ToK

Question 1

As per the SDR, what is the current prior approval limit?

Answer 1

£600

Question 2

The current recommended drugs for use in medical emergencies in general practice include which of the following?
Penicillin
Salbutamol
Midazolam
Oxygen
Glucose

Answer 2

Salbutamol, midazolam, oxygen, glucose

Question 3

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?
Phenoxymethylpenicillin
Metronidazole
Clindamycin
Amoxicillin
Erythromycin

Answer 3

Metronidazole

Question 4

Paracetamol…?
Is commonly used as an anti inflammatory
Is anti-pyretic
Is hepatotoxic in overdose
Is locally acting
Has a max daily dose of 4g in adults

Answer 4

Is anti-pyretic
Is hepatotoxic in overdose
Has a max dose of 4g in adults

Question 5

Which of the following antimicrobials is known to have a profound interaction with alcohol?
Co-amoxiclav
Amoxicillin
Phenoxymethylpenicillin
Erythromycin
Metronidozole

Answer 5

Metronidazole

Question 6

Which of these is appropriate treatment of mucosal ulceration in a ten year old?
* Doxycycline dispersible tabs. 1 tab dissolved in water and rinsed in mouth for 2 mins 4 x daily
* Benzydamine mw 0.15%, rinse with 15 ml every 90 mins
* Betamethasone soluble tabs 500 mcg. 1 tab dissolved in 10ml water as mw 4 x daily
* Benzydamine oromucosal spray, 0.15%, 4 sprays onto affected area every 90 mins
* Clenil modulate, 50 mcg/metered inhalation, 1-2 puffs directed onto ulcer 2 x daily

Answer 6

Benzydamine oromucosal spray 0.15%, 4 sprays onto affected area every 90 mins
Clenil modulate 50mcg/metered inhalation, 1-2 puffs onto ulcer 2 x daily

Question 7

In a healthy adult patient with a localised dental abscess with no evidence of spreading infection or systemic involvement, which of the following is appropriate first line tx?
* Script for Pen V
* Drain pus through extraction or through the root canals
* Script amocicillin
* Drain pus through extraction or through the root canals and pen v
* Drain pus through extraction or through the root canals and amox

Answer 7

Drain pus through extraction or through the root canals

Question 8

Which of the following is required when recording verifiable CPD
* Date of course
* Speaker name
* Number of verifiable hours
* GDC number
* Course certificate

Answer 8

date of course
Number of verifiable hours
GDC number
Course cert

Question 9

Which of the following pieces of information might help a patient to make a decision when consenting to a course of treatment?
* Promoting the simplist option for the dentist to perform
* The consequences, risks and benefits of the treatment proposed
* Whether treatment is guaranteed, and any exclusions that might apply
* Why you think a particular treatment is necessary and appropriate for the patient

Answer 9

• the consequences, risks and benefits of tx proposed
• Whether tx is guaranteed, and any exclusions that might apply
• why you think a particular tx is necessary and appropriate for the pt

Question 10

The independant whistle blowing officer;
* cannot investigate anonymous complaints
* can investigate health and safety concerns
* routinely accepts complaints by email and telephone
* is an NHS authority that facilitates investigation of concerns in Scotland

Answer 10

• cannot investigate anonymous complaints
• Routinely accepts complaints by email and telephone
• is an NHS authority that facilitates investigation of concerns in Scotland

Question 11

The maximum duration for a certificate of incapacity is;
* 1 year depending on the nature of treatment
* 1 year depending on the nature of the illness
* 4 years depending on the nature of the treatment
* 3 years depending on the nature of the illness

Answer 11

3 years depending on the nature of the illness

Question 12

What must be provided in terms of first aid in every dental practice?
* adrenaline and salbutamol inhalers for tx of allergic response
* An appointed person
* Paracetamol
* Info on first aid arrangements for employees
* An appropriate first aid box

Answer 12

• An appointed person
• Info on first aid arrangements for employees
• An appropriate first aid box

Question 13

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

Answer 13

Uplifted by a recognised waste collector

Question 14

When taking dental radiographs, when is the use of a lead apron advised?
* For all female patients
* Not routinely required
* For female patients of child bearing age
* For all female and child patients
* For all patients

Answer 14

Not routinely required

Question 15

What is the recommended procedure for laundering used clinical workwear which is not visibly contaminated with blood?
* Sterilise at 134-137 for at least 3 mins
* Wash at the highest temp suitable for the fabric
* wash with water at 95 degrees
* soak in hypochlorite disinfectant before washing

Answer 15

Wash at the highest temp suitable for the fabric

Question 16

The dental nurse you have just interviewed and appointed informs you that she is two months pregnant. What should you do? Select all that apply
* Offer the newly appointed nurse a written contract of employment within 3 months of their start date
* Inform the newly appointed nurse that you cannot guarantee their health and safety during their pregnancy and allow them to reconsider their acceptance of the job offer
* Inform the unsuccessful candidates that you appreciated their attendance at interview but they were unfortunately unsuccessful
* Contact your second choice candidate and offer them the job instead
* Offer the newly appointed nurse a written contract of employment after they have their baby

Answer 16

• Offer the newly appointed nurse a written contract of employment within 3 months of their start date
• Inform the unsuccessful candidates that you appreciated their attendance at interview but they were unfortunately unsuccessful

Question 17

Which of the following statments are true regarding the bag valve mask device shown?
* It can be used in a patient who becomes unresponsive during severe choking
* High flow oxygen must be attached to the inlet nozzel in order to ventilate the patient
* An adult sized bag valve mask device with a small face mask is the best equipment in order to ventilate a 3 year old
* It can be used in a patient who has signs of circulation but is not breathing adequately, to give 10 to 12 breaths per minute

Answer 17

It can be used in a patient who becomes unresponsive during severe choking
It can be used in a patient who has signs of circulation but is not breathing adequately

Question 18

According to GDC standards on consent, which of the following are things a patient might want to know before consenting to treatment?
* The most technologically sophistocated option
* The cost of proposed treatment
* The cross infection control procedures routinely used in the practice
* Options for treatment, their risks and benefits
* Whether the treatment is guaranteed, how long for and any exclusions
* The likely prognosis

Answer 18

• The cost of proposed treatment
• Options for treatment, their risks and benefits
• Whether the treatment is guaranteed, how long for and any exclusions.
• The likely prognosis

Question 19

At what point should waste be segregated?
* At the end of the session
* Immediately before waste containers are sealed
* The point at which it is generated
* The disposal contractor with segregate the waste

Answer 19

At the point at which it is generated

Question 20

Which of the following are true regarding COSHH assessment?
* Your indemnifier (eg mddus) is responsible for providing a coshh assessment of your practice
* records of the assessment should always be kept
* failure to comply with the regulations constitutes an offence and is subject to penalties under the health and safety at work act
* The BDA is responsible for providing a coshh assessment of practices
* dental staff should be aware of the risks involved with hazzardous substances and be trained in handling them correctly

Answer 20

• records of the assessment should always be kept
• Failure to comply with the regulations constitutes and offence and is subject to penalties under the health and safety at work act
• dental staff should be aware of the risks involved with hazzardous substances and be trained in handling them correctly.

Question 21

Under the current health and safety legislation which of the following is NOT the responsibility of the employer?
* Ensuring the health and safety law poster is displayed
* Preparing a health and safety policy
* Asking employees daily if there have been any health and safety breaches
* To ensure the employees understand their responsibilities with regards to health and safety in the practice
* Health and safety risk assessments

Answer 21

Asking the employees daily if there have been any health and safety breaches

Question 22

True or false
The practice support manual produced by SDCEP recommend that an SEA should be undertaken after every medical emergency

Answer 22

True

Question 23

Which of the following groups would be exempt from paying NHS dental fees?
* Pregnant women
* Nursing mothers until their baby is 12 months old
* Those under age 26
* Those in receipt of contributions based job seekers allowance

Answer 23

• pregnant women
• nursing mothers until their baby is 12 months old
• Those under age 26

Question 24

As defined in the sdr, amalgam fillings may be placed in insisor or canine teeth under NHS arrangements with the informed consent of the patient
True or false

Answer 24

False

Question 25

Which of the following instances require reporting in the practice accident book? * You suffered a sharps injury when reaching for an instrument * Your receptionist tripped and fell, hurting her ankle when carrying some lab work * A patient trips and falls on entering the practice, bumping her head * The receptionist slipped on ice on the way home, fracturing her wrist * The file stand fell over, nobody was injured, the next patient was kept waiting

Answer 25

* You suffered a sharps injury when reaching for an intrument. * Your receptionist tripped and fell, hurting her ankle when carrying some lab work * A patient trips and falls on entering the practice, bumping her head

Question 26

If a patient is hypoglycaemic and becomes unconscious or uncooperative, which of the following are indicated; * im adrenaline * im glucagon * iv glucagon

Answer 26

im glucagon

Question 27

Since 2008, new entrants to healthcare who carry out exposure prone procedures should have been tested for; * herpes simplex * Hep B * HIV * malaria * Hep C

Answer 27

Hep B, HIV, Hep C

Question 28

Which statements are true for patients taking daily aspirin? * Use local haemostatic measures * Extensive tx should be carried out in one visit * Ask pt to stop taking aspirin on day of visit * Tx without interruption of medication

Answer 28

Use local haemostatic measures Tx without interruption of medication

Question 29

Which of the following statements is/are true? In the NHS general dental services, where an nhs pt is registered with a dentist, that dentist, or other dentist at the same practice... * is required to give 4 months notice of resignation from an nhs list number * can treat a 16 yo pt under a continuing care agreement * can refuse to provide certain items of tx contained within the sdr * must provide written details of any private tx proposed to a registered nhs pt

Answer 29

Must provide written details of any private tx proposed to a registered nhs pt

Question 30

Should manual cleaning be required, what pH of detergent is recommended? * Neutral * 1-2 * 6-6 * 11-12

Answer 30

Neutral

Question 31

Which of the following MUST be included in an nhs prescription? * date prescription drug course should finish * patients gender * date script was written * duration of course of medication * patients full name * dentists stamp * dentists phone number * pts age if under 12 yo * patients address

Answer 31

* date script was written * duration of course of medication * pts full name * dentists stamp * pts age if under 12 * pts address

Question 32

Which of the following must be fufilled when obtaining valid consent for dental treatment? * risks and benefits of all alternative tx * consent must be voluntary * the dentist knows which treatment is best for the patient * consequences of not proceeding with tx explained * proposed tx explained in terms pt can understand * cost involved to the pt of alternatives (if appropriate)

Answer 32

* risks and benefits of all alternative tx * Consent must be voluntray * Consequences of not proceeding with tx explained * proposed tx explained in terms pt can understand * cost involved to the pt of all alternatives if appropriate

Question 33

Legionella risk assessment; * is valid for 3 years * must be completed by the duty holder * must be reviewed if there is a change to the water system

Answer 33

Must be reviewed if there is a change to the water system

Question 34

Which of the following is/are true of PPE? * wearing PPE is a personal decision for the employee * it is the employers responsibility to ensure PPE is properly looked after * should be selected after appropriate risk assessment and in consultation with employer and employee * employers can make a reasonable charge to employees for PPE

Answer 34

* it is the employers responsibility to ensure PPE is properly looked after * Should be selected after appropriate risk assessment and in consultation with employer and employee

Question 35

Which of the following is an appropriate antifungal medication for a patient taking warfarin? * miconazole * fluconazole * nystatin * penicillin * metronidazole

Answer 35

Nystatin

Question 36

It is a legal requirement to have a 'competent person' responsible for overall health and safety in the practice. Who could act as the competent person? * external advisor * practice principle * a designated employee at the practice * practice manager

Answer 36

* external advisor * practice principle * a designated employee at the practice * practice manager

Question 37

In order to register for data protection you must pay an annual fee to... * The data protection council (aka the information council) * The data protection agency (aka the information agency) * The data protection commissioner (aka the information commissioner) * Practitioner services

