ToK - known answers Flashcards by Siobhan Cook

Which of the following options are suitable to treat a 13 year old child presenting with mild to moderate toothache?
A. Dihydrocodeine tablets, 30mg, 2 tablets 4 x daily
B. Ibuprofen oral suspension (100mg/5ml), 100mg 4 x daily
C. Paracetamol tablets 500mg, 2 tablets 4 x daily
D. Aspirin dispersible tablets, 2 tablets 4 x daily
E. Ibuprofen oral suspension 100mg/5ml, 300mg 4 x daily
F. Paracetamol tablets 500mg, 1 tablet 4 x daily

E. F

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Doxycyline dispresible tablets…
* Are licenced for treatment of oral ulceration in adults
* are always effective in treating patients with recurrent apthous ulcers
* can be prescribed to a 12 year old patient
* can enhance the anticoagulant effect of warfarin

can be prescribed to a 12 year old patient
can enhance the anticoagulant effect of warfarin

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For which of the following should the form GP17(0) used to claim in service in the NHS GDS?
A. Orthodontic exam and assessment
B. Study casts of a patient to be referred to the hospital orthodontic service
C. Routine monitoring of normal dental development
D. Observation of developing 3rd molars
E. Repairs to appliances during ortho treatment

A. B. E

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

A. B. E. F

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The Legionella Risk Assessment Written control scheme should include -
A. Details of the control measures used to minimise the risk of legionella exposure
B. An action planned to be followed if the written control scheme is shown to be ineffective
C. Practice owner name who will conduct the legionella risk assessment
D. A description of the practices water systems

A. B. D

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In patients with severe pericoronitis, including persistent swelling, or systemic involvement, an appropriate first line antibiotic is -
A. Metronidazole tablets 400mg 3 times per day for 5 days
B. Metronidazole tablets 400mg 3 times per day for 3 days
C. Phenoxymethyl penicillin 500mg 4 times daily for 5 days
D. Phenoxymethyl penicillin 500mg 4 x daily for 3 days

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Which of the following statements are true of transportable benchtop autoclaves?
A. They are subject to Portable Appliance Testing (PAT)
B, They can only be validated with an autoclave printout
C. They are legally required to undergo both an installation and annual validation and pressure vesssel certification process
D. They can be adequately validated using only TST strips
E. They should have routine checks carried out every day that the autoclave is in use

A. C. E

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Which of the following is/are true of patients taking Rivaroxaban?
* vitamin K can be used as a reversal agent
* in complex extractions, that day’s doses should be taken at the normal time
* the INR must be checked on the day of extraction
* inferior dental blocks are unlikely to cause bleeding

Inferior dental blocks are unlikely to cause bleeding

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Which of the following CPD topics do the GDC state ‘will relate to many dental professionals in their field of practice’ and identify as ‘highly recommended’ to do as the minimum verifiable CPD?
* disinfection and decontamination
* radiography and radiation protection
* caries management
* record keeping
* medical emergencies

disinfection and decontamination
radiography and radiation protection
medical emergencies

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Which of the following are appropriate methods for the disposal of patient records?
* Private confidential disposal services
* Burial
* Shredding
* Domestic refuse service
* Waste paper recycling plants

Private confidential disposal services. Shredding

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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?

False

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With regards to personal development plans (PDP) which of the following statements are correct?
A. The GDC specifies 5 development outcomes against which you should map your CPD
B. the time frames within which you expect to complete your CPD over your cycle should be included in your PDP
C. your PDP must include the CPD you plan to undertake during your cycle, which must include CPD relevant to your current or intended field(s) of practice
D. a generic PDP supplied by the GDC is all that is required to fulfill your obligations
E. your PDP must include the anticipated development outcomes that will link to each activity

B. C. E

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Under which of the following circumstances can NHS CPD allowance be paid to a dentist?
A. for any number of sessions per year
B. CPDA post graduate courses
C. for up to a maximum of six sessions in one year
D. for a maximum of six days in one year
E. for sessions of less than one hour
F. for each list number the dentist has
G. that is a VDP

