
  • Under normal circumstances, patients should be allowed to withhold their information from others who will be involved in their healthcare
  • Talking about patients in a place where you may be overheard could constitute a breach of confidentiality
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89
Q

As an employer, PAYE and NI records for staff should be retained for how long after the end of the tax year they relate to?

A
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90
Q

A 35 year old employee who has worked with you for 8 years would be entitled to how much redundancy pay?

A
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91
Q

Which statements are true regarding the situation below? Select those that apply:

A patient is about to have a dental procedure. When getting up from the chair in the waiting room they collapse.

It may be appropriate not to call an ambulance if the collapse is brief (less than 1 minute) and the patient fully recovers

The collapse may have been caused by sudden drop in cerebral perfusion

There are no safety considerations for the helpers in this situation

Elevating the legs of the patient may be appropriate

Adrenaline i.m. should be given immediately

A
  • Elevating the legs of the patient may be appropriate
  • It may be appropriate not to call an ambulance if the collapse is brief (less than 1 minute) and the patient fully recovers
  • The collapse may have been caused by sudden drop in cerebral perfusion
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92
Q

Your Dental Nurse who has been employed with you for a year tells you that she is pregnant and would like to know the rules relating to maternity leave and pay. Which of the following is/are true:

A
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93
Q

On which of these materials should you carry out a written COSHH assessment?:

A
94
Q

A patient taking aflibercept requires an essential extraction: You should

A
  • Focus on minimising periodontal/Dental infection or disease
  • Advise the patient they are at risk of developing MRONJ
  • Perform regular reviews with essential review at week 8
95
Q

Tooth coloured crowns can be claimed under the NHS:

A
  • On first permanent molars where it occupies the position of the second premolar
  • Where the crown is all-ceramic
  • Where the crown is porcelain fused to metal
  • On lower second premolar teeth
96
Q

Which of the following is true for GDS dentists wishing to take time off for maternity leave?

A
97
Q

The Health and Safety Executive (HSE) is the statutory body responsible for enforcing the HSW act. An inspector of the HSE has the power to:

A
98
Q

What is the minimum number of staff working in a practice (including associates and DCPs) for it to have to undertake a written Health and Safety Policy?

A

5

99
Q

Which of the following are required to be registered with the GDC

A
100
Q

Which of the following will minimise the risks associated with mercury in amalgam fillings?

A
  • Mercury spillage kits available in the practice
  • Pre-encapsulated amalgam mixing systems
  • High volume aspiration when removing amalgams
101
Q

GDPR applies to

A

Controllers and Processors

102
Q

As defined in the Statement of Dental Remuneration, what is the maximum number of additional periodontal visits claimable under item 2(e) in any single course of treatment?​

A

3

103
Q

If a patient regains consciousness following administration of glucagon, they should also be given 10-20 grams of oral glucose. True or False?

A

True

104
Q

The hygienist at the practice is able to carry out normal day to day activities, but suffers from a mental impairment. This is defined as a disability under the Equality Act 2010

A

false

105
Q

If antibiotics are indicated to treat a spreading infection due to pericoronitis in an adult patient, which is the preferred first line antibiotic?

A

Metronidazole tablets 400mg. One tablet three times daily for 3 days

106
Q

Which of the following is/are true regarding sterilisation of dental instruments?

A
107
Q

Which of the following pieces of information might help a patient to make a decision when consenting to a course of treatment?

A
108
Q

The Acronym RIDDOR stands for:​

A

Reporting of Injuries, Diseases, and Dangerous Occurrences Regulations

109
Q

When working as an associate for a Dental Body Corporate listed on the first part of the Dental List you are entitled to claim the same allowances as an associate working for a traditional partnership-owned practice.

A

True

110
Q

Regarding acceptable portable appliance testing (PAT):

A
111
Q

Which of the following actions are required practice when dealing with GDS complaints procedures?

A
  • One person given responsibility for handling complaints (and a deputy)
  • Substance of the complaint must be investigated thoroughly
  • Records should be kept of all complaints and responses etc.
  • Both the views of the patient and dentist/staff heard
112
Q

A patient is 15 years of age with no special medical or dental needs, and requires a DO restoration in a lower first molar. It would be appropriate to provide a composite restoration under NHS regulations: True or False?