Answer 37

The data protection commissioner (aka the information commissioner)

Question 38

Which of the following is/are true in the placement of defibrilator pads?... * Scissors may have to be used to remove the patients clothing * Chest hair usually requires to be shaved before adequate contact with the skin can be achieved * If pads are placed on the wrong side, they should be removed and reapplied correctly before delivering shock * Placement on top of clothing is acceptable to prevent embarrassment of the patient

Answer 38

Scissors may have to be used to remove the patients clothing

Question 39

What is a suitable supplemental analgesic for a patient who already takes naproxen? * Ibuprofen * Aspirin * co-codamol * paracetamol

Answer 39

* Paracetamol * co codamol

Question 40

Except in special cases, under IRR 2017, the maximum annual effective dose for employees aged 18 years or over is;- * 50mSv * 20mSv * 5mSv * 6mSv * 10mSv

Answer 40

20mSv

Question 41

A warfarinised, pain free patient requires an extraction and can attend any day and at any time. The patient has a stable INR reading of 3.8. Best management to treat this patient would be - * In the late part of the day, towards the end of the working week within 72 hours of INR being checked * Any day, at any time, as long as INR checked within 72 hours * In the early part of the day, early in the working week, with INR checked in past 72 hours * At the local specialist referral service

Answer 41

In the early part of the day, early in the working week, within 72 hours of INR being checked

Question 42

Which of the following are within a dental therapists scope of practice? * Simple non surgical extractions on adults * Inferior dental block * Placing preformed crowns on deciduous teeth * Prescribing radiographs * Oral cancer screening

Answer 42

* Inferior dental block * Placing preformed crowns on deciduous teeth * Prescribing radiographs * Oral cancer screening

Question 43

When applying GDPR, consent of the data subject must be - * Separate from all other terms and conditions * Informed * Specific * Given freely * Generic

Answer 43

* Separate from all other terms and conditions * Informed * specific * given freely

Question 44

In the event that a complaint regarding NHS care cannot be resolved through your normal practice complaints procedure, it may be escalated through which of the following? * The GDC dental complaints service * Health improvement scotland * Scottish public services ombudsman

Answer 44

Scottish public services ombudsman

Question 45

You want to change the pay rates in your newly acquired dental practice and so you arrange an all employee meeting to discuss. At the meeting you inform all of the employees to keep the discussion on pay rates confidential from employees of the competitor dental practices nearby. This is - * Acceptable * Illegal under the Equality act 2010

Answer 45

Acceptable

Question 46

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 24 hours. At present, the patient is attempting to control the pain with 500mg paracetamol every 4 hours, but this is failing to give adequate pain relief. Which of the following would be appropriate advice? - * double the dose of paracetamol, take every 4 hours up to a max of 4g * take 500mg paracetamol every 4 hours and 400mg ibuprofen every 4 hours * take 2 x 500mg paracetamol every 4 hours and take 400mg ibuprofen every 4 hours, max 2.4g. Take alternately * Take 500mg paracetamol every 4 hours and 900mg aspirin * maintain current dose and use HSMW

Answer 46

* double the dose of paracetamol, take every 4 hours up to a max of 4g * take 2 x 500mg paracetamol every 4 hours, 400mg ibuprofen every 4 hours, and alternate

Question 47

Abatement percentage for CPD allowance depends on which of the following?... * The number of sessions claimed over 6 sessions per year * The practice split between private and NHS * The individual GDPs split between private and NHS income. * The number of sessions claimed up to 6 sessions per year and the GDPs individual split between private and NHS income. * The number of sessions claimed up to 6 sessions a year

Answer 47

The individual GDPs split between private and NHS income

Question 48

As defined in the SDR, amalgam should normally be provided for the restoration of retained deciduous molar teeth. True or false?

Answer 48

False

Question 49

Patients for whom you have prescribed an antibiotic - * should be reviewed within 2-7 days * should only be reviewed if there was trismus * should only be reviewed if there were systemic symptoms * should be reviewed within 24 hours

Answer 49

Should be reviewed within 2-7 days

Question 50

From 1st January 2018; for a dentist, how many hours of verifiable CPD are required by the GDC in a 5 year cycle? * 20 hours * 50 hours * 75 hours * 100 hours * none

Answer 50

100 hours

Question 51

What is the minimum number of amalgam spillage kits required for a 6 surgery practice? * 1 * 2 * 3 * 4 * 5 * 6

Answer 51

1

Question 52

Which of the following patient information is considered personal and therefore subject to GDC guidelines pertaining to confidentiality? * Non payment of fees/account history * appointment times/attendances * name/address/registration with practice * previous dental history * None of the above

Answer 52

* non payment of fees/account history * appointment times/attendances * name/address/registration with practice * previous dental history

Question 53

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. True or false?

Answer 53

True

Question 54

Mr Tang attends his dentist, a visit investigated by his wife Mrs Tang. Mrs Tang is embarrassed her husband is not tolerating his lower denture and would like the dentist to make a new one. As a POA for finance and welfare, Mrs Tangs responisbilities do not entitle her to - * represent her husbands previous wishes and past beliefs * ensure that whatever capacity the patient has remaining is taken into account * consent to treatment on behalf of the granter * demand the treatment that she feels he needs carried out

Answer 54

Demand the treatment that she feels he needs carried out

Question 55

Automated external defibrilation use in dental practice should be administered, if possible, by trained staff and usually requires removal of patients clothing. True or false?

Answer 55

True

Question 56

For a patients consent to be valid, which of the following must apply? * a witness must be present * the patient must be informed of the risks involved in a procedure * the patient must take your advice * you have to believe that they are able to understand what is involved in a procedure * consent must be written

Answer 56

* The patient must be informed of the risks involved in a procedure * you have to believe that they are able to understand what is involved in a procedure

Question 57

An associate is?... * working under his/her own list number * a self employed worker * working under a list number of the practice principle * an employee of the practice s/he works * free to leave their practice without prior notice

Answer 57

* working under his/her own list number * a self employed worker

Question 58

A staff member who is pregnant and has informed their employer is entitled to - * abscences for GP recommended parenting classes * travel costs for ante natal appointments from their employer * abscences for unplanned ante natal appointments * abscences for planned ante natal appointments

Answer 58

* abscences for GP recommended parenting classes * abscences for unplanned ante natal appts * abscences for planned ante natal appointments

Question 59

As defined in the SDR, which of the following is/are true about fissure sealants? * Fissure sealants must be placed using clear unfilled resin * a claim may be made for replacement or failed fissure sealant if 23 months have elapsed since the last claim and the patient has special care needs * fissure sealants can only ever be placed within 2 years of eruption of a molar, or hypoplastic premolar * fissure sealants should be maintained to ensure their integrety

Answer 59

* a claim may be made for replacement or failed fissure sealant if 23 months have elapsed since the last claim and the patient has special care needs * fissure sealants should be maintained to ensure their integrity

Question 60

A patient presents to your practice with acute severe TMD. You decide that prescribing a muscle relaxant is indicated. Which of the following is an appropriate prescription to give the patient? * diazepam tablets 2mg. 1 3 times per day for 7 days * diazepam tablets 2mg 1 3 times per day for 5 days * diazepam tablets 5mg. 1 3 times per day for 7 days * diazepam tablets 10mg. 1 3 times per day for 5 days

Answer 60

diazepam tablets 2mg. 1 3 times per day for 5 days

Question 61

Patients who are taking the novel oral anticoagulant Dabigatran - * Should stop taking the drug for 2 days following implant placement * should miss their morning dose if having a biopsy * should take their evening dose at the normal time only if it has been 5 hours since they had a high risk procedure * should miss their morning dose if they are having a scale and polish

Answer 61

Should miss their morning dose if having a biopsy

Question 62

Soap used for hand washing in the clinical setting should be - * antimicrobial * non antimicrobial * antibacterial

Answer 62

Non antimicrobial

Question 63

A patients medical history can be shared with which of the following without consent? * a solicitor * consultant colleagues on referral * the inland revenue * the patients general medical practitioner * the patients spouse or partner

Answer 63

* consultant colleagues on referral * the patients general medical practitioner

Question 64

The definition of a persons race includes... * colour * nationality * accent * ethnic origin

Answer 64

* colour * nationality * ethnic origin

Question 65

Which of the following items constitute PPE in the dental practice? * rubber dam * aprons * masks/visors * gloves

Answer 65

* aprons * Masks/visors * gloves

Question 66

Your DPA (dental practice advisor) is responsible for - * assessing your VT training programme * Give advice and support in QI * reading your QI reports * support and clinical advice to your practice * promoting improvement in care quality in your practice * writing DRO reports

Answer 66

* give advice and support in QI * support and clinical advice to your practice * promoting improvement in care quality in your practice

Question 67

A dental patient with no cardiovascular medical history suddenly complains of chest pain. Which statement is true? * The a-e approach should be used to assess the patient * if the patient remains conscious the diagnosis is most likely stable angina * if aspirin is given, it is appropriate to wait for symptoms to improve for 20-30 minutes before calling an ambulance * the patient is clearly suffering an acute myocardial infarction

Answer 67

the a-e approach should be used to assess the patient

Question 68

Which of the following is/are true under the terms of the health and safety at work act? * latex gloves are covered by COSSH regulations * protective clothing can be worn to and from work as long as it is covered by an appropriate coat * an employer can charge an employee for PPE * The employer must provide any PPE deemed necessary by a risk assessment

Answer 68

* latex gloves are covered by COSSH regulations * the employer must provide any PPE deemed necessary by a risk assesment

Question 69

Which of the following should the first aid box contain? * unmedicated wound dressings * sterile eye pads * aspirin * adrenaline 1ml ampule of 1;1000 * salbutamol inhaler

Answer 69

* unmedicated wound dressings * sterile eye pads

Question 70

When applying for GDPR, a data protection officer must - * be registered with the GDP * be a member of staff * Have knowledge of the data protection law * be a lawyer

Answer 70

have knowledge of the data protection law

Question 71

Which of the following could be appropriate for the management for mucosal ulceration in a 10 yo child? * Benzydamine oromucosal spray 0.15% * Chlorhexidine mw 0.2% * Benzydamine mw 0.15% * sodium fluoride mw 0.05%

Answer 71

* benzydamine oromucosal spray 0.15% * Chlorhexidine mw 0.2%

Question 72

NDAC recommend that the following emergency drugs are available at all times. Select all that apply - * beclometasone dipropionate inhaler * midazolam buccal liquid, or midazolam injection (as hydrochloride) for topical buccal administration * oral glucose/sugar * atropine sulphate injection * gtn spray

Answer 72

* midazolam buccal liquid or midazolam injection * oral glucose/sugar * gtn spray

Question 73

What NHS form is used to prescribe medication to an NHS patient? * GP17 0 * GP1 * GP17 * GP14 * GP17 P

Answer 73

GP14

Question 74

Routine management of patients at increased risk but who do not require antibiotic prophylaxis to prevent infective endocarditis should include - * ensuring the patient and/or carer is aware of the risk of developing infective endocarditis * avoiding carrying out BPEs * OHI * Going against the advice of the patients cardiologist who recommends providing ABX as they wont have read the SDCEP guidance * removal of all teeth of poor prognosis

Answer 74

* ensuring the patient and/or carer is aware of the risk of developing infective endocarditis * OHI

Question 75

If you suspect a child may be suffering neglect, which of the following is/are an appropriate course of action? * taking no action if the child requests that information is kept secret * discussing the details with a colleague * discussing the details with your defense organisation * contact your local child protection scheme

Answer 75

* discussing the details with a colleague * discussing the details with your defense organisation * contact your local child protection scheme

Question 76

An adult patient presents with denture stomatitis and drug treatement is required. which of the following may be appropriate drug regimes? Prescription of... * fluconazole capsules 50mg, 1 capsule daily for 7 days * miconozole oromucosal gel (20mg/ml), pea sized amount 4 x daily after food * erythromycin 250mg 4 x daily for 5 days * Pen v 250mg 4 x daily for 5 days * triamcinalone dental paste 10g, 4 x daily until symptoms disappear

