Paeds quizzes Flashcards

1
Q

What factor is most likely to improve oral heath of all pre school children?

A
  • water fluoridation
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2
Q

Which treatment is the highest priority in the treatment plan?

A
  • Relief of pain
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3
Q

What treatment should be carried out first?

A
  • Simple restorations requiring LA in upper jaw
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4
Q

What is not wanted from the parents/carers of a small child when treatment planning?

A
  • Showing child they are nervous
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5
Q

What would not alter your treatment plan?

A
  • Need for prevention
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6
Q

What does not need to be considered in mixed dentition phase?

A
  • Size of maxillary sinuses
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7
Q

What should form first component of any treatment plan?

A
  • Relief of pain
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8
Q

What is not a major factor in preventative treatment plan for a child?

A
  • Water fluoridation
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9
Q

What would be a suspicious indicator of child abuse or neglect?

A
  • Delayed presentation of dental trauma
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10
Q

Adult pt attends under the influence and they have brought child along with them. What would you NOT do?

A
  • let the child leave with the intoxicated parent after all they are not your pt
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11
Q

What thing in isolation would not be a suspicious indicator of child abuse/neglect?

A
  • Torn upper labial fraenum (can occur accidentally)
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12
Q

What has the Criminal Justice Scotland not made it illegal to do?

A
  • Smack a child
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13
Q

Who is the main agency concerned with coordinating child protection procedures?

A
  • Social services
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14
Q

All dental professionals who are registered to general dental council have responsibility to ?

A
  • Know who to contact for further advice about abuse or neglect of children
  • Know how to refer concerns about abuse or neglect
  • Raise concerns about possible abuse or neglect of children
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15
Q

What is the accepted definition of child protection?

A
  • Activity undertaken to protect specific children who are suffering or are at risk of suffering significant harm
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16
Q

What are the 3 biggest parenting concerns that contribute factors in child abuse/neglect cases?

A
  • Domestic violence
  • Drug/alcohol misuse
  • Mental health problems
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17
Q

How many children in Scotland are killed by parent/parent substitute?

A
  • 10 per year
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18
Q

Why is it possible that neglect of neglect might occur?

A
  • Because neglect is less incident focused
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19
Q

What is not a long term affect for adults who were neglected as children?

A
  • Greater incidence of epilepsy
20
Q

What 3 stages in managing dental neglect are suggested by Child protection and dental team website?

A
  • Preventative dental team management
  • Preventative multi-agency
  • Child protection referral
21
Q

What proportion of serious head injuries in first year of life are non-accidental?

A
  • 95%
22
Q

What proportion of injuries in abuse cases are found on head and neck areas?

A
  • 60%
23
Q

What is not an indicator of dental neglect?

A
  • Occult dental caries
24
Q

When reading clinical guidelines what does the strength of a strong key recommendation convey?

A
  • Based on available information, weighing up balance of benefit versus risk, almost all individuals would choose this option
25
Q

Which of the following is an aim when providing dental care for children?

A
  • To reduce the risk of the child experiencing pain, infection or treatment induced anxiety
26
Q

A comprehensive assessment of the child does not include the following element for an effective plan to improve oral health:

A
  • Carer motivation and responsibility only
27
Q

An assessment of lesion activity is essential for providing the appropriate level of caries prevention this includes?

A
  • Progression over time using clinical photographs
28
Q

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?

A
  • Age 4 and above
29
Q

When assessing toothbrushing and recording visible plaque levels at each examination, a score of eight out of ten indicates?

A
  • Plaque line around the cervical margin
30
Q

Motivational Interviewing is used to translate knowledge into behaviour change, this process involves?

A
  • Seek permission, Open Questions, Affirmations, Reflective listening, Summarising
31
Q

Standard prevention for all children includes the following at least once a year:

A
  • Toothbrushing demonstration on the child and age appropriate toothpaste advice
  • Snack on sugar free foods such as oatcakes and be aware if acid content of drinks
32
Q

Enhanced prevention for children at increased risk of caries should include the following at each recall visit:

A
  • Standard prevention and hands on toothbrushing to child and parent/carer at each recall visit
  • Patients and parent/carer only may require more-in-depth support to change dietary habits, such as motivational interviewing
33
Q

Enhanced prevention includes fissure sealant of the following tooth and surface if assessed as likely to be beneficial?

A
  • 2’s palatal pits
34
Q

Standard prevention for All children includes the following:

A

Sodium fluoride varnish (5%) twice a year to ALL children over 2 years of age

35
Q

Which method of fluoride delivery does the patient not administer?

A
  • Fluoride varnish
36
Q

Which of the following is not suitable for use in any 10-year-old child?

A

5,000 ppm fluoride toothpaste

37
Q

Which of the following is not one of the take home messages from the Marimho 2008 review of the evidence for topical fluorides?

A
  • Fluoride varnish is the most important method of delivering topical fluoride
38
Q

The least amount of fluoride in toothpaste that should be recommended for a 2-year-old child is?

A
  • 1000ppmF
39
Q

What is the strength of fluoride in duraphat varnish?

A
  • 22,600 ppm
40
Q

When should topical fluorides (other than toothpaste) be taken?

A
  • At a different time from toothbrushing
41
Q

Which is the correct drug information that should be written on a prescription to allow a tube of Duraphat 2,800ppm toothpaste to be dispensed?

A

Sodium Fluoride 0.619% toothpaste

42
Q

From when should a parent be using a toothbrush for their child?

A
  • When their first tooth erupts
43
Q

For a 6-month-old child at low risk of caries, which of the following brushing regimes would you recommend?

A
  • Smear of 1000 ppm toothpaste for twice daily brushing
44
Q

A parent calls your surgery to advise that their child has ingested some toothpaste. Which of the following is not an essential question for you to ask?

A
  • Colour of toothpaste
45
Q

How is the minimum fluoride concentration that would provide a probable toxic dose?

A
  • 5mg/Kg body weight
46
Q

The least amount of fluoride in toothpaste that should be recommended for a 2-year-old child is?

A
  • 1000ppmF