A

False

113
Q

Which of the following statements is/are true? In the NHS General Dental Services where an NHS patient is registered with a dentist, that dentist or other dentist in the same practice…

A
114
Q

Which of the following are Development Outcomes for CPD as set out by the GDC?

A
115
Q

The following measures are recommended to minimise the risk of osteonecrosis in patients who take bisphosphonate drugs undergoing invasive dental procedures:

A

None of the above

116
Q

First Aid is covered by the Health and Safety at Work Act. Which of the following is/are true?

A
117
Q

You have decided to prescribe antibiotics for a 40 year old patient with sinusitis. What drug regime is advised?

A
118
Q

When applying GDPR, consent of the data subject must be

A
119
Q

Which of the following statements are correct? To successfully make a claim for maternity payments within the SDR a dentist must:-

  • Transfer registration of their patients to another dentist
  • Only be taking a maximum of 6 months maternity leave
  • Have been included on a dental list in Scotland for at least 2 years
  • Complete a GP203 form
  • Be working full time
A
120
Q

An associate is..?:

A

A self-employed worker
Working under his/her own list number

121
Q

A dental patient has a generalised, tonic-clonic seizure. Cyanosis may be seen, even if the patient has no underlying respiratory disease.

A

True

122
Q

For incidents that are serious enough to warrant reporting to the Health and Safety Executive which of the following is/are true?

A
123
Q

You have a patient who requests the provision of a porcelain veneer for a discoloured upper incisor tooth. No other treatment is needed. Which of the following is is the correct way to proceed according to the SDR?

A

Explain to the patient that this cannot be provided under NHS arrangements

124
Q

With respect to Cardiac Arrest, which of the following is true?

A

A short period of seizure-like movements can occur at the start of cardiac arrest.
You should start CPR in any unresponsive person with absent or abnormal breathing.
Slow, laboured breathing (agonal breathing) should be considered a sign of cardiac arrest.

125
Q

How often should all staff refamiliarise themselves with local rules?

A

Annually

126
Q

As defined in the Statement of Dental Remuneration, if a patient fails to return for treatment where a laboratory made appliance such as a crown or denture has been started but not fitted, how long must the appliance be kept beyond the date of payment of the incomplete fee?​

A
127
Q

According to SDCEP guidance, which of the following are indications for giving midazolam in the event of an epileptic seizure (select all that apply)

A
128
Q

Which of the following is/are true of Local Decontamination unit equipment?

A
129
Q

Which of the following statements are true regarding patients that take Direct Oral Anticoagulants (DOACs) such as Apixiban?

A

High risk procedures to be carried out early in the day with missed morning dose.
Low risk procedures can be carried out without alteration to dose. ​

130
Q

What does a restrictive covenant clause in an Associate Agreement detail?

A
131
Q

Which of the following NHS GDS treatments require study models to be available in the treatment plan to allow successful processing of payment by PSD?

A
132
Q

Which statement is true?

Automated defibrillation during CPR in an adult

A

has a proven benefit on patient survival

133
Q

The GDC website lists the circumstances under which registrants are exempt from declaring that they have indemnity or insurance. True or False?

A

False

134
Q

How is sterilisation of dental instruments achieved?

A

Contact with steam at 134-137oC for at least 3 minutes

135
Q

In the event of a notifiable radiographic incident involving unintended doses to a patient which requires a detailed investigation, the report should be submitted to Healthcare Improvement Scotland (HIS) within what time frame?​

A
136
Q

Sharps boxes must

A
137
Q

Which of the following are true in relation to Assistantships?

A
138
Q

Patients who are exempt from payment of NHS Charges include patients who:

A
139
Q

Under the Equality Act, a person could suffer harassment on the grounds of?

A
140
Q

If an adult patient collapses in the dental practice, head-tilt and chin-lift should be used to open the airway and may relieve airway obstruction

A

True

141
Q

The protocol for any proposed clinical research projects involving your NHS patients should be submitted for approval to?