Answer 76

* fluconazole capsules 50mg 1 cap daily for 7 days * miconazole oromucosal gel 20mg/ml, pea sized amount after food 4 x daily

Question 77

Which of the following are classified as operators under IR(ME)R 2017 regulations? * trainee dental nurse who processes the images * Dentist who pushes the exposure button * Practice manager purchasing new xray equipment * receptionist who carries out stock control and orders new film as and when required

Answer 77

* trainee dental nurse who processes the images * dentist who pushed the exposure button

Question 78

In relation to giving advice to a patient taking oral bisphosphonates, before commencing treatment, which of the four statements is false? * Explain to the pt that they should have a drug holiday during dental treatment * advise the pt that the medication that they take may carry a small risk of developing MRONJ but the risk is low * explain MRONJ is diagnosed when there is exposed bone in the jaw that has persisted for 8 weeks * emphasise that MRONJ is an adverse effect of the drug and not caused by the dental treatment

Answer 78

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

Question 79

You want to change the pay rates in your newly acquired dental practice and so you arrange private meetings with each individual team employee to discuss their personal circumstances and due to the sensitivity of the matter insist on confidentiality. This is - * Illegal under the equality act 2010 * acceptable

Answer 79

Illegal under the equality act

Question 80

NHS Scotland complaints handling procedure recommends that straight forward complaints should be dealt with - * by early resolution within 10 days * at the practice reception desk * by advising the patient to contact the GDC in the first instance * involving your defence union at the earliest opportunity * by early resolution within 5 days * by involving the Scottish public services ombudsman at the earliest possible stage

Answer 80

at the practice reception desk

Question 81

As defined in the SDR, is there an upper age restriction on the application of fluoride varnish?

Answer 81

No

Question 82

The protocol for any proposed clinical research projects involving your NHS patients should be submitted for approval to? * The Scottish office commitee for clinical research * Local postgraduate dean * The appropriate area ethics commitee for clinical research * The scottish dental practice board

Answer 82

The appropriate area ethics commitee for clinical research

Question 83

When administering LA, what must be recorded? * batch number * dose administered * concentration * expiry date * time of administration * generic name of the solution * presence of another agent in the solution

Answer 83

* dose administered * concentration * Generic name * presence of another agent

Question 84

If there is a breach of data the DCP should inform the ICO no later than * 4 weeks * 48 hours * 24 hours * 72 hours

Answer 84

72 hours

Question 85

The registration arrangements between a patient and dentist will come to an end in which of the following circumstances? * the patient dies * the patient is referred to a specialist service as they are unsuitable for treatment in the general practice setting * after 48 months * the patient registers with another nhs dentist in Scotland * the patient is de registered by the dentist

Answer 85

* the patient dies * the patient registers with another nhs dentist in Scotland * The patient is de registered by the dentist

Question 86

Under the AWI act, who is responsible for investigating circumstances where a persons welfare may be at risk (where that person comes within part 5 of the act?) * The local authority * the office of public guardian * the persons next of kin * the persons gmp

Answer 86

the local authority

Question 87

A decision on a simple complaint should be communicated to a patient - * when you have time * if you feel that there is a case to answer * within 3 working days unless there are exceptional circumstances * within 5 working days unless there are exceptional cicrumstances * within 10 working days unless there are exceptional circumstances

Answer 87

Within 5 working days unless there are exceptional circumstances

Question 88

The GDC website lists the circumstances under which registrants are exempt from declairing they have indemnity or insurance. True or false

Answer 88

false

Question 89

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. True or false?

Answer 89

False

Question 90

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

Answer 90

False

Question 91

After notifying the health board in writing of their intention to withdraw from the dental list at that practice, the dentists name will normally be removed from the list - * immediately upon receipt of notification * after one month * after 3 months or a shorter period as agreed with the health board * after 6 months or a shorter period as agreed by the health board * on completion of bulk transfer of patients to another dentist at the practice

Answer 91

after 3 months or a shorter period as agreed with the health board

Question 92

Which of the following are development outcomes for CPD as set out by the GDC? a. continuously developing skills and knowledge to deliver quality assured dental care for all patient groups b. effective communication with patients, the dental team, and others across dentistry, including when obtaining consent , dealing with complaints and raising concerns c. maintaining trust and developing professional networks to support and enhance cross disciplinary working for the benefit of patients and their family d. Maintainance and development of knowledge and skill within your field of practice e. maintainance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients interests first f. effective management of self, and effective managment of others or effective work with others in the dental team, in the interest of patients at all times

Answer 92

b, d, e, f

Question 93

You have received a complaint about treatment you have provided. You have written to the patient to acknowledge receipt of their complaint. Within what time period of receiving the complaint should you aim to write to the patient with a decision? * 2 working days * 7 working days * 20 working days * 3 weeks * one month

Answer 93

20 working days

Question 94

For dental suction motors, which of the following is/are true? * Suction motors should be located centrally in practices and not in surgeries * suction motors should vent externally to reduce exposure to mercury vapour * amalgam separator units are mandatory on suction motors

Answer 94

* suction motors should vent externally to reduce exposure to mercury * amalgam separator units are mandatory on suction motors

Question 95

Antibiotic prophylaxis should be given to the appropriate patients when - * placing stainless steel crowns * following trauma to the oral mucosa * preparing a subgingival margin for a non precious shell crown * prior to exfoliation of a primary tooth * performing subgingival scaling

Answer 95

* placing stainless steel crowns * preparing a subgingival margin for a non precious shell crown * performing subgingival scaling

Question 96

A patient has verbally threatened members of staff, the police have been involved, and you no longer want to see them at the practice. What notice must be given to the health board for termination of the continuing care arrangement? * Immediate verbal notice followed up in writing within 7 days * 3 months verbal notice only * 1 month written, followed up in 3 months * 1 months verbal notice only * 3 months verbal notice * immediate verbal notice only

Answer 96

Immediate verbal notice followed up in writing within 7 days

Question 97

Under the data protection act 2018, which of the following may be found liable for breach of confidentiality in relation to the inappropriate disclosure of a patients records? * Dental nurse * Dentist * Dental Receptionist * Dental Hygienist

Answer 97

All of the above

Question 98

If the exposure control fails when taking an intra oral radiograph, causing continuous generation of xrays, you should - * wait until your trainer has the time to help you * phone the dental hospital for advice * inform the RPS/legal person * switch off the mains supply immediately

Answer 98

* inform the RPS/legal person * switch off the mains supply immediately

Question 99

If a patient is at higher risk of developing MRONJ and requires an extraction, you should - * ask the GP if it is safe for a 2 month drug holiday prior to the extraction * refer the patient to oral surgery if you suspect it will be a surgical extraction * carry out the extraction as clinically indicated * review healing and refer to the local oral surgery department if not healed within 6 weeks

Answer 99

carry out the extraction as clinically indicated

Question 100

When working as an assistant for a dental body corporate listed on the first part of the dental list you are allowed to claim the same allowances as an associate working for a traditional partnership owned practice. True or false?

Answer 100

false

Question 101

Which antimicrobial would you not prescribe for a 9 year old child? * amoxycillin * metronidazole * phenoxymethylpenicillin * erythromycin * doxycyline

Answer 101

Doxycycline

Question 102

A provisional crown may only be claimed under item 4a as defined in the SDR as a necessary palliative treatment where a patient attends for unscheduled care with a broken tooth, lost filling or lost crown. True or false?

Answer 102

True

Question 103

A dentate patient, not taking any other medication, presents with angular cheilitis. Which is the most appropriate first line treatment? * miconazole 1% and hydrocortizone 1% cream * miconozole 2 % cream * miconazole 1% cream * miconazole 2% and hydrocotazone 1% ointment

Answer 103

miconazole 2% cream

Question 104

after the first trimester, which of the following does not carry a caution note when prescribed to pregnant patients? * paracetamol * ibuprofen * doxycycline * amoxicillin * aspirin

Answer 104

* paracetamol * amoxicillin

Question 105

In a patient who presents with herpes zoster - * aciclovir 800mg tablets 5 x day for 7 days is appropriate treatment * aciclovir tablets and oral suspension are not licenced for the treatment of herpes zoster in children * there is no indication for prescribing aciclovir after 72 hours following the onset of rash * valaciclovir can also be prescribed using an NHS prescription * pts should be referred to a specialist or their GMP to be prescribed antivirals

Answer 105

* aciclovir 800mg tablets, 5 x for 7 days is appropriate tx * aciclovir tablets and oral suspension are not licenced for the treatment of herpes zoster in children

Question 106

Which of the following statements is false regarding an AED? * AED pads usually expire after 3-8 years * children of less than 3 years should be defibrilated with lower electrical energy * there may be a risk of electrocution if helpers are in direct contact with the patient during a shock from the AED * A fully automated external defib will not check for clinical signs of life

Answer 106

AED pads usually expire after 3-8 years

Question 107

What are suitable topical treatments for herpes labialis in adults? * miconazole and hydrocortisone cream * sodium fusidate ointment * Aciclovir cream * miconazole cream

Answer 107

aciclovir cream

Question 108

When should each dental unit water line be flushed? * following an agp only * only at the beginning of each clinical session * only at the beginning and end of each working day * at the start and end of each working day and in between patients

Answer 108

At the start and end of each working day and in between patients

Question 109

Which of the following statements is/are true about verifiable CPD from 1st January 2018? * a. dental professionals have to declare non verifiable CPD to the GDC * b. the requirement for all dentists to have a personal development plan * c. The GDC gives specific advice about how CPD hours should be spread across the 5 year cycle * d. the requirement to align CPD activity with specific development outcomes

Answer 109

b, c, d

Question 110

Which of the following doesn't carry a caution note when used in patients who receive warfarin therapy? * paracetamol * clarithromycin * ibuprofen * metronidazole * aspirin

Answer 110

Paracetamol

Question 111

Routine management of patients at increased risk but who do not require antibiotic prophylaxis to prevent infective endocarditis should include - A. avoid carrying out BPEs B. Oral hygiene instruction C. Removal of all teeth of poor prognosis D going against advice of the patients cardiologist who recommends providing antibiotic prophylaxis as they have not read the SDCEP guidance E. Ensuring the patients and/or carer is aware of the increased risk of IE

Answer 111

B, E

Question 112

What does PAYE stand for? * Pay as you earn * Payable at year end * Pay allocated yearly earnings * Pensions assessment of yearly earnings

Answer 112

Pay as you earn

Question 113

Which of the following financial allowances my a dentist working within the NHS GDS claim? * pressure vessel insurance * staff sick pay * practice insurance * CPDA at approved courses * Quality improvement

Answer 113

* CPDA at approved courses * Quality improvement

Question 114

When prescribing nystatin, what instructions should be given to the patient? * Rinse suspension around the mouth the retain near the lesion for 5 minutes before swallowing. * Rinse suspension around the mouth for 2 minutes then retain suspension near lesion for 2 minutes before swallowing. * Rinse suspension around the mouth for 2 minutes then retain suspension near lesion for 2 minutes before spitting out. * Stop use as soon as the lesions are healed * Remove dentures before use * Rinse suspension around the mouth then retain near lesion for 5 minutes before spitting out

Answer 114

* Rinse suspension around the mouth then retain near the lesion for 5 minutes before swallowing. * Remove dentures before use

Question 115

What course of action could legally be taken by the employer if a member of staff discriminates against a co worker? * verbal warning * dismissal * written warning * employment tribunal * financial penalty

Answer 115

* verbal warning * dismissal * written warning

Question 116

As part of your practices' transition to paperless you may wish to dispose of records. To comply with legislation, which are the acceptable methods of disposal? * Defaced and added to general waste * As part of waste paper collection for recycling * In clinical waste bins which will be incinerated * Shredded as part of office waste * In general office waste