B. C

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Which of the following qualify as yellow stream special waste?
* extracted teeth with amalgam
* lead foils from xray film packets
* highly infectious waste or blood
* disposable syringes
* scalpel blades

highly infectious waste or blood
disposable syringes
scalpel blades

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Which of the following statements are true?
If choking occurs in a child…
A. who then becomes unconscious, initially 5 attempts at ventilation should be made
B. it may be appropriate to encourage coughing without further physical manoeuvers
C. Which is severe, initially up to 5 back blows should be given
D. attempts should be made to blindly remove any foreign body from the airway
E. of less than one year, abdominal thrust should be given if initial back blows are not successful

A. B. C

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Which of the following are required to be included in the patient information leaflet?
* Information about the receptionists in the practice
* policy on cancellation of appointments
* information on the services the practice provides
* names and dates of registration of all of the dentists
* the name of the person who handles complaints

policy on cancellation of appointments
information on the services the practice provides
names and dates of registration of all of the dentists

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What is considered special category data?
* Name
* Ethnic origin
* Race
* Marital status

Ethnic origin and race

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The ‘controlled area’ is normally defined as…
* the entire room where radiographs are taken, wherever possible
* only within the primary beam of the xray tube
* in the primary beam of the xray tube and within 1.5 meters of the xray tube and patient
* within 2.5 meters of the xray tube in any direction

The entire room where radiographs are taken, wherever possible

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Which of the following statements are true?
The recovery position should be used;-
* in pregnant patients during cardiac arrest
* to prevent airway obstruction in unconscious, breathing patients
* to reduce the need for frequent checks of breathing
* During CPR when vomit is visible in the mouth
* for no more than 30 minutes before turning the patient on to the opposite side

to prevent airway obstruction in unconscious, breathing patients
During CPR when vomit is visible in the mouth
For no more than 30 minutes before turning the patient on to the opposite side

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Which statment is false?
A choking child…
* of less than one year should be held in a slight head down position during the back blow manoeuvre
* with airway obstruction who becomes unconscious should initially be treated by opening the airway and making 5 ventilation attempts
* may be treated with abdominal thrusts
* of less than one year may require 5 back blows and 5 and 5 chest thrusts repeatedly until the obstruction is relieved
* with an effective cough requires rapid, forceful back blows to dislodge the foreign body

with an effective cough requires rapid, forceful backblows to dislodge the foreign body

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In addition to their ‘highly recommended’ topics, the GDC recommend that you keep up to date by doing CPD in in the following areas. Which are correct?…
* record keeping
* prescribing and dental therapeutics
* legal and ethical issues
* dental public health
* safeguarding vulnerable adults
* risk management
* oral cancer - improving early detection
* complaint handling
* oral health promotion

legal and ethical issues
safeguarding vulnerable adults
Oral cancer - improving early detection
complaint handling

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You wish to employ a dental nurse at your practice. As an employer, you must give them a written statement of employment particulars within what period of their start date?
* four months
* one month
* three months
* two months
* one week

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two months

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

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oral glucose and oxygen

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

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A. G

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

6 months

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

A. C. D

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.

B. C. D

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

2 months

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

sodium fluoride varnish applied four times per year

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

A. C

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

B. D

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

C. D. E

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

A. C

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

A. B. C. E

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

A. B. D

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

A. D

GDPR gives data subjects which of the following? A. the right to access personal data and supplementary information B. the right to have inaccurate personal data rectified, or completed if it is incomplete C. the right to erasure (to be forgotten) in certain circumstances D. the right to be informed about the collection and the use of their personal data E. the right to access the healthcare information for an elderly relative

A B C D

Do the police have access to clinical records? A. yes, if a section 32 search warrant is granted B. yes, if a judge or sherrif so orders C. not at any time D. not without permission of the patient E. yes, at any time

Who within the dental team is entitiled to statutory sick pay? A. dental working as an associate B. dental working as an assistant C. an employee off for 2 full days D. contracted trainee dental nurse

B D

Fire safety - the practice must supply - A. enough exits and routes for all to escape B. a minimum of annual training for all employees to know how to use escape routes C. adequate fire detectors D. a sprinkler system E. written records of the fire risk assessment if more than 5 staff members

A. B. C. E

Under the working time (amendment) regulations 2007, employees have the right to which of the following? A. paid time off for public holidays B. all bank holidays off C. payment for untaken statutory leave entitlement on termination of employement D. 4.8 weeks paid leave per year E. 5.6 weeks paid leave per year