A
142
Q

Who within the dental team is entitled to Statutory Sick Pay?

A
143
Q

A dental patient with no cardiovascular medical history suddenly complains of chest pain. Anxiety of the patient can have adverse physiological effects. True or False?

A

True

144
Q

Which of the following is/are true regarding SDR Item 1(c) Unscheduled care assessment and treatment?

A
145
Q

Who can administer injectable drugs for the purpose of saving a life in an emergency?

A

Anyone

146
Q

Which of the following statements is or are true about verifiable CPD from the 1st of January 2018?

A
147
Q

Select all that apply, Transmission Based Precautions are categorised into:

A
148
Q

The practice has a policy allowing for time off to attend medical appointments. The VDP requires to attend a number of appointments in relation to their gender reassignment, but is refused

This is an example of?

A

Discrimination

149
Q

When designing a risk assessment for your workplace you must:​

A

Identify what further action you need to take to control the risk
Identify who might be harmed and why​
Look at what you are currently doing to control the risk

150
Q

With regard to foreign body airway obstruction (choking) in an adult, which of the following is true?

A

Where back blows are ineffective deliver up to 5 abdominal thrusts.
Choking should be suspected if someone is suddenly unable to speak or talk after food.
If someone becomes unresponsive, start CPR.

151
Q

A dental nurse you employ has taken 20 sick days over the last 2 months: What actions can you take?

A

You can ask for a medical report from the GP with the employee’s permission

152
Q

A fire risk assessment should include assessment of:

A
153
Q

What regulation applies to a needlestick injury?

A
154
Q

With regard to the use of mercury in dental practice, which of the following are true?:

A

Gloves should always be worn
A disposable syringe can be used to pick up large drops of mercury
Use of mercury should be confined to areas that have impervious surfaces
In surgeries where mercury is used tile floors should be avoided and carpets should never be used

155
Q

According to the most recently updated maternity legislation which of the following are true for pregnant employees?

A
156
Q

If an adult patient presents with significant dental anxiety and requires dental treatment you might consider the following approach

A

Prescription of a premedication of 5mg diazepam to be taken 2 hours before the procedure
Use acclimatation tools to aid their acceptance of treatment

157
Q

Which of the following are appropriate short term interventions for painful oral ulceration?

A

Use of a benzydamine mouthwash using 15ml every hour and a half in an adult
Use of benzydamine oromucosal spray, 4 sprays onto affected area every hour and half in an adult

158
Q

Except in special cases, under IRR 2017, the maximum annual effective dose for employees aged 18 years or over is:

A

20mSV per annum

159
Q

Which of the following products is/are tailored specifically to provide a dental practitioner with legal advice when dealing with a patient complaint

A

Professional Indemnity Insurance

160
Q

To save time you have decided to delegate obtaining consent to your nurse. In which of the following situations is this allowable?

A

Never

161
Q

NDAC recommend that the following emergency drugs are available at all times (tick all that apply).

A

Midazolam buccal liquid (10 mg/ml), or Midazolam injection (as hydrochloride) (5 mg/ml 2 ml ampoules) for topical buccal administration
Glyceryl trinitrate spray (400 µg per metered dose)
Oral glucose/sugar

162
Q

Parental Leave for employees

A

Applies to parents of adopted children
Applies to parents of children up to the age of 18

163
Q

It is a legal requirement to have a written practice health & safety policy and risk assessment when there are:

A
164
Q

The Health and Safety legislation which relates to a work related disease is:

A

RIDDOR

165
Q

In order to fulfil their terms of service in Scotland, a dentist must (for QI)

A

Carry out a minimum of 15 hours of approved QI activity in each 3 year cycle

166
Q

The partner of a patient phones asking you to confirm the time of their appointment the following day. Do you…?

A

tell them you cannot give this information without permission from the patient

167
Q

With regard to types of Reportable Injuries (RIDDOR), which of the following is/are true ?

A
168
Q

Complaints received from which of the following sources should be recorded in your practice’s complaints log?:

A
169
Q

Which of the following is/are true under the terms of the Health and Safety at Work Act?