Answer 116

Shredded as part of office waste

Question 117

Which of the following should you administer if an adult patient developed anaphylaxis while in your surgery? A. adrenaline 1ml (1;80,000) im injection B. adrenaline 0.1ml (1;1,000) im injection C. adrenaline 0.5ml (1;1,000) im injeciton D. adrenaline 1ml (1;80,000) iv injection E. adrenaline 0.5ml (1;1,000) iv injection

Answer 117

C

Question 118

Fluconazole and miconazole are contraindicated in patients taking which of the following... * chlorhexidine mw * statins * benzydamine mw * warfarin * NSAIDS

Answer 118

statins and warfarin

Question 119

For a patient who has suffered a shock-able arrest, 5 minutes delay before defibrilation reduces the chances of survival- A. Not at all provided effective chest compressions and 15l/min oxygen are given B. Not at all provided effect chest compressions are given C. By approx 50% D. By approx 10% E. By approx 5%

Answer 119

C. By approx 50%

Question 120

What equipment do the resuscitation council recommend is available for dealing with medical emergencies in a dental practice? * Portable oxygen cylider * Equipment to measure blood pressure * Spacer device for inhaled bronchodilators * Stethascope * Defibrilator

Answer 120

* Portable oxygen cylinder * Spacer device for inhaled bronchodilators * Stethascope * Defibrilator

Question 121

Which of the following statements are true of transportable bench top autoclaves? * They should have routine checks carried out every day that the autoclave is in use * They can only be validated with an autoclave printout * They are subject to PAT testing * They are legally required to undergo both an installation and annual validation and pressure vessel certification process * They can be adequately validated using only TST strips

Answer 121

* They should have routine checks carrie dout every day that the autoclave is in use * They are subject to PAT testing * They are legally required to undergo both an installation and annual validation and pressure vessel certification process

Question 122

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

Answer 122

* A COSSH assessment must be in writing and available to all staff * COSSH assessments are required on any substance that may present a hazzard in the workplace

Question 123

In the event that an NHS patient in Scotland is unhappy with the local resolution of a complaint relating to NHS dental services, they are entitiles to make further representation to the dental complaints service. True or False

Answer 123

False

Question 124

When carrying out a 'moderate risk' procedure for a patient in a nursing home, SDCEP practice support manual specifically recommends that which of the following should be available?... * Spacer devices for inhaled bronchodilators * Portable independently powered suction * A defibrilator * A bag valve mask * The nursing homes health and safety manual

Answer 124

* Spacer device for inhaled bronchodilators * Portable independently powered suction * A bag valve mask

Question 125

Capitation payments are increased in adults from what age?

Answer 125

65

Question 126

In relation to first aid in the dental practice, which of the following are true? * First aid kits must be available in each treatment area * Health and safety regulations state an employer has a duty to make adquate first aid provision for employees * A first aid kit must contain a full range of emergency drugs * A notice must be prominently displayed indicating the location of the first aid kit

Answer 126

* Health and safety regulations state that an employer has a duty to make adequate first aid provision for employees * A notice must be prominently displayed indicating the location of the first aid kit

Question 127

Under which of the following circumstances are personal dosimeters a requirement in practice? * If the operator is pregnant * If it is not possible for the operator to remain outside the controlled area when films are exposed * The operator takes more than 100 intraoral radiographs a week * The practice does not have a digital imaging system * If the operator takes more than 50 panoral radiographs per week

Answer 127

If the operator takes more than 100 intraoral radiographs per week If the operator takes more than 50 radiographs per week

Question 128

Under the protected characteristic of sex, a woman may not be treated less favourably if she - * has had a baby in the past 26 weeks * is breast feeding * is pregnant

Answer 128

All of the above

Question 129

Under prescription, which of the following can be carried out by a dental therapist? * Root surface debridement * Pulpotomy on primary tooth * Extraction of permanent tooth * Extraction of primary tooth * Single surface filling in any tooth

Answer 129

* Root surface debridement * Pulpotomy on primary tooth * Extraction of primary tooth * Single surface filling in any tooth

Question 130

If a patient has been violent and abusive which of the following actions are appropriate? * De-register the patient immediately * Complete any outstanding treatment for the patient, where possible. * Inform the health board * Inform the police

Answer 130

* De-reg pt immediately * Inform the health board * Inform the police

Question 131

With respect to legionella control in the practice, an appointed responsible person should - * Must conduct the legionella risk assessment * Produce the written control statement * Initiate remedial action if required * Monitor any required legionella control measures to ensure they are effective

Answer 131

* Initiate remedial action if required * Monitor any required legionella control measures to ensure they are effective

Question 132

In order to fulfil their terms of service in Scotland, a dentist must - * Complete at least one approved project each year during the QI cycle * Carry out a minimum of 15 hours of approved QI activity in each 3 year cycle * Complete more than one type of QI in the QI cycle

Answer 132

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

Question 133

Parental leave for employees - * Applies to parents of children up to the age of 18 * Must always be paid leave * Applies to parents of adopted children * Requires the employee to give a minimum of 24 hours notice to their employer

Answer 133

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

Question 134

Which of the following agents have an antifungal effect? * Diclofenac * Tetracycline * aciclovir * nystatin * chlorhexidine * miconazole * benzydamine hydrochloride

Answer 134

* nystatin * chlorhexidine * miconazole

Question 135

Which of the following increase the anticoagulant effect of warfarin? * miconazole * metronidazole * aciclovir cream * fluconazole

Answer 135

* miconazole * metronidazole * fluconazole

Question 136

The use of which of the following should be avoided in a 7 year old child? * paracetamol * ibuprofen * amoxicillin oral suspension (sugar free) * aspirin

Answer 136

* Aspirin

Question 137

Which of the following are appropriate short term interventions for painful oral ulceration... A. Application of a paste made from equal parts of aspirin and paracetamol, disolved slowly at the ulceration site. B. Use of a benzydamine mouthwash using 15ml every hour and a half in an adult patient C. Application of an aspirin tablet dissolved slowly at the ulceration site D. Use of benzydamine oromucosal spray, 4 sprays onto affected area every hour and a half in an adult patient E. Use of benzydamine mouthwash, using 15ml every hour and a half in a child F. Use of benzydamine oromucosal spray, 4 sprays onto affected area every hour and a half on a child under 6

Answer 137

B, D

Question 138

What is 'Duty of candor'? * Discussion of complaints procedure with the patient * Discussion of adverse incidents involving the patient * Discussion of treatment options for the patient * Discussion of NHS rules and regulations relevant to the patients treatment

Answer 138

Discussion of adverse incidents involving the patient

Question 139

What treatment would you give to a conscious 22 year old known diabetic patient who shows signs of hypoglycaemia? * Glyceral trinitrate * oral glucose * adrenaline * oxygen * salbutamol

Answer 139

oral glucose and oxygen

Question 140

What treatment would you give to a 55 year old male patient with a history of angina who complains of severe chest pains? * glyceryl trinitrate * adrenaline * chlorphenamine * oxygen * salbutamol

Answer 140

Glyceryl trinitrate and oxygen

Question 141

If drug treatment is required to treat a denal abscess in an adult patient who is allergic to penicillin, which drug is recommended as an appropriate first line alternative. * penicillin v * metronidazole * amoxicillin * clindimycin * erythromycin

Answer 141

metronidazole

Question 142

You are left with a half used cartridge of local anaesthetic after a procedure, what should you do? * Dispose of it down the sink * Put it into the special waste container * Place it carefully in the general waste container * Dispose of in a rigid yellow stream container with a blue lid * Use it for the next patient

Answer 142

Dispose of in a rigid yellow stream container with a blue lid

Question 143

Which of these dental procedures is/are at low risk of post op bleeding complications? * Direct restorations with subgingival margins * Root surface debridement and subgingival scaling * simple extractions (1 to 3 teeth with restricted wound size) * Periodontal surgery

Answer 143

* Direct restorations with subgingival margins * Root surface debridement and subgingival scaling * Simple extractions (1 to 3 teeth with restricted wound size)

Question 144

While chatting to a patient, your nurse asks the patient if her husbands new dentures are still giving him problems. This is... * A breach of confidentiality * Not a breach of confidentiality * Good practice as it shows concern

Answer 144

A breach of confidentiality

Question 145

You plan to change the pay rates in your dental practice. During the process you fail to inform employees about development opportunities and sources of support. This is; * Acceptable * Illegal under the equality act 2010

Answer 145

Acceptable

Question 146

Scottish Government defines the three 'quality ambitions' for the NHS as; * Safe, effective, person-centred * caring, compassionate, collaborative * Equitable, efficient, timely

Answer 146

safe, effective, person-centred

Question 147

If an adult patient collapses in the dental practice, you should check for responsiveness before opening the airway. True or false?

Answer 147

True

Question 148

The 'key signs' of hypoglycaemia include; * cyanosis * confusion * sweating * bradycardia (<70bpm) * aggresion * lowered systolic blood pressure

Answer 148

Confusion, sweating, aggresion

Question 149

A GDP would be required to notify which of the following incidents to the health and safety executive?... A. After a flying piece of amalgam hit a dental nurses eye she had a painful night and lost sleep. Her mother complained before she returned to work the next day . She fully recovered by the end of the week. B. A dental receptionist of the practice slips on wet tiles at the surgery enterance breaking her leg and causing her to be hospitalised for 4 days. C. The compressor in the practice goes on fire due to an electrical short circuit causing the surgery to have to close for a few days because of smoke damage from the ignited clinical waste D. In the course of removal of an impacted lower 3rd molar the elevator slips and the patients lingual nerve was damaged E. Despite receiving a series of vaccinations against hepititis, an associate discovers that he is e-antigen positive.

Answer 149

B. C

Question 150

If a dental practitioner is unsure if a patient who is deemed incompetent under the Adults with Incapacity act has a welfare proxy s/he could establish the identity of any proxy by contacting a number of authorities. These include; * The office of the public guardian (Scotland) * The police * The patients doctor * Social services

Answer 150

* The office of the public guardian * The patients doctor * Social services

Question 151

When photographs are taken as part of a patients examination and treatment, which of the following are best practice? * If the photograph is to be used for teaching or publications purposes, written consent should be obtained. * Patient consent must be obtained through an explanation of the purpose of the photography * Consent is only required if the photo contains identifiable features making the patient recognisable * The patient should be given sufficient time to make a decision to allow photography as the consent cannot be reversed

Answer 151

* If the photo is to be used for teaching or publicaiton purposes, written consent should be obtained * Patient consent must be obtained through an explaination of the purpose of the photography

Question 152

Which of the following is/are true regarding procurement of equipment? * Every practice should have a written policy on procurement of infection control and decontamination items * Products must be marked to demonstrate compliance with the UK medical devices regulations 2002 * Items that have the single use symbol can be reused on the same patient if decontaminated

Answer 152

* Every practice should have a written policy on procurement of infection control and decontamination items * Products must be marked to demonstrate compliance with the UK medical devices regulations 2002

Question 153

Which of the following are appropriate medications for the treatment of trigeminal neuralgia? * Penicillin * Carbamazepine * Triamcinolone * Hydrocortisone * Doxycycline

Answer 153

Carbamazepine

Question 154

According to IRMER regulations, the employer is responsible for; * Organising staff training * Appointing a radiation supervisor * Assuming the dual role of medical physics expert * Written procedures and protocols for operators

Answer 154

* Organising staff training * Appointing a radiation supervisor * Written procedures and protocols for operators

Question 155

GDPR came into force in; * May 2018 * July 2017 * April 2018 * March 2018

Answer 155

May 2018

Question 156

Which of the following qualify as red stream special waste? * Extracted teeth without amalgam * Scalpel blades * Filters for dental aspirating systems * Dressings and swabs * Amalgam

Answer 156

* Filters for dental aspirating systems * Amalgam

Question 157

It is a legal requirement to have a written practice health and safety policy and risk assessment when there are; * One or more staff members * Three or more staff members * Five or more staff members * Ten or more staff members

Answer 157

* Five or more staff members

Question 158

For HM revenue and customs the minimum period of time self employed people must retain financial records for is - * Five years after the end of the financial year * 10 years after the end of the financial year * 5 years after the 31st January submission deadline of the relevant tax year * 2 years after the 31st January submission deadline of the relevant tax year * Indefinitely

Answer 158

5 years after the 31st January submission deadline of the relevant tax year

Question 159

Some complaints require relatively little investigation,. You should aim to complete such an early stage resolution within - * 14 working days * 5 working days * 2 working days * 7 working days

Answer 159

5 working days

Question 160

A prescription for chlorhexidine can - * be written and signed by a registered dental nurse * can only be written and signed by a dental surgeon * can be written and signed by a qualified dental nurse * can be written by a dental nurse and signed by a dentist

Answer 160

can be written by a dental nurse and signed by a dentist

Question 161

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; * Penicillin * Aspirin * Oral contraceptives * Statins * Warfarin

Answer 161

Statins and warfarin

Question 162

To prevent potential hazzards of mercury... * Amalgam filled extracted teeth should be disposed of in the sharps container * All staff must be trained to deal with a mercury spillage * Encapsulated amalgam should be used * Every dental practice must have a mercury spillage kit

Answer 162

* All staff must be trained to deal with a mercury spillage * Encapsulated amalgam should be used * Every dental practice must have a mercury spillage kit

Question 163

GDPR applies to - * Only Scottish buisnesses * Controllers only * Controllers and processors * Processors

Answer 163

Controllers and processors

Question 164

As defined in the SDR, claims for the replacement of failed fissure sealants for patients with special care needs can only be made where the patient is under 18 years old. True or false?