C. E

Which of the following is/are true of medical sharps? A. needle resheathing devices should ideally allow for single handed re-sheathing B. sharps containers should be placed as close to the operator as practical C. where possible, 'safer alternatives' sharps should be used D. in cases of minor sharps injuries, reporting of the incident is decided on a case by case basis E. there should be a written sharps policy

A. B. C. E

Which of the following items should be disposed of as orange healthcare clinical waste? A. cotton wool rolls B. 3 in 1 tips C. extracted teeth with amalgam D. face masks E. gloves

A B D E

Your dental nurse who has been employed with you for a year tells you that she is pregnant and would like to know the rules relating to maternity leave and pay. Which of the following is/are true? A. the employee can be required to provide proof of pregnancy to obtain stat maternity pay B. eligible employees can take a maximum of 25 weeks stat mat leave C. the earliest that stat mat leave can be taken is 11 weeks before the expected week of child birth unless the baby is born early D. the employee can be required to provide proof of pregnancy to obtain stat mat leave E. you may dismiss her fairly as she has not yet been employed for 2 years provided the reason is not related to her pregnancy

A C E

A section 47 certificate - A. must have the signed consent of the proxy B. must be sent to the mental welfare commission C. must have the signed consent of the nearest relative D. can be completed on a word document if it follows exactly the wording of the prescribed form E. must be completed on the governments prescribed form

The new dentist of a former patient of yours with the patients permission requests the patients records. What records must you release to their new dentist? A. originals of records and radiographs from past 2 years only B. copies of records and radiographs from the past 2 years only C. copies of all records and radiographs D. all records and radiographs held E. you do not have to release any records

Which of the following is/are true of bench top sterilisers in dental practice? A. instruments that are wrapped prior to sterilisation can be sterilised using a non vacuum cycle B. non vacuum sterilisers only require testing if the cycle fails C. manufacturers instructions should be followed at all times in relation to the installation, operation, maintenence and testing of all types of sterilisers D. vacuum sterilisers require more extensive testing than non vacuum sterilisers E. instruments processed in a non vacuum steriliser and then bagged for storage are deemed to be sterilised and not sterile

C D E

If a retiring NHS GDP cannot find another dentist to take on patients, what happens? A. retiring GDP has to stay on and provide cover B. health board takes over responsibility C. it's the patients responsibility to find another dentist D. a locum GDP has to be found

Regulations exist governing the disposal of waste from dental practices. Which of the following are true? A. all waste can be uplifted by the council as long as prior arrangements have been made B. records relating to the collection of special waste should be kept for 3 years C. special waste containers should be filled as full as possible to prevent movement of the clinical waste in transit D. waste disposal firms in Scotland that uplift special waste must be registered with the Scottish environmental protection agency E. waste containers are colour coded for the different waste streams

B D E

CPD participation is only verifiable if... A. suggested by an appropriate PDP B. CPD providers quality assure the content delivery of CPD C. the GDC registers CPD providers D. the GDC endorses CPD providers E. Only GDC registrants can provide verifiable CPD

A B

Which are true? A patient is about to have a dental procedure, when getting up from the chair in the waiting room they collapse... A. there are no safety considerations for the helpers in this situation B. adrenaline IM should be given immediately C. it may be appropriate not to call an ambulance if the collapse is brief and the patient makes a full recovery D. the collapse may have been caused by sudden drop in cerebral perfusion E. elevating the legs of the patient may be appropriate

C D E

In regards to CBCT, which of the following is/are correct? A. no training is required to order, justify, perform or interpret CBCT B. additional training is required to order, justify, perform or interpret CBCT C. training is not required to refer for CBCT but is advised

B C

Which of the following additional skills could a trained and indemnified dental nurse carry out on prescription from a dentist? A. light supragingival cleaning B. placing rubber dam C. plaque indices D. oral cancer screening E. topical anaesthetic application

B C E

A practitioner profile is available from practitioner services to all list numbers in Scotland on an annual basis. Which of the following information does this report contain? A. The percentage of private dental work carried out of total gross earinings B. The range of annual NHS GDS gross earnings for all list numbers C. NHS patient registration for the list number D. Gross NHS earnings for the list number E. comparrisons for items of treatment carried out on the list number

C. D. E.

ToK - known answers Flashcards

(54 cards)