A

Latex gloves are covered by COSHH regulations
The employer must provide any Personal Protective Equipment (PPE) deemed necessary by a risk assessment
The employer must provide training in the correct use of PPE

170
Q

Which of the following is/are recommended in relation to mercury safety?

A
171
Q

Who has responsibility for explaining the risks of a general anaesthetic for dental treatment to a patient or parent?:

A

The Hospital/Community Dentist who assesses the patient
The treating Dentist
The referring GDP

172
Q

Which of the following items constitute PPE in a dental practice?

A

Masks/Visors
Gloves
Aprons

173
Q

An unregistered patient with toothache makes an appointment and subsequently comes into the surgery and sits down in the dental chair when called. What treatment can you carry out without obtaining further consent?:

A

Examination of the teeth and oral soft tissues

174
Q

Each Health Board maintains a ‘dental list’ of those dentists providing general dental services within the board. Which of the following is true?

A

A dentist can list with a Health Board for the provision of emergency treatment only.
The ‘dental list’ contains the names of both individual dentists providing direct patient care as well as Dental Bodies Corporate who may manage those providing that care

175
Q

You receive an emergency out of hours call from an adult patient who has severe dental pain. They cannot attend the surgery for at least 24hrs. At present the patient is attempting to control pain with 500mg of paracetamol every four hours, but this is failing to give adequate pain relief. Which of the following would be appropriate analgesic advice for the patient?

A
176
Q

When considering apportionment of fees in an associate agreement, a ‘sliding scale’:

A
177
Q

Which of the following fees may be claimed without prior approval when treating an unregistered adult patient who requires urgent emergency treatment?
Capitation fee.
Root filling in an anterior tooth.
Assessment and advice.
Provision of a permanent crown on a tooth anterior to the first pre-molar.
Appropriate radiographs.

A
178
Q

According to the most recently updated maternity legislation which of the following are true for pregnant employees?
To qualify for maternity pay a pregnant staff member must tell her employer by the 15th week before the expected week of childbirth that she is pregnant.
All pregnant staff members are entitled to 52 weeks paid maternity leave.
Staff members on returning to work must return to the same job with the same pay and working hours.
Undertaking any work related activity during maternity leave will automatically forfeit maternity pay.

A
179
Q

Which of the following are required in order to have obtained informed consent?
Patient understands proposed treatment
Patient understands why proposed treatment is needed
Patient understands consequences of not undergoing treatment
Patient understands potential risks of treatment
Patient understands alternative treatments
Patient understands risks of alternative treatments

A

all answers

Patient understands proposed treatment
Patient understands why proposed treatment is needed
Patient understands consequences of not undergoing treatment
Patient understands potential risks of treatment
Patient understands alternative treatments
Patient understands risks of alternative treatments
180
Q

Which statement is true?

A dental patient has a generalised, tonic-clonic seizure.
Convulsive movements should not be restrained
Oxygen should only be given if there is underlying respiratory disease
Prolonged seizures (>5min) should be treated with subcutaneous injections of Midazolam
During convulsions the patient’s airway must be protected with the jaw-thrust manoeuvre

A

Convulsive movements should not be restrained

181
Q

When referring a registered patient to another dentist, which of the following should the first dentist provide?
A prior approval form.
Reason for the referral.
NHS or Private indicated in the referral.
A full copy of the patient’s records.
Details of the oral condition of the patient.

A

Reason for the referral.
NHS or Private indicated in the referral.
Details of the oral condition of the patient.

182
Q

1.1% sodium fluoride toothpaste is indicated for use in?
patients 15 yrs and over
patients 12 yrs and over
patients 16 yrs and over
patients 10 yrs and over

A

patients 16 yrs and over

183
Q

Which of the following qualify as yellow stream special waste?