Answer 164

False

Question 165

Which of the following are true when providing a patient with a decision letter on the outcome of their complaint? * Further communications from the patient should be ignored * If the patient is not happy with the outcome, the practice should refer the matter to the GDC * Contact details for the Scottish Public Services Ombudsman should be provided in the event that the patient remains dissatisfied * You should direct the complainant to contact the local health board if they are unhappy with the outcome * The practice complaints record should be updated with the outcome

Answer 165

* Contact details for the Scottish public services ombudsman should be provided in the event that the patient remains dissatisfied * The practice complaints record should be updated with the outcome

Question 166

You are starting your first self-employed associate job. What must you do when considering your income tax obligations? * Engage the services of a charted accountant * Inform HM revenue and customs of your self employed status within 3 months of starting work * Inform HM revenue and customs of your self employed status within 3 weeks of starting work * Keep records of all your income and business related expenditure * Make your first payment to HMRC on 5th April the following year

Answer 166

* Inform HMRC of self employed status within 3 months * Keep records of all your income and business related expenditure

Question 167

A patient taking aflibercept requires an essential extraction, you should; * Perform regular reviews with an essential review at 8 weeks * Focus on minimising perio/dental disease/infection * Prescribe antibiotics after the procedure * advise the patient they are at risk of developing MRONJ

Answer 167

* Perform regular reviews with an essential review at 8 weeks * Focus on minimising perio/dental disease/infection * Advise the pt they are at risk of developing MRONJ

Question 168

Which statements are true? A patient has a generalised tonic-clonic seizure... * The A-E approach should not be followed if the patient is unconscious * Midazolam should never be given if the patient is a child under 10 years old * Medication should only be given if seizures last for 5 mins or longer or recur in quick succession * It is mandatory for the patient to be seen by medical staff following any seizures * Hypoxia is a common feature during seizures

Answer 168

Medication should only be given if seizures last for 5 mins or longer or recur in quick succession. Hypoxia is a common feature during seizures.

Question 169

If there is a breach of data the DCP should inform the ICO no later than... * 48 hours * 4 weeks * 72 hours * 24 hours

Answer 169

72 hours

Question 170

You have taken a crown impression that involved going sub-gingivally, with some blood present. Before sending it to the lab, do you... * run it under a tap only * let it air dry * let the lab disinfect it * run it under cold water until visibly clean then disinfect it * wipe it with a tissue * spray it with alcohol

Answer 170

Run it under cold water until visibly clean then disinfect it

Question 171

In relation to local anaesthesia what is a 'PGD'? * Ploypharmacy guidelines * Periodontal guidance for dentists * Patient group direction * Patient governance direction

Answer 171

Patient group direction

Question 172

Your local health board has a responsibility to investigate in the event a patient makes a complaint directly to them about your service. True or false?

Answer 172

False

Question 173

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 (> 5mins) should be treated with subcutaneous injections of midazolam * During convulsions the patients airway must be protected with the jaw thrust manoeuver

Answer 173

convulsive movements should not be restrained

Question 174

The health and safety legislation that relates to a work related disease is - * COSHH * RIDDOR * PAT * All of the above

Answer 174

RIDDOR

Question 175

Which of the following is/are true of NHS complaints procedures in Scotland? * All details of the complaint should be recorded in writing * Only complaints made by the patient who is the subject of the complaint should be considered * Send the complainant a written acknowledgement of the complaint within 3 working days of the date the complaint is received, or as soon as reasonably practical * Only incidents that lead to permanent injury or disfigurement require to be investigated * A complaint should normally be made within 6 months of the date of discovery provided it is within 12 months of the incident

Answer 175

* All details of the complaint should be recorded in writing. * Send the complainant a written acknowledgement * A complaint should normally be made within 6 months of the date, within 12 months

Question 176

When obtaining treatment consent for a child who is incapable of providing consent themselves, consent can be given by whom? A. A step father with parental responsibility agreement B. A sibling over 16 C. A maternal grandmother D. The mother

Answer 176

A. D

Question 177

What advice would you give a patient with mucosal ulceration to whom you have prescribed chlorhexidine mouthwash. * Use twice daily * Spit out after rinsing * Use until lesions have resolved * Use directly after toothbrushing

Answer 177

A. B. C

Question 178

Which of the following increase the anticoagulant effect of warfarin? A. Metronadizole B. Miconazole C. Fluconazole D. Aciclovir

Answer 178

A. B. C

Question 179

You add a clasp to an existing denture (8 months old) to aid retention, which of the following are correct? * You can only charge the patient privately for this * You can claim and NHS fee for the clasp * You cannot claim and NHS fee as it forms part of the original claim * You can claim and NHS fee for the clasp and an impression

Answer 179

You can claim an NHS fee for the clasp

Question 180

Which of the following statements is false? * A fully automated external defibrilator will not check for clinical signs of life * Children of less than 3 years should be defibrilated with lower electrical energy * There may be a risk of electricution if helpers are in direct contact with the patient during an electrical shock from the AED * AED pads usually expire after 5-8 years

Answer 180

AED pads usually expire after 5-8 years

Question 181

When a patient requires antibiotic prophylaxis against infective endocarditis - A. In a 10 year old child who is allergic to penicillin the correct regimine is Clindamycin 15mg/kg up to a maximum of 600mg B. In a patient who isn't allergic to penicillin, the correct dose is 3g (1 sachet) 60 minutes before the procedure C. For patients who require sequential invasive treatments over a short time period, the same antibiotic can be prescribed for the purposes of prophylaxis for each treatment episode D. The prescription should include a note that the antibiotic is being prescribed for prophylaxis E. The antibiotic must be taken in the practice

Answer 181

B. C. D. E

Question 182

Which statements are true? A patient undergoes a dental procedure during which local anaesthetic is used. Shortly afterwards he complains of difficulty breathing, with an audible wheeze and a swollen tongue. He is sweaty, the pulse rate is 110, capillary refil time is 4 seconds... A. Cardiac arrest may occur and the dental team should prepare for this B. The A - E approach should be followed C. Salbutamol is the first line drug in this situation D. Chlorphenamine is the first line drug in this situation E. Anaphylaxis can be excluded if there is no visible rash

Answer 182

A. B

Question 183

The maximum dose of ibuprofen for an adult is?... * 2.4g * 1.4g * 0.4g * 3.4g

Answer 183

2.4g

Question 184

In a 23 year old patient with severe ANUG... * An appropriate drug regimen would be Metronidazole tablets 400mg, 3 times daily for 3 days * An appropriate drug regimen would be Metronidazole tablets 400mg, 3 times daily for 5 days * You should ensure you and your nurse wear FFP3 masks due to possible inhalation of fusobacteria * Metronidazole should only be prescribed if the patient has an underlying immunodeficiency * You should avoid USS as it would be painful

Answer 184

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

Question 185

Which of the following is an appropriate antifungal medication for a patient taking warfarin? * Penicillin * Fluconazole * Nystatin * Miconazole * Metronidazole

Answer 185

Nystatin

Question 186

Sterilised dental instruments, ie those which have been processed without packaging, can be stored... * in covered trays within cupboards * On work surfaces in open trays * Uncovered in drawers * In sealed pouches

Answer 186

In covered trays within cupboards In sealed pouches

Question 187

The GDC recommends that members of the dental team involved in radiology undertake at least 5 hours of CPD in what time scale? * Every 5 years * Every 3 years * Annually

Answer 187

Every 5 years

Question 188

You plan to introduce a new endodontic irrigant for use in the practice. What must you do beforehand? * Record its use as part of RIDDOR * Notify your DPA that this is now in use * Register its use with the health and safety executive * Establish if the new material requires a COSHH assessment and complete if appropriate

Answer 188

Establish if the new material requires a COSHH assessment and complete if appropriate

Question 189

Which of the following are considered drugs for emergency use? * Midazolam buccal liquid * Aspirin * Paracetamol * Adrenaline * Oral glucose

Answer 189

* Midazolam * Aspirin * Adrenaline * Oral glucose

Question 190

Automatic external defibrilation use in dental practice, should be administered if possible by trained staff and usually requires removal of patient clothing. True or false?

Answer 190

True

Question 191

A 'domicillary 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 8 'domicillary visit and recalled attendance'. True or false?

Answer 191

False

Question 192

Which of the following statements are true? Self employed dentists... A. Are legally responsible for their own accounts B. Are subject to PAYE C. Are exempt from NI as it is paid by the practice D. Are salaried by the health board E. Normally have tax deducted by the practice before being paid F. Are required to pay income tax on gross turnover G. Are required to pay income tax on net earnings

Answer 192

A. G

Question 193

Which of the following is/are true under the terms of the health and safety at work act... * The employer can charge the employee for PPE * Protective clothing can be worn to and from work as long as it is covered by an appropriate coat * The employer must provide any PPE deemed necessary by a risk assessment * Latex gloves are covered by COSHH assessment

Answer 193

* The employer must provide any PPE deemed necessary by a risk assessment * Latex gloves are covered by COSHH assessment

Question 194

Which statments are TRUE... A dental patient... A. taking regular angiotensin converting enzyme (ACE) inhibitors may be at higher risk of collapse after suddenly getting up from the dental chair. B. with a high respiratory rate who complains of tingling feeling in the face and hands should be given im midazolam C. with a history of recurring syncope should be given oxygen if they show the following signs; light headedness, sweating, slow pulse rate D. who is unconscious for 15 minutes is likely to have suffered syncope E. Who becomes unconscious in the waiting room should be transferred onto the closest dental chair to ensure best emergency treament.

Answer 194

A. C

Question 195

Which statement is true? A dental patient with no known history of cardiovascular medical history suddenly complains of chest pain... A. The patient should be made to immediately rest in a flat position to improve circulation B. The risk of cardiac arrest is negligible if the blood pressure is maintained C. Aspirin 300mg orally may be indicated D. The a-e approach should only be followed if the patient becomes unresponsive

Answer 195

C

Question 196

The time limit for the handling of complaints begins from... * the date of the initial acknowledgement sent to the patient * the date of receipt of the complaint or the next working day if receipt is on a non working day * the date the complaint was written by the patient * the date of the incident that prompted the complaint

Answer 196

The date of receipt of the complaint or the next working day if a non working day

Question 197

With the introduction of direct access in May 2013, dental hygienists and therapists can diagnose and treat patients within their scope of practice, without a prescription from a dentist. True or false?

