Final Revision Mock1 – Dr Raza Abbas

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

1. For patients with allergy to metabisulfites, use a local anaesthetic containing-

A. Felypressin

Correct Incorrect Correct answer

B. Avoid a vasoconstrictor at all costs

Correct Incorrect Correct answer

C. Lignocaine

Correct Incorrect Correct answer

D. Articaine

Correct Incorrect Correct answer

E. Allergic status doesn't change your choice of local anesthesia

Correct Incorrect Correct answer

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

2. You administer LA and start to notice slate-grey/blue skin and lips. What is happening-

A. Hypoxia

Correct Incorrect Correct answer

B. Intraarterial injection of LA

Correct Incorrect Correct answer

C. Methemoglobinemia

Correct Incorrect Correct answer

D. Syncope

Correct Incorrect Correct answer

E. Cardiac arrest

Correct Incorrect Correct answer

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

3. What should you do now-

A. Tell the patient its fine and reassure

Correct Incorrect Correct answer

B. Immediately administer adrenaline into the thigh

Correct Incorrect Correct answer

C. Call the emergency and arrange hospital referral

Correct Incorrect Correct answer

D. Put the patient in a horizontal position

Correct Incorrect Correct answer

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

4. Which LA you might have used for the planned extraction of this tooth-

A. Lignocaine

Correct Incorrect Correct answer

B. Articaine

Correct Incorrect Correct answer

C. Prilocaine

Correct Incorrect Correct answer

D. Mepivacaine

Correct Incorrect Correct answer

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

5. The patient was taken care of and a week later she presented for extraction of the same tooth.
Extraction was uneventful and you plan to provide post extraction pain meds to the patient, you consider not to give NSAIDs to her, why-

A. Allergy to metabisulfites

Correct Incorrect Correct answer

B. Miscarriage risk may be increased

Correct Incorrect Correct answer

C. Prolonged labour

Correct Incorrect Correct answer

D. Premature closure of ductus arteriosus

Correct Incorrect Correct answer

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

6. The patient’s partner also had a root canal Tx for his upper 14 the same afternoon. You plan to provide him with pain meds after the root canal Tx. The partner tells you he remembers having a bit of reaction to NSAIDs when he took them last time such as a runny nose and a feeling of difficulty breathing. What should you consider-

A. Consider prescribing Ibuprofen

Correct Incorrect Correct answer

B. Consider prescribing Celecoxib

Correct Incorrect Correct answer

C. Consider prescribing Naproxen

Correct Incorrect Correct answer

D. Consider prescribing any non selective NSAIDs

Correct Incorrect Correct answer

A pregnant patient, Miss Cole presents to your practice with a wobbly lower right back tooth. She complains the tooth hurts whenever she tries to bite on that side and thus has restricted herself to avoid biting on that side.

She is 6 weeks pregnant and wants to get rid of the wobbly tooth. Examination reveals Tooth 47 is grade II mobile and your radiographic examination reveals there is some interradicular bone loss with possible furcation involvement.

A decision to extract the tooth was made and informed consent taken. The patient in her medical history form mentions allergy to metabisulfites.

7. As a dentist, in which group of people should you consider not prescribing NSAIDs, all are true except-

A. Severe heart failure

Correct Incorrect Correct answer

B. Patient with Asthma

Correct Incorrect Correct answer

C. Recent episode of GIT bleeding

Correct Incorrect Correct answer

D. Recent episode of peptic ulcer

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

8. As a dentist, what can you provide in your practice?

A. Minimal sedation

Correct Incorrect Correct answer

B. Moderate sedation

Correct Incorrect Correct answer

C. Deep sedation

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

9. She mentions her previous dentist used to give her benzodiazepine for her anxiety and you consider the same for today’s appointment.
What will you give her-

A. Temazepam 10 mg orally, 1 hour before the procedure

Correct Incorrect Correct answer

B. Temazepam 40 mg orally, 1 hour before the procedure

Correct Incorrect Correct answer

C. Lorazepam 10 mg orally, 1 hour before the procedure

Correct Incorrect Correct answer

D. Lorazepam 40 mg orally, 1 hour before the procedure

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

10. What precautions will you also take into account while giving her this medication-

A. Use the highest dose possible

Correct Incorrect Correct answer

B. Use more than one benzodiazepine concurrently

Correct Incorrect Correct answer

C. Do not give repeat doses of any benzodiazepine even if the level of anxiolysis appears inadequate

Correct Incorrect Correct answer

D. Prescribe a full packet of tablets

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

11. What is the diagnosis of her condition-

A. Acute apical abscess

Correct Incorrect Correct answer

B. Chronic apical abscess

Correct Incorrect Correct answer

C. Irreversible pulpitis

Correct Incorrect Correct answer

D. Chronic apical periodontitis

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

12. You started the RCT of the involved tooth, while using the irrigation you had a hypochlorite extrusion injury, what should be done immediately-

A. Thorough irrigation of the site of extrusion with saline

Correct Incorrect Correct answer

B. Thorough irrigation of the site of extrusion with chlorhexidine

Correct Incorrect Correct answer

C. Thorough irrigation of the site of extrusion with hydrogen peroxide

Correct Incorrect Correct answer

D. Immediate administration of 400mg Ibuprofen

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

13. You closed the access cavity for now and a week later completed the RCT.
A week after that, the patient sent an email to your clinic saying she went to her cousin dentist and he took an x-ray and saw a broken file in the RCT Tx tooth, she was very sad and angry that this information was not conveyed to her while the RCT was done. You remember not disclosing this information to the patient.
What should be done now-

A. Call your indemnity insurance and seek their help

Correct Incorrect Correct answer

B. Ask the patient to come in and have a discussion with her

Correct Incorrect Correct answer

C. Contact the AHPRA and explain the situation

Correct Incorrect Correct answer

D. Tell the patient there is nothing to worry about

Correct Incorrect Correct answer

E. Tell the patient it is completely normal to have a broken file in the canal

Correct Incorrect Correct answer

A 27 year old patient comes to your dental clinic presenting with a grossly decayed upper 1st molar on the right side.