A
184
Q

To deregister a patient from an NHS dental list, which of the following forms is completed.
GP215
Regulation 9
GP220
GP21A
GP200

A

GP200

185
Q

How should waste amalgam be disposed of?
Bury underground
Put into the sharps box
Uplifted by a recognised waste collector
Posted to a recycling centre for refining
Put into medical waste container

A

Uplifted by a recognised waste collector

186
Q

Which of the following are true in relation to Assistantships?
The principal is responsible for the assistants’ clinical outcomes
Assistants cannot sign NHS prescriptions
The assistant is covered by the principal’s indemnity insurance
None of the above

A
187
Q

What is the recommended minimum length of time that an urban practice should be able to provide oxygen at 15 litres per minute for a patient?
15 minutes
30 minutes
45 minutes
60 minutes

A
188
Q

A dental patient has a generalised, tonic-clonic seizure. Convulsive movements should not be restrained and it may not be required to transfer the patient to a hospital once they have recovered.

True
False
A

True

189
Q

According to the SDCEP guidelines:
A child with mild asthma should not receive more than 2 applications of 5% Sodium Fluoride per year
The correct dose of a varnish containing 22,600ppm Fluoride is 0.25ml for a child between 2 and 5 years
If 5% Sodium Fluoride Varnish is applied before 10am, teeth should be brushed that evening before going to bed
5% Sodium Fluoride varnish should not be reapplied to a child’s teeth within 48 hours of a previous application
If a child is at increased risk of dental caries they should have 5% Sodium Fluoride varnish applications 4 times per year

A
190
Q

Which of the following statements are true? Select those that apply:

Team leading the helpers during a medical emergency in the dental practice
is not required if all members of staff are fully qualified
should only be done by the practice owner or principal dentist for legal reasons
includes taking into account the abilities and physical limitations of team members
requires team members communicating important observations (eg faulty equipment) to the leader
should always be done by the team leader actively performing a task (eg ventilation) to demonstrate their commitment

A

includes taking into account the abilities and physical limitations of team members
requires team members communicating important observations (eg faulty equipment) to the leader

191
Q

What is the advised flow rate of oxygen for a conscious patient with a suspected MI?
4 l/min
10 l/min
Not advised
15 l/min

A

15 l/min

192
Q

A patient attends a scheduled appointment to complete the planned root treatment of an upper incisor tooth. The patient has mild symptoms of periapical periodontitis associated with this tooth, but the tooth is not broken. You decide to complete the treatment as planned. As defined in the Statement of Dental Remuneration, which of the following is/are claimable within this visit?​
Item 3(f) – Endodontic Treatment ( Incisor/Canine/Lower Premolar)​
Item 1(d) – Intra-oral Radiograph​
Item 1(b) - Review Examination​
Item 1(c) – Unscheduled Assessment and Treatment​

A
193
Q

Legionella risk assessment:
must be reviewed if there is a change to the water system
must be completed by the duty holder
is valid for three years
is reviewed as part of the combined practice inspection

A
194
Q

The definition of a person’s race includes?
Colour
Accent
Ethnic origin
Nationality

A
195
Q

Should manual cleaning be required, the recommended product to use is a:
Detergent
Disinfectant
Anti-Microbial

A

Detergent

196
Q

In relation to CPD allowance;
It can be claimed for 6 full day courses each year
Abatement must be applied to the claim where the percentage of total earnings is less than 90% from GDS sources.
There is a maximum claim of £1386.60 each year
To qualify courses must satisfy GDC verifiable CPD requirements
Courses must be organised within the NHS

A
197
Q

You are treating a carious tooth on the NHS and consent has previously been obtained for an amalgam restoration only. A large carious exposure becomes apparent during treatment. Which of the following would be appropriate in relation to consent?:
Recording the minimum information feasible to avoid issues relating to GDPR
Proceeding immediately with endodontic treatment as consent for a course of treatment is regarded by the NHS as a one-off process
Explaining your recommended option
Tailoring the way you obtain consent to the individual patient’s needs
Fully documenting the discussions which took place which led to the patient’s decision
Discussing the cost of the various treatment options.

A

Explaining your recommended option
Tailoring the way you obtain consent to the individual patient’s needs
Fully documenting the discussions which took place which led to the patient’s decision
Discussing the cost of the various treatment options.