Answer 197

True

Question 198

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 a permanent bridge? * 1 week * 4 weeks * one month * 3 months * 6 months * 12 months * none of the above

Answer 198

6 months

Question 199

As defined in the SDR , crowns placed on molar teeth under NHS arrangements must be constructed in a non precious metal. True or false?

Answer 199

False

Question 200

You are prescribing artificial saliva pastilles to a patient with a dry mouth. Which of the following abbreviations should the prescription be endorsed with? * ACBS * BAN * POM * DPF * CSM

Answer 200

ACBS

Question 201

To save time you have decided to delegate obtaining consent to your nurse. In which of the following situations is this allowable? * when the patient is a child and has a better rapport with the nurse * when you, the nurse and the patient are in the same room * never * when the nurse is qualified and registered with the GDC

Answer 201

never

Question 202

How long should hand hygiene take to perform when using an alcohol based hand rub (abhr) for non surgical clinical procedures? * 5-10 seconds * 30-40 seconds * 40-60 seconds * 20-30 seconds * 10-20 seconds

Answer 202

20-30 seconds

Question 203

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

Answer 203

A. B. C

Question 204

Which of the following cardiac conditions are included in the subgroup requiring special consideration when prescribing antibiotic prophylaxsis against infective endocarditis? A. Prosthetic valve replacement B. Fully repaired ventricular septal defects C. Previous endocarditis D. Cyanotic congenital heart disease E. Hypertrophic cardiomyopathy

Answer 204

A. C. D

Question 205

Which statements are true for patients taking daily aspirin? A. Extensive treatment should be carried out in one visit. B. Treat without interruption of medication C. Use local haemostatic measures D. Ask pt to stop taking aspirin on the morning of treatment

Answer 205

B. C

Question 206

Which statement is true? In a collapsed adult patient who is unresponsive... * Cardiac compressions should be started to a minimum depth of 10-15cm if no breathing is present * and breathing normally, the recovery position may be indicated * with irregular, gasping breathing, high flow oxygen via non-rebreathing facemask (trauma mask) should be administered before commencing chest compressions. * Breathing should be checked for 15 seconds

Answer 206

... and breathing normally, the recovery position may be indicated

Question 207

It is recommended that the quality ratings of radiograhphs are regularly analysed to determine the percentage of the total images produced that are categorised as A or N. The target percentages of images rated as diagnostically acceptable for digital images is? * not less than 90% * not less than 80% * not less than 100% * not less than 95%

Answer 207

not less than 95%

Question 208

What is/are the correct procedure(s) for dealing with a needlestick/sharps injury? A. encourage bleeding B. suck the wound C. contact your local occupational health service to discuss the incident, and where necessary, ask them for appropriate advice and follow up D. record incident in accident book E. wash with warm water and soap F. apply a tourniquet

Answer 208

A. C. D. E

Question 209

Radiation dose to the patient can be reduced by which of the following methods? A. increasing film speed B. digital radiography C. rectangular collimation D. quality assured processing E. add lead lining to walls

Answer 209

A. B. C. D

Question 210

Who has responsibility for explaining the risks of a general anaesthetic for dental treatment to a patient or parent? A. the receptionist B. the treating dentist C. the hospital/community dentist who assesses the patient D. the dental nurse E. the referring GDP

Answer 210

B. C. E

Question 211

which of the following incidents requires reporting in the accident report book? A. you suffered a sharps injury when reaching for an instrument B. a patient trips and falls on entering the practice bumping their head C. the receptionist slipped on ice on the way home fracturing her wrist D. your receptionist tripped and fell, hurting her ankle while carrying some lab work E. the file stand fell over. Nobody was injured but the next patient was kept waiting

Answer 211

A. B. D

Question 212

Your professional indemnity/insurance may be invalidated by - A. receiving a complaint from the GDC B. failure to maintain your GDC registration C. failure to pay your subscription on time D. failure to declare an accurate claim/case history on application

Answer 212

B. C. D

Question 213

With regards to verifiable CPD, which of the following statements is/are true? A. Dentists must comply with the verifiable CPD requirements to maintain their GDC registration B. You must obtain certification for all verifiable CPD that you undertake. C. You must submit all documentary evidence of compliance to the GDC before the 20th Dec every year of your CPD cycle D. The GDC say you must keep your verifiable CPD records for 5 years after the end of a cycle as they may wish to see it E. Only GDC accredited providers can deliver verifiable CPD that you undertake

Answer 213

A. B. D

Question 214

Where an employee is dismissed for poor performance, the employer should be able to demonstrate that s/he has - * explained the consequences of failing to meet standards * properly explained the standard of work required (which must be realistic and acheivable) * given feedback on performance ideally through a formal appraisal system * made available appropriate training and supervision * kept records of the disciplinary procedure

Answer 214

All of the above

Question 215

Which of the following is true whe prescribing antibiotic prophylaxis against infective endocarditis for dental treatment? A. AB prophylaxis should be considered for patients who require non routine management based on their specific cardiac condition when removing sutures. B. there is strong evidence that invasive dental procedures lead to infective endocarditis C. all patients at an increased risk of developing infective endocarditis require AB prophylaxis D. fatality rates for IE are around 10% E. AB prophylaxis against IE is not recommended routinely for people undergoing dental procedures

Answer 215

E

Question 216

Your patient has recently appointed her husband and son as joint welfare attorneys. As her dentist, how should you decide whose views you must consider when the patient cannot consent for treatment by herself? A. you should refer to the patients individual POA document for specific instructions B. it is only necessary to consult the attorney who is present unless they specifically request that you consult the joint attorney C. it is always sufficient to consult with just one of the two designated attorneys D. you must always consult with both attorneys

Answer 216

A

Question 217

Which of the following statements are true? During a cardiac arrest in the dental surgery... A. part of a team leaders role is to ensure the safety of other patients B. health and safety regulations exempt pregnant members of staff from helping C. CPR may need to be interrupted and the patient moved if the area is not safe D. qualified dentists should aim to personally manage the airway whilst leading the team E. the team members should not communicate with each other but always through the team leader

Answer 217

A. C

Question 218

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

Answer 218

A. B

Question 219

For the purpose of the Adults with Incapacity Act, the term 'incapable' describes an adult - A. Unable to communicate their decisions B. Incapable of retaining a memory of their decisions C. Incapable of understanding the consequences of their decisions D. Making an apparently unwise decision

Answer 219

A. B. C

Question 220

Which of the following statements are true? A. the maximum daily dose of diclofenac for an adult is 300mg B. the maximum daily dose of paracetamol for an adult is 4g C. the maximum daily dose of paracetamol for a 5 yo child is 900mg D. paracetamol and ibuprofen can be given to children alternately provided the maximum dose of each drug is not exceeded E. the maximum daily dose of ibuprofen for an adult is 2.4g

Answer 220

B. D. E

Question 221

As defined in the SDR, what is the maximum number of radiographs that may be claimed within a single course of treatment? * 16 * 12 * no maximum stated * 10 * 8

Answer 221

No maximum

Question 222

Which of the following statements are true regarding CPR in children by healthcare professionals? A. after rescue breaths have been given, the recommended ratio of compression and ventilation is the same as an adult B. oxygen should be administered at half the adult flow rate C. defibrilation should only be attempted if the child has known heart disease D. initially 5 chest compressions should be given before 2 rescue breaths E. impared breathing is a more common reason for cardiac arrest in infants than a shockable rhythm is

Answer 222

A. E

Question 223

In the event of a dental patient being very unwell and requiring transfer to hospital - A. an ambulance should be called once the patient is medically stable B. clinical notes should not be passed to ambulance personnel because of confidentiality concerns C. ambulance personnel are not responsible for contacting next of kin D. ambulance staff are responsible for identifying access points and removal routes in dental practice E. the DCP own car should be used if it reduces transfer time

Answer 223

C

Question 224

Which of the following fees is payable for orthodontic extractions of non-diseased teeth in children in addition to the normal extraction fee? * no additional fee * £6.25 * £7.60 * 13.80

Answer 224

no additional fee

Question 225

Which statement is true. The type of suction device shown in the image... A. must not be used during a cardiac arrest situation B. can be effectively used to remove large solid objects (eg dentures) from the upper airway C. requires cardiac compressions to be interrupted during a cardiac arrest to be used effectively D. should only have its component parts assembled once an emergency has occurred E. can be used when mains electricity fails or the patient is remote to the dental chair aspirator

Answer 225

E

Question 226

What must be provided in terms of first aid in every dental practice? A. paracetamol B. an appointed person C. information on first aid arrangements for employees D. an appropriate first aid box E. adrenaline and salbutamol inhalers for treatment of allergic reactions

Answer 226

B. C. D

Question 227

The arm of your new xray machine fails and the head crashes onto the work surface below. No one is hurt and you immediately switch of the machine at the mains. Which official body is it necessary to contact? A. the health and safety executive B. the health protection agency C. the medicines and health care products regulatory agency D. the MDDUS

Answer 227

C

Question 228

The correct doffing of PPE is - A. Eye/face protection, apron/gown, gloves, mask B. Eye/face protection, mask, apron/gown, gloves C. Gloves, apron/gown, eye/face protection, mask D. Apron/gown, gloves, eye/face protection, mask

Answer 228

C

Question 229

A 54 year old patient attends who is very anxious about dental treatment and asks if it's possible to prescribe something to manage their anxiety. After discussing it with the patient you decide to prescribe them diazepam. You should... A. Advise the patient to take 5mg an hour before the procedure B. Advise the patient to take 5mg two hours before the procedure C. Advise the patient that it's ok to drive to the appointment if they don't feel drowsy after taking the medication D. Only prescribe the minimum number required E. Double up the dose if they are having an extraction F. Start them with a 10mg dose and increase or decrease depending on how they feel

Answer 229

B. D

Question 230

Which of the following items should be included in infection control policies? A. waste management B. PPE C. immunisation of staff D. Compressor maintenance logbook E. Hand hygiene

Answer 230

A. B. C. E

Question 231

A GP209 is used to?... * transfer patients between dentists in the same practice * claim a recalled attendance * transfer patients outwith the practice * de-register patients

Answer 231

transfer patients between dentists in the same practice

Question 232

Which of the following is/are true regarding pressure vessels? A. non-vaccum autoclaves are not defines as pressure vessels under the regulations B. a written schedule of examination by a competent person is a legal requirement C. the main regulations covering pressure equipment and systems are the pressure equipment regulations 1999 and the pressure system safety regulations 2000 D. the examination schedule should include the pressure vessel and all attached pipework, valves, gauges and protective devices.

