Week 5 - management of sodium hyperchloride incident Flashcards
(25 cards)
1
Q
- What is a sodium hypochlorite accident?
A. Intentional extrusion of irrigant
B. Controlled canal irrigation
C. Inadvertent extrusion beyond apex
D. Use of chlorhexidine
A
C
2
Q
- Which symptom is typically sudden in onset during a hypochlorite accident?
A. Numbness
B. Pain
C. Itching
D. Fever
A
b
3
Q
- What is a common sign immediately after a hypochlorite accident?
A. Tooth mobility
B. Hemorrhaging from canal
C. Pus discharge
D. Fistula formation
A
B
4
Q
- What is the immediate response in managing a hypochlorite accident?
A. Saline irrigation
B. Administer steroids
C. Refer to oral surgery
D. Continue with obturation
A
A
5
Q
- What can be used if saline is not available during emergency irrigation?
A. Chlorhexidine
B. Distilled water
C. Alcohol
D. Hydrogen peroxide
A
B
6
Q
- Why is it important not to leave a proud occlusion?
A. Causes periapical infection
B. Increases post-op pain
C. Promotes irrigation leakage
D. Prevents drying
A
B
7
Q
- What is the initial medicament of choice for dressing after a hypochlorite accident?
A. Eugenol
B. Calcium hydroxide
C. MTA
D. ZOE
A
B
8
Q
- What is the recommended first-line analgesic for managing pain?
A. 1000 mg Paracetamol
B. Codeine
C. Amoxicillin
D. Tramadol
A
A
9
Q
- How often should paracetamol be taken in a day post-accident?
A. Once
B. Up to four times
C. Twice
D. Only as needed
A
B
10
Q
- What is the recommended NSAID dosage for pain management?
A. 50–100 mg ibuprofen
B. 400–600 mg ibuprofen
C. 800–1000 mg aspirin
D. 100–150 mg diclofenac
A
B
11
Q
- Why should paracetamol and ibuprofen be alternated?
A. To increase metabolism
B. To provide synergistic analgesia
C. To avoid sedation
D. To minimize blood pressure changes
A
B
12
Q
- Which compress is recommended on the first day of swelling?
A. Warm
B. Dry
C. Cold
D. Moist
A
C
13
Q
- What is advised for compress application in the days after swelling begins?
A. Continue cold only
B. No compresses at all
C. Hot compress
D. Apply ice every 10 minutes
A
C
14
Q
- When may steroids be used in hypochlorite accidents?
A. Mild swelling
B. Chronic cases
C. Rapid swelling
D. Pain only
A
C
15
Q
- When are antibiotics considered post-accident?
A. Always
B. Only with systemic involvement
C. After canal obturation
D. As a pain reliever
A
B
16
Q
- What is a serious consequence of tissue involvement in hypochlorite accidents?
A. Caries
B. Tissue necrosis
C. Periodontal abscess
D. Tooth whitening
A
B
17
Q
- What is the recommended follow-up method on the same day of an accident?
A. Letter
B. Text
C. Phone call
D. In-person visit
A
C
18
Q
- How frequently should phone follow-ups be done in the first few days?
A. Weekly
B. Monthly
C. Daily
D. Once
A
C
19
Q
- What is the next step after initial daily follow-ups?
A. Discharge
B. Refer to ortho
C. Weekly or biweekly check-ins
D. Start RCT
A
C
20
Q
- Who should the patient be referred to in rare, severe cases?
A. General dentist
B. Maxillofacial team
C. Prosthodontist
D. Periodontist
A
B
21
Q
- Which of the following is a key preventive step?
A. No isolation
B. Use rubber dam
C. Ignore working length
D. Skip irrigation
A
B
22
Q
- What needle type should be used to reduce risk?
A. Beveled tip
B. Open-ended
C. Safe-ended
D. Curved
A
C
23
Q
- Syringe plungers should be pushed using:
A. Thumb
B. Palm
C. Shoulder
D. Index finger
A
D
24
Q
- Why should the syringe not be locked into the canal?
A. To keep it steady
B. To allow GP insertion
C. To let irrigant flow back
D. To reduce cost
A
C
25
25. What is a patient instruction to detect early warning signs?
A. Look for swelling
B. Signal if bad taste occurs
C. Measure pulse
D. Bite hard during irrigation
B