198
Q

Which of the following is/are true of Fire Risk Management in Dental Practices:​
Staff should be trained in what to do in the event of a fire.​
A member of the practice team must be nominated to inspect and maintain fire extinguishers.​
A fire action notice should be displayed in the practice.​
A fire alarm system if present must legally be connected to an external monitoring organisation.
A fire drill should be carried out at least every year.​

A
199
Q

A Section 47 Certificate (select any/all correct answers)
Can be completed on a “Word” document if it follows exactly the wording of the prescribed form
Must be completed on the government’s prescribed form
Must have the signed consent of the nearest relative
Must be sent to the Mental Welfare Commission
Must have the signed consent of the proxy

A
200
Q

The occupational exposure for mercury is 25 ug/m3 (micrograms per cubic metre). To minimise exposure which of the following are appropriate?
Open a window
Use recycling air conditioning systems
Close window but use fan to circulate air
Ventilate the room to the outside

A
201
Q

Which of the following are required to be included in the patient information leaflet (PIL)?
The name of the person who handles complaints
Names and date of registration of all Dentists
Information about the receptionists in the practice
Information on the services the practice provide
Policy on cancellation of appointments

A
202
Q

The Independent Whistleblowing Officer:​
Can investigate Health and Safety concerns​
Routinely accepts complaints by email and telephone​
Is an NHS authority that facilitates investigation of concerns in Scotland​
Cannot investigate anonymous complaints​

A
203
Q

In relation to COSHH assessments, which of the following apply?
A COSHH assessment must be in writing and available to all staff.
A COSHH assessment is only required for toxic substances used in the workplace.
COSHH assessments are required on any substance that may present a hazard in the workplace.
COSHH assessments are not mandatory but are strongly recommended under the 2002 regulations.
A COSHH assessment is the responsibility of the employee who uses the substance most frequently.
A COSHH assessment is only required if the manufacturer states the substance is toxic, irritant or corrosive.

A

COSHH assessments are required on any substance that may present a hazard in the workplace.
A COSHH assessment must be in writing and available to all staff.

204
Q

Which of the following are appropriate short term interventions for painful oral ulceration?
Use of a benzydamine mouthwash using 15ml every hour and a half in an adult
Application of a paste made from equal parts of an aspirin and a paracetamol tablet, dissolved slowly at the ulceration site
Use of benzydamine oromucosal spray, 4 sprays onto affected area every hour and half in an adult
Application of an aspirin tablet dissolved slowly at the ulceration site
Use of a benzydamine mouthwash using 15ml every hour and a half in a child under 12 years old
Use of benzydamine oromucosal spray, 4 sprays onto affected area every hour and half in a child under 6 years old

A

Use of benzydamine oromucosal spray, 4 sprays onto affected area every hour and half in an adult
Use of a benzydamine mouthwash using 15ml every hour and a half in an adult

205
Q

As defined in the Statement of Dental Remuneration, amalgam fillings may be placed in incisor or canine teeth under NHS arrangements with the informed consent of the patient.
True
False

A

False

206
Q

In which of the following treatment scenarios for an adult patient, is it inappropriate to delay treatment, if consent could not be attained?
Lost crown
Marked facial swelling or where airway may be compromised
Cracked veneer
Filling out
Post extraction bleeding

A

Post extraction bleeding
Marked facial swelling or where airway may be compromised

207
Q

Do the police have access to clinical records?:
Not without the permission of the patient
Not at any time
Yes, at any time
Yes, if a Section 32 search warrant is granted for the premises
Yes, if a judge or sheriff so orders

A

Yes, if a judge or sheriff so orders

208
Q

When the prescription is part of the NHS treatment, the prescription should be written on which form?
GP17
GP34
GP04
GP14
GP17(O)

A
209
Q

Which of the following statements are correct around dental unit water lines? ​
They should be flushed for 1-2 minutes at the start and end of each day. ​
They should be flushed for 2-4 minutes at the start and end of each day and for 30 seconds after use.
They do not need to be flushed between patients. ​
A written procedure is necessary for the management of dental unit water lines.​

A
210
Q

Which of the following authorities are allowed to routinely inspect NHS patients of GDS and PDS dentists and report on the standard of clinical treatment which has been provided?
Dental Hospital consultants on referral only
Representatives of a defence union
The Scottish Dental Reference Service
The Health Board Dental Practice Adviser
Health Inspectorate Scotland

A

The Scottish Dental Reference Service

211
Q

GDC registrants who would like to retain their registration must complete the Annual Renewal (AR) process each year. Which of the following statements is or are true?