Answer 232

B. C. D

Question 233

Which of the following are NOT drugs associated with osteonecrosis of the jaw? * acetic acid * zoledronic acid * ascorbic acid * alendronic acid * risedronate sodium

Answer 233

acetic acid. ascorbic acid

Question 234

Where you have provided care and treatment for a patient, what is the maximum length of time after completion of treatment you have to send the electronic claim form for payment? * 1 month * 3 months * 6 months * one year * 15 months * 2 years

Answer 234

3 months

Question 235

Sharps boxes must... A. Be labelled with date of assembly, point of origin and date of closure B. Have a temporary closure mechanism, which must be employed when the box is not in use C. Be disposed of when the manufacturers fill line is reached or following 6 months of assembly, whichever is first D. Be disposed of when the manufacturers fill line is reached or following 3 months of assembly, whichever is first

Answer 235

A. B. D

Question 236

In which of the following situations can a 1(a) examination fee be claimed for a child patient? * Each 6/12 check up * joining the practice as a new patient * a regular attender who presents 4 months after their last exam, c/o toothache * when providing tx relating to trauma * never

Answer 236

joining the practice as a new patient

Question 237

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 * metronidazole tablets 200mg 3 times a day for 5 days * amphotericin losenges 10mg 4 times a day for 10 days * aciclovir cream 5% five times a day for 5 days

Answer 237

Aciclovir cream 5% five times a day for 5 days

Question 238

A patient attends for the provision of F/F dentures but does not return after the try in stage. What is the minimum time from when the patient last attended that you should wait before claiming your fee? * 1 month * 2 months * 3 months * 6 months * 12 months

Answer 238

2 months

Question 239

How long after extraction are you normally required to wait before providing a metal based denture under the NHS? * 1 week * 4 weeks * 1 month * 3 months * 6 months * 12 months * none of the above

Answer 239

3 months

Question 239

Which of these is defined as a protected characteristic within employment legislation? * sex * marriage and civil partnership * age * being left handed

Answer 239

* sex * marriage and civil partnership * age

Question 240

As defined in the SDR, which of the following is/are true in relation to 3(i) pulpotomy? * this item is only available to be provided on patients under 15 yo * this item must be accompanied with appropriate radiographs * this item may be provided on permanent incisors and canines * this item is available for any primary tooth

Answer 240

this item may be provided for any primary tooth

Question 241

As defined in the SDR, item 3(j) root canal re-treatment supplement is claimable where an old, failed root filling requires to be replaced. Which of the following is true? A. may not be claimed by the dentist who carried out the original root filling B any claim must be supported by an up to date pre op radiograph demonstrating evidence of an existing root filling C item 3(j) may only be claimed where a claim is made under 3f, 3g, 3h for the same tooth in the same course of treatment D. May not be claimed by any dentist in the practice within 11 calendar months of the payment of the original, failed root treatment

Answer 241

B. C

Question 242

Which of the following must be undertaken to satisfy the requirements outlined within the SDR for a claim made under 2c where a patient has sextants with BPE codes 3/4 A. pmpr B. pocket depth charting of affected sextants C. recording of plaque and bleeding scores D. BMI recording E. recording of risk factors pertinent to periodontal disease

Answer 242

B. C. E

Question 243

When taking an intra oral radiograph the minimum recommended distance for the operator from the source of ionising radiation is * 1m * 1.5m * 1.75m * 2m

Answer 243

1.5m

Question 244

A patient (who has no special medical needs) attends your practice and is 14 years of age at the examination. She requires an occlusal restoration on a lower first molar. However, by the time the restoration is placed she has turned 15, so it would be appropriate to place an amalgam restoration under NHS regulations. True or False

Answer 244

False

Question 245

As an employer, PAYE and NI records for staff should be retained for how long? * 3 years * 5 years * 9 years * 11 years * indefinitely

Answer 245

3 years

Question 246

In a patient who presents with herpes zoster... A. aciclovir tablets 800mg five times a day for 7 days is appropriate treatment B. valaciclovir can also be prescribed using an NHS prescription C. aciclovir tablets and oral suspension are not licenced for the treatment of herpes zoster in children D. patients should be referred to a specialist or their GMP to be prescribed antivirals E. there is no indication for prescribing aciclovir after 72 hours following the onset of the rash

Answer 246

A. C

Question 247

For a GDP practice to be deemed NHS committed and receive the maximum payment in relation to general dental practice allowance they have to fulfill the following criteria... A. Participate in a weekend emergency scheme B. All dentists within the practice meet, and continue to meet their NHS terms of service C. Derive no more than 10% of gross income from the provision of private treatment D. Have retained no fewer than 80% of their registered NHS patients compaired to their 1st July 2022 baseline E. Have been satisfactorily inspected by the health board within the past 3 years

Answer 247

B. D. E

Question 248

You are the principle of a dental practice. A former employee, recently dismissed, phones you at the practice to complain that you dismissed them unfairly, what should you do?... A. Contact the GDC for advice. B. Ignore the call as you have no obligation to enter into discussion with those you do not employ. C. Take good written notes detailing the substance of the telephone conversation. D. Contact your health board E. Ask the former employee to make a formal written complaint

Answer 248

C. E

Question 249

Which of the following statements are true? The type of suction device shown in the image... A. Should not be used in a 6 year old child. B. Needs to be stored dismantled to maintain sterility of the components C. Should not be used during defibrilation D. For most effective use, in some situations, may require an oropharyngeal airway to be temporarily removed E. Is not required in a dental practice if the dental chair has a built in aspirator

Answer 249

C. D

Question 250

Privacy notices related to GDPR must include the following... A. explain lawful purpose for which you are processing personal data B. who it will be shared with C. retention periods for the data D. list which staff members will be dealing with your data

Answer 250

A. B. C.

Question 251

A 5 year old patient is at increased risk of dental caries. Which of the following is an appropriate regime? * sodium fluoride toothpaste 0.619% * sodium fluoride oral drops 0.37%, 7 drops daily * sodium fluoride mouthwash 0.05% 10ml once daily * sodium fluoride varnish applied four times per year

Answer 251

sodium fluoride varnish applied four times per year

Question 252

How many hours CPD in relation to managing medical emergencies does GDC highly recommend per 5 year cycle? * 20 * 10 * 5 * 2

Answer 252

10

Question 253

Which of the following is not one of the five steps of a health and safety risk assessment? * decide who might be harmed and how * review your assessment and update as necessary * identify the hazzards * evaluate the risks and decide on precautions (controls) * submit your risk assessments to the health board dental practice advisor * record your findings and take appropriate action

Answer 253

submit your risk assessments to the health board dental practice advisor

Question 254

Which of the following statements would apply to a claim of Quality Improvement Allowance, as described in the SDR... A. the first approved project for a dentist should normally be one of not less than 3 hours B. the maximum number of hours that can be claimed in any relevant period is 15 hours C. A project should be completed within 6 months from the date of approval

Answer 254

B. C

Question 255

IR(ME)R 2017 provide protection to whom? * Patients * Staff * Both

Answer 255

Patients

Question 256

On which of these materials should you carry out a written COSHH assessment? * all materials used * only cleaning agents * only those containing acids * only those used in the patients mouth * those with warning labels on bottles

Answer 256

those with warning labels on bottles

Question 257

At what age to capitation payments cease? * 16 years * 17 years * 18 years * 26 years * they do not cease but continue for the life of the patient

Answer 257

they do not cease but continue for the life of the patient

Question 258

If you are off work for more than 7 days in a row you can get a fit/sick note from which of the following health care professionals? A. Physiotherapist B. Registered nurse C. GDP D. GMP E. Pharmacist F. Occupational therapist

Answer 258

all but GDP

Question 259

Which statement is true? During CPR in an adult... * spontaneous eye opening or active limb movement in the patient are definite signs of life * 2 effective rescue breaths should be delivered before starting chest compressions * 5-8 mins of effective chest compressions should be given before an EAD is applied * in the dental practice, mouth to mouth ventilation is usually recommended * the recommended ratio is 15 compressions to 2 breaths

Answer 259

spontaneous eye opening or active limb movement in the patient are definite signs of life

Question 260

As defined in the SDR, which of the following is/are true about sedation under NHS arrangements? A. Item 6A sedation assessment may not be claimed without an accompanying claim for item 6B sedation in the same course of treatment B. Item 6B may be claimed where a combination of more than one sedative agent is used within an appointment C. Item 6B may not be claimed where the same operator is administering sedation and providing treatment in the same appointment D. Item 6B sedation may be claimed for each visit for which the patient requires sedation for dental treatment

Answer 260

D

Question 261

GDPR applies to... A. controllers and processors B. only Scottish buisnesses C. controllers only D. processors only

Answer 261

A

Question 262

Your patient has periodontitis with BPE codes of 3 in some sextants. You have carried out a 2C perio assessment and treatment under the SDR. With the prescription of appropriate perio reviews, what is the minimum time that can elapse until you are able to make a further claim under the item 2C?

Answer 262

2 months

Question 263

Which statement is true? In the event of a dental patient being very unwell and requiring transfer to hospital... A. ambulance staff are responsible for identifying access points and removal routes in the dental practice B. an ambulance should be called once the patient is medically stable C. the dental care professionals own car should be used if it reduces transfer time D. clinical notes should not be passed to ambulance personnel as it is a confidentiality concern E. ambulance personnel are not responsible for contacting next of kin

Answer 263

E

Question 264

Which of the following are true in relation to the quality assurance of CPD? A. certification of verifiable CPD should include a statement that the CPD is subject to quality assurance and the name of the person or body providing the quality assurance B. documentary evidence of taking part in the CPD should include the subject, learning content, aims and objectives C. individual attendees must keep a record of the quality assurance measures employed at each CPD event D. the GDC is responsible for ensuring that the objectives of a CPD event are relevant to each attendees development needs

Answer 264

A. B

Question 265

Legionella risk assessment... * must be reviewed if there is a change to the water system * is valid for three years * must be completed by the duty holder.

Answer 265

must be reviewed if there is a change to the water system

Question 266

Which of the following statements are true? The recovery position should be used... A. during CPR if vomitus is visable in the mouth B. to prevent airway obstruction in unconscious, breathing patients C. for no more than 30 minutes before turning the patient onto the opposite side D. in pregnant patients during cardiac arrest E. to reduce the need for frequent checks of breathing

Answer 266

B. C

Question 267

The practice manager of an NHS dental practice must... * be registered with the GDC * have previously been a DCP * be registered with the ICO * none of the above

Answer 267

none of the above

Question 268

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

Answer 268

30 minutes

Question 269

Which of the following are claimable allowances for an associate dentist working in the GDS? A. maternity leave B. annual leave C. adoptive leave D. paternity leave E. compassionate leave

Answer 269

A. C. D

Question 270

GDPR stands for A. general data protection regulations B. generic data protection regulations C. general data processing regulations D. generic data processing regulations

Answer 270

A

Question 271

An adult patient presents with denture stomatitis and drug treatment is required. Which of the following may be appropriate drug regimes? A. Pen V 250mg 4 x daily for 5 days B. erythromycin 250mg 4 x daily for 5 days C. fluconazole capsules 50mg 1 capsule daily for 7 days D. miconazole oromucosal gel 20mg/ml, pea sized amount after food 4 x daily E. triamcinolone dental paste, 10g 4 x daily until symptoms disappear

Answer 271

C. D

Question 272

The in practice complaints management process requires that all complaints are initially made in writing. True or false?

Answer 272

False

Question 273

Your autoclave explodes. You should?... A. report to the health and safety executive within 20 days even if the only damage caused was to the autoclave B. report to the health and safety executive within 10 days even if the only damage caused was to the autoclave C. Only report to the health and safety executive within 10 days if injuries occured however major/minor due to the explosion D. inform the local fire station of the situation even if there is no fire damage

Answer 273

B

Question 274

Which statement is correct regarding the use of alcohol based hand rub? A. ABHR can only be used if hands are visibly soiled/dirty B. ABHR can only be used on visibly clean hands C. ABHR can only be used during treatment on the same patient D. ABHR can only be applied up to a maximum of 4 times, then hands must be washed E. ABHR can only be used after washing hands with soap and water first

Answer 274

B

Question 275

Which of the following are mandatory for each autoclave in the practice? A. A written scheme of examination B. Third party liability insurance C. A record of maintenance and repairs of the pressure system D. Insurance to cover routine services and repairs

Answer 275

A. B. C

Question 276

What is the minimum entitled annual number of weeks per year of paid holidays for a full time employee in the uk? * 3.1 * 4.8 * 5.6 * 6.2

Answer 276

5.6

Question 277

In relation to employers liability insurance, which of the following statements are true? A. there is a legal requirement to display out of date certificates B. the employer must keep the certificate for 40 years C. the minimum level of cover required is £2m D. being classed as 'national health service bodies' all dental practices are exempt from the requirement to have employers liability insurance E. your insurer must pay the full amount of any compensation agreed with your employee or awarded to them by court

Answer 277

B. E

Question 278

According to ICO guidance, how often should privacy policies be updated? * monthly * biannually * yearly * regularly

Answer 278

regularly

Question 279

Which of the following is/are true of the managment of healthcare waste in the dental practice? A. dressings, swabs and PPE should be disposed of as orange stream waste B. teeth with amalgam fillings are classed as yellow (high risk) stream waste C. waste amalgam should be placed in the container supplied and disposed of in the red stream waste D. working cast models are disposed of in the black stream waste

Answer 279

A. C

Question 280

Which of the following qualify as yellow stream special waste? A. lead foils from xray film packets B. disposible syringes C. highly infectious waste or blood D. scalpel blades E. extracted teeth with amalgam

Answer 280

B. C. D

Question 281

When considering apportionment of fees in an associate agreement, a 'sliding scale' - A. May be negotiated by mutual consent B. is defined, monitored and regulated by the BDA C. allows the associate, at the start of each month to determine the percentage of fees given to the principle D. allows the principle, at the start of each month to determine the percentage of fees given to the associate E. is agreed between the associate and principle at the start of the term of the associate agreement F. is illegal under NHS regulations

Answer 281

A. E

Question 282

Which of the following are true regarding COSHH assessment? A. records of the assessment should always be kept B. your indemnifier is responsible for providing a COSHH assessment for your practice C. dental staff should be aware of the risks involved with hazzardous substances and be trained in handling them correctly D. failure to comply with the regulations constitues an offense and is subject to penalties under the health and safety at work act E. The BDA is responsible for providing a COSHH assessment of practices

Answer 282

A. C. D

Question 283

Form GP209 is used to - * claim a recalled attendance * de-register patients * transfer patients between dentists in the same practice * transfer patients outwith the practice

Answer 283

transfer patients between dentists at the same practice

Question 284

your local health board has a responsibility to investigate in the event a patient makes a complaint directly to them about your service. True or false?