The tooth is occasionally a bit painful now but the patient mentions a history of a small pimple developing on the side of the tooth often which stays for a while and disappears by itself. She also reports there is some fluid discharge from the pimple at times which has a bad taste.

Upon discussing Tx options with the patient, the patient opts for the option of saving the tooth via RCT followed by a crown.

The patient is very anxious regarding any dental Rx and asks what can you possibly do to help her.

14. Three months later the patient came back in to have a crown on this tooth. You did the crown preparation, took a scan of the prepared tooth and provided her with a temporary crown using bis-acrylic composite (Protemp™).
How should you charge her for the temporary crown-

A. Charge her separately for the temporary crown

Correct Incorrect Correct answer

B. Do not charge her separately for the temporary crown

Correct Incorrect Correct answer

C. Charge her for the temporary crown but provide a 50% discount

Correct Incorrect Correct answer

D. Tell her she can pay for the temporary crown if she wants to

Correct Incorrect Correct answer

This 1st molar has been causing patient pain for quite a while now and he has been fed up with it.

The patient is 17 years old and says he has a history of filling on the tooth when he was 15 years old.

The patient’s mum is also at the clinic.

The patient has eligible medicare and has a Child Dental Benefits Schedule.

Your practice can bill patients directly who have Child Dental Benefits Schedule.

15. The patient says the tooth is very sensitive to cold and heat and for the last 2 nights it has been difficult for him to sleep.
No swelling noticed and some tenderness to percussion observed. Exaggerated response to cold testing.
Diagnosis-

A. Reversible pulpitis

Correct Incorrect Correct answer

B. Irreversible pulpitis

Correct Incorrect Correct answer

C. Acute apical abscess

Correct Incorrect Correct answer

D. Chronic apical abscess

Correct Incorrect Correct answer

This 1st molar has been causing patient pain for quite a while now and he has been fed up with it.

The patient is 17 years old and says he has a history of filling on the tooth when he was 15 years old.

The patient’s mum is also at the clinic.

The patient has eligible medicare and has a Child Dental Benefits Schedule.

Your practice can bill patients directly who have Child Dental Benefits Schedule.

16. The patient is happy to have the tooth removed after you have discussed Tx options with the mum and him.
You attempt to remove the tooth but it looks really tight and unable to luxate enough.
You should-

A. Attempt anyway and let the tooth fracture and remove the fracture portion later

Correct Incorrect Correct answer

B. Consider sectioning the tooth buccolingually

Correct Incorrect Correct answer

C. Consider sectioning the tooth mesiodistally

Correct Incorrect Correct answer

D. Reassure and do extraction next day

Correct Incorrect Correct answer

This 1st molar has been causing patient pain for quite a while now and he has been fed up with it.

The patient is 17 years old and says he has a history of filling on the tooth when he was 15 years old.

The patient’s mum is also at the clinic.

The patient has eligible medicare and has a Child Dental Benefits Schedule.

Your practice can bill patients directly who have Child Dental Benefits Schedule.

17. After extraction, you are in doubt about an oroantral communication being formed.
You should-

A. Examine the patient carefully using a mirror

Correct Incorrect Correct answer

B. Use of a Valsalva manoeuvre

Correct Incorrect Correct answer

C. Put a small straight elevator and probe

Correct Incorrect Correct answer

D. Let the patient cough aggressively

Correct Incorrect Correct answer

This 1st molar has been causing patient pain for quite a while now and he has been fed up with it.

The patient is 17 years old and says he has a history of filling on the tooth when he was 15 years old.

The patient’s mum is also at the clinic.

The patient has eligible medicare and has a Child Dental Benefits Schedule.

Your practice can bill patients directly who have Child Dental Benefits Schedule.

18. You notice an oroantral communication smaller than 2 mm.
You should do all except-

A. Place a figure-of-8 suture over the socket

Correct Incorrect Correct answer

B. Recommend sinus precautions for 2 weeks

Correct Incorrect Correct answer

C. Nasal decongestant is recommended

Correct Incorrect Correct answer

D. Use of antibiotics

Correct Incorrect Correct answer

This 1st molar has been causing patient pain for quite a while now and he has been fed up with it.

The patient is 17 years old and says he has a history of filling on the tooth when he was 15 years old.

The patient’s mum is also at the clinic.

The patient has eligible medicare and has a Child Dental Benefits Schedule.

Your practice can bill patients directly who have Child Dental Benefits Schedule.

19. Who pays for the extraction of the tooth-

A. Child Dental Benefits Schedule

Correct Incorrect Correct answer

B. The patient

Correct Incorrect Correct answer

C. 50% patient and 50% Child Dental Benefits Schedule

Correct Incorrect Correct answer

D. The patients private insurance

Correct Incorrect Correct answer

This 1st molar has been causing patient pain for quite a while now and he has been fed up with it.

The patient is 17 years old and says he has a history of filling on the tooth when he was 15 years old.

The patient’s mum is also at the clinic.

The patient has eligible medicare and has a Child Dental Benefits Schedule.

Your practice can bill patients directly who have Child Dental Benefits Schedule.

20. At a later appointment, you plan to use silver diamine formulations (SDF) for this patient.
What is incorrect about silver diamine formulations (SDF)-

A. Cannot be used in children

Correct Incorrect Correct answer

B. Helps to stabilize caries

Correct Incorrect Correct answer

C. SDF stabilisation of root caries is preferred to a restoration procedure

Correct Incorrect Correct answer