The AR process involves three parts where registrants must make an Indemnity Statement, pay the annual retention fee and make a Continuing Professional Development (CPD) Statement.
The deadline date for all registrants is the same.
The AR date for dentists is different to the other dental care professionals.
The deadline date for AR is the same for all dentists.
A
212
Q

Any proposed treatment should always be discussed fully with the patient to ensure that informed consent is obtained. In addition, the GDC advises that written consent should also be obtained for which of the following procedures?
NHS treatment under IV sedation
NHS treatment under general anaesthetic
NHS treatment under inhalation sedation
Private treatment under IV sedation
NHS orthodontic treatment
Private treatment when the patient is registered under the NHS
NHS treatment requiring prior approval
Private treatment under general anaesthetic

A

Private treatment under general anaesthetic
NHS treatment under IV sedation
NHS treatment under general anaesthetic
NHS treatment under inhalation sedation
Private treatment under IV sedation

213
Q

when making a claim for a surgical extraction:
An appropriate radiograph must be available
An additional claim can be made for removal of sutures
You must have lifted a muco-periosteal flap
An additional claim can be made for Unscheduled Care if the patient presents later the same day with post op haemorrhage

A

An additional claim can be made for Unscheduled Care if the patient presents later the same day with post op haemorrhage
An appropriate radiograph must be available

214
Q

The Practice Support Manual produced by SDCEP recommend that an SEA should be undertaken after every medical emergency?
True
False

A

True

215
Q

If at any time a staff member suspects a failure in equipment and there is a continuous generation of x-rays, what immediate action should you take?​
The main supply should be turned off and the machine only reused if the resultant radiograph is graded as “Acceptable“​
The mains supply should be turned off and MPE contacted for advice​
The RPS should be informed and the MPE contacted for further advice​
The RPS should be informed and the RPA contacted for further advice​
The mains supply should be turned off and only reused after it has been checked by an engineer.

A
216
Q

X-ray equipment which is no longer in service can be considered non-hazardous if: (select all correct answers)
The Health and Safety Executive have been informed that it will no longer be in use
The electrical supply cable is cut as close to the machine as possible so that there is no possibility of reconnection
The unit weighs less than 30kg
The details of the unit are erased from the Radiation Protection File

A

The electrical supply cable is cut as close to the machine as possible so that there is no possibility of reconnection

217
Q

In a 4 year old immunocompromised child presenting with Primary Herpetic Gingivostomatitis, which of the following aciclovir preparations is recommended?

Oral Suspension 200mg/10ml 100mg 3 x daily
Oral Suspension 200mg/5ml 200mg 5 x daily
Oral Suspension 200mg/5ml 200mg 3 x daily
Oral suspension 200mg/10ml 200mg 3 x daily

A
218
Q

A concerned daughter, of her elderly relative receiving domiciliary care from you at a nursing home, makes a complaint about the treatment you provided for this patient. Which of the following are true?:
You should mark the complaint as resolved if the complainant decides they do not want to make the complaint a formal one
You should begin a record of the ongoing management of this complaint
You should indicate that any complaint can only be made by the patient themselves
You should provide a copy of your complaints procedure policy to complainant
Refer the patient to the nursing home manager who is responsible for the patients’ safety and well being

A
219
Q

Your patient, a nine year old boy, requires an extraction but is not in pain. He is accompanied by an adult relative who does not have parental responsibility. To follow legal best practice, how should you proceed?
Delay treatment until parental consent is obtained
Obtain consent from child and proceed with treatment
Obtain consent from relative and proceed with treatment
Proceed with treatment to reduce the risk of a complaint.