Answer 284

False

Question 285

Which of the following are true? If a cardiac arrest occurs in an infant... A. it is most commonly due to respiratory issues B. chest compressions should be given with two fingers or thumbs only C. the child may be carried by a lone helper in order to get help D. the airway should be opened by tilting the head back as much as possible E. an adult pocket mask can be used for ventilation where no paediatric mask is available

Answer 285

A. B. C. E

Question 286

Which of the following are correct? A. with regards to disabled access, the equality act only applies to physical disabilities B. it is the responsibility of the practice to determine what reasonable adjustments are required to meet the needs of disabled patients C. It is only necessary to make reasonable adjustments to meet the needs of disabled patients in response to individual requests D. with regards to disabled access, a dental practice with fewer than 5 employees does not need to comply with the equality act

Answer 286

B

Question 287

The local rules for each xray machine should include the contact details for all the responsible people. Who are they? A. employer, radiation protection supervisor, radiation protection advisor B. radiation protection supervisor, radiation protection advisor, medical physics expert C. practice owner, medical physics expert D. employer, associate dentist, radiation protection supervisor, medical physics expert

Answer 287

A

Question 288

A patient, who has no known special medical needs, attends your practice and is 15 years of age at the examination. She requires an occlusal restoration on a lower first molar, and has turned 16 by the time the restoration is placed. It would be appropriate to place an amalgam restoration under NHS regulations. True or false

Answer 288

True

Question 289

Which antimicrobial would you NOT prescribe to a 9 year old child? * doxycycline * phenoxymethylpenicillin * erythromycin * amoxicillin * metronidazole

Answer 289

doxycycline

Question 290

The hygienist at the practice is able to carry out normal day to day activities, but suffers from a mental imparement. This is defined as a disability under the equality act 2010. True or false?

Answer 290

False

Question 291

Which of the following statements are true regarding the bag valve mask device shown? A. it can be used in a patient who becomes unresponsive during severe choking B. it can be used in a patient who has signs of circulation but is not breathing adequately, to give 10-12 breaths per minute C. an adult sized bag valve mask device with a small facemask is the best equipment in order to ventilate a 3 yo D. high flow oxygen must be attached to the inlet nozzel in order to ventilate a patient

Answer 291

A. B

Question 292

A patient is described as being at higher risk of developing MRONJ if - A. they have received IV bisphosphonate infusions quarterly for less than 5 years B. they have been taking oral bisphosphonates to treat osteoperosis for over 5 years C. they have a thin mucosal biotype D. they had a previous episode of MRONJ 10 years ago E. they have a close blood relative who develped MRONJ following bisphosphonate therapy

Answer 292

B. D

Question 293

As defined in the SDR, a claim under item 1B for perio assessment must include a 6ppc of affected teeth. True or false?

Answer 293

True

Question 294

According to ICO guidance, how often should privacy policies be updated? * regularly * monthly * yearly * biannually

Answer 294

regularly

Question 295

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) B. substance of the complaint must be handled thoroughly C. records should be kept of all complaints and responses D. both the views of the patient and dentist/staff heard E. automatically pass the complaint to the health board within 10 working days

Answer 295

A. B. C. D

Question 296

The adults with incapacity act can be applied to - A. patients with severe sensory impairment B. patients with acquired brain injury C. patients with dementia D. patients only over the age of 25

Answer 296

A. B. C

Question 297

Which of the following NHS GDS treatments require study models to be included in the treatment plan to allow successful processing of the claim by PSD? A. Cases involving treatment above the value of £600 B. Cases invlovling more than 2 crowns C. Cases involving provision of a hard heat-cured acrylic occlusal appliance D. Cases involving bridge work E. Pre and post treatment in cases of orthodontic treatment

Answer 297

C. D. E

Question 298

When administering local anaesthetic, it is considered good practice to record which of the following? A. CHI number B. time of prescription C. batch number D. dosage E. drug name F. exemption status

Answer 298

C. D. E

Question 299

Which of the following statements would apply to a claim for quality improvement allowance, as described in the SDR? A. the max number of hours that can be claimed in any relevant period is 15 hours B. the first approved project for a dentist should normally be one of not less than 5 hours C. a project should be completed within 6 months of the date of approval

Answer 299

A. C

Question 300

The GDC has identified a number of areas which are highly recommended to do as part of the minimum verifiable CPD requirement. What are these areas? A. oral cancer; improving and early detection B. radiography and radiation protection C. disinfection and decontamination D. medical emergencies E. complaints handling F. risk managment G. legal and ethical issues

Answer 300

B. C. D

Question 301

With regard to the use of mercury in the dental practice, which of the following are true? A. Use of mercury should be confined to areas that have impervious surfaces B. In surgeries where mercury is used tile floors should be avoided and carpets should never be used C. A disposable syringe can be used to pick up large drops of mercury D. A conventional vacuum cleaner can be used prior to the use of a 1% suspension of calcium hydroxide/flowers of sulphate to reduce mercury vapor E. Gloves should always be worn

Answer 301

A. B. C. E

Question 302

According to the pressure system safety regulations, which of the following is/are true? A. Dental compressors are not covered by the regulations B. Dental delivery system units are not covered by the regulations C. Autoclaves are covered by the regulations D. Washer disinfectors are covered by the regulations E. Refrigerators are covered by the regulations

Answer 302

B. C

Question 303

NICE guidelines state that for individuals at risk of infective endocarditis - A. any episodes of infection in people at risk of IE should be investigated and treated promptly to reduce the risk of endocarditis developing B. antibiotic cover should be provided for all patients who have prosthetic valves and who require orthograde root canal treatment C. chlorhexidine mouthwash should not be offered as prophylaxis D. antibiotic prophylaxis should be given routinely for invasive dental procedures

Answer 303

A. C

Question 304

What does a restrictive covenant clause in an associate agreement detail? A. restrictions on the lab that the associate may use while working at the practice B. restrictions on the amount of private treatment that may be provided by the associate C. conduct considered acceptable between an associate and the practice staff D. treating patients from the previous practice E. restrictions placed upon an outgoing associates choice of their next location of practice

Answer 304

D. E

Question 305

SDCEP provides user friendly evidence based guidance to support dental teams in clinical and organisational decision making. Current guidance includes - A. prevention of, and management of caries in children B. practice support manual C. dental training fellowship programme D. audit and significant event training E. drugs prescribing for dentistry

Answer 305

A. B. E

Question 306

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 patient last attended the surgery * the date the practitioner submits the claim for payment * a date one month after the last appointment booked for the patient * the date of the last appointment the patient failed

Answer 306

the date of the last appt the patient failed

Question 307

Natural rubber latex (NRL) is a potent allergen and is still widely used in dentistry. Which of the following apply to NRL? A. suspected cases of NRL allergy should be investigated by the GMP or occupational health service B. individuals with a history of asthma, hayfever or flexural eczema have a higher incidence of NRL allergy C. staff members with an allergy to NRL are unable to work in a clinical environment D. if a staff member is proven NRL allergic, the practice should carry out a risk assessment and switch to non latex products if appropriate to reduce risk

Answer 307

A. B. D

Question 308

The antibiotic most frequently associated with the adverse effect of antibiotic associated colistis is? * metronidazole * clindamycin * erythromycin * penicillin * doxycycline

Answer 308

clindamycin

Question 309

If a duty of cando incident occurs, the procedure to be followed... A. must be carried out by the responsible person B. includes notifying the person affected and offering to meet to give an account of what happened C. is outlined in the duty of candor (Scotland) regulations D. in Scotland, replaces the guidelines offered by the GDC E. is currently voluntary

Answer 309

A. B. C

Question 310

When sending work to the lab, the following steps must be undertaken... A. label the item showing decontamination status B. place the impression in a bag. Seal the bag. place the bag in an impervious container C. soak in a disinfection solution compatible with the material. Follow manufacturers instruction regarding use of solution, contact time and further rinsing D. rinse the impression or appliance under running water to remove any obvious blood, saliva or debris E. pack securely and label as biological material before uplift

Answer 310

A. C. D

Question 311

Which of the following is/are true of the health and safety at work act? A. the practice owner can claim exemption from the terms of the act B. employees of utility companies or suppliers are covered by the act whilst on the premises C. all employed staff are covered by the act whilst on the practice premises D. clinical treatment of patients is covered under the terms of the act E. self employed contracters excluded from the terms of the act whilst on the premises

Answer 311

B. C

Question 312

The GDC considers that a small number of dental professionals do not require any indemnity or insurance. Please indicate for each of the following which statements is/are true? A. registrants who are adoptive parents or on maternity leave are exempt B. registrants on maternity leave and up to one year after the birth of the child are exempt C. if you are completely sure that you do not need indemnity or insurance, you must still submit a declaration each year D. registrants on maternity leave are exempt for the duration of their maternity leave E. registrants who are not working and those working in non clinical roles are exempt

Answer 312

C. E

Question 313

A. it is only available for adults and children over the age of 8 B. when inserting the device during cardiac arrest, cardiac compressions need to be briefly interrupted for safety reasons C. in an awake patient who is coughing it is held in place by using the encircling technique D. if used inappropriately, it could worsen airway obstruction E. the correct size should be selected by judging the distance from the angle of the jaw to the tip of the front of the teeth

Answer 313

D. E

Question 314

According to SDCEP guidelines - A. the correct dose of varnish containing 22,600ppm F is 0.25ml for children between 2 and 5 B. 5% sodium fluoride varnish should not be reapplied to a childs teeth within 48 hours of a previous application C. a child with mild asthma should not receive more than 2 applications of 5% NaF varnish per year D. if a child is at increased risk of dental caries they should have 5% NaF varnish applied 4 times per year E. if 5% NaF varnish is applied before 10am, teeth should be brushed that evening before going to bed

Answer 314

A. D

Question 315

which of the following major injuries should be reported to the health and safety executive? * abnormal bleeding post extraction * permanent anaesthesia to a nerve following extraction * a medical emergency within the practice * unconsciousness caused by a reaction to LA * unconsciousness due to exposure to a harmful substance

Answer 315

unconsciuosness due to exposure to a harmful substance

Question 316

A. requires 2 helpers to operate B. prevents vomiting and aspirating in ill patients C. should be secured with head straps before defibrilation D. incorperates a one way valve and can effectively be used in infants

Answer 316

D