A

Delay treatment until parental consent is obtained

220
Q

List all members of the dental team who should be “entitled” in writing by the employer to enable them to undertake their respective roles with regards to radiographic exposure?​
Referrer, operator, practitioner​
Referrer, practitioner
Referrer, operator​
Operator, practitioner​

A

Referrer, operator, practitioner​

221
Q

You are half way through a root treatment and the patient wishes to stop due to it being very painful. You are aware that it would be beneficial for the patient to complete the treatment. Should you:

Document all discussions in the patients notes
Stop immediately and make an appointment for the extraction
Insist the patient completes the treatment
Stop treatment, but explain the possible risks and consequences of not continuing treatment and highlight that the patient is responsible for future problems
A

Stop treatment, but explain the possible risks and consequences of not continuing treatment and highlight that the patient is responsible for future problems
Document all discussions in the patients notes

222
Q

For the purposes of the Adults with Incapacity (Scotland) Act 2000 the term “incapable” describes an adult:
Making an apparently unwise decision
Incapable of understanding the consequences of their decisions
Unable to communicate decisions
Incapable of retaining a memory of their decisions

A

Incapable of understanding the consequences of their decisions
Unable to communicate decisions
Incapable of retaining a memory of their decisions

223
Q

Your DPA (Dental Practice Adviser)

Is responsible for:-
Promoting improvement of care quality in your practice
Assessing Your VT training programme
Reading your QI reports
Give advice and support in QI
Support and clinical advice to your practice
Writing DRO reports

A
224
Q

After notifying the health board in writing of their intention to withdraw from the dental list at that practice, the dentist’s name will normally be removed from the list:
Immediately upon receipt of notification
After 1 month
After 3 months or a shorter period as agreed with the Health Board
After 6 months or shorter period as agreed by the Health Board
On completion of “bulk transfer” of patient’s to another dentist in the practice

A

After 3 months or a shorter period as agreed with the Health Board

225
Q

Under current NHS regulations, what percentage of the gross NHS fee (below the maximum patient charge) do non-exempt adult patients have to pay for a simple extraction?
60%
65%
70%
75%
80%
85%
90%
95%

A

80%

226
Q

Under the Equality Act 2010, age is protected characteristic only for those over 75
True
False

A

False

227
Q

Under the NHS GDS regulations what completion date should be used in the situation where a patient has failed to attend an appointment to complete their treatment?
The date the practitioner submits the claim for payment
The date of the last appointment the patient failed.
The date the patient last attended surgery.
A date one month after the last appointment booked for the patient.

A
228
Q

Which of the following should be advised for an adult patient who presents in good health but has a mild early herpes labialis?
Aciclovir tablets 200mg five times a day for 5 days
Aciclovir cream 5% five times a day for 5 days
Amphotericin lozenges 10mg 4 times a day for 10 days
Metronidazole tablets 200mg three times a day for 5 days

A

Aciclovir cream 5% five times a day for 5 days

229
Q

You wish to prescribe miconazole for a patient with angular cheilitis.

This may be contraindicated in patients who are also taking which of the following…?
Oral contraceptives
Statins
Penicillin
Aspirin
Warfarin

A

Statins
Warfarin

230
Q

When considering apportionment of fees in an associate agreement, a ‘sliding scale’:
is defined, monitored and regulated by the BDA.
allows the principal, at the start of each month, to determine the percentage of the fees given to the associate.
allows the associate, at the start of each month to determine the percentage of the fees given to the principal.
is agreed between the associate and the principal at the start of the term of the Associate Agreement.
is illegal under NHS regulations.
may be renegotiated by mutual consent.

A
231
Q

Which statement is true?

A dental patient has a generalised, tonic-clonic seizure.
Convulsive movements should not be restrained
Oxygen should only be given if there is underlying respiratory disease
Prolonged seizures (>5min) should be treated with subcutaneous injections of Midazolam
During convulsions the patient’s airway must be protected with the jaw-thrust manoeuvre

A

Convulsive movements should not be restrained

232
Q

Under the AWI Act, who is responsible for investigating circumstances where a person’s welfare may be at risk (where that person comes within part 5 of the Act)?
The person’s General Medical Practioner
The Local Authority
The person’s next of kin
The Office of Public Guardian

A

The Local Authority

VT (11 decks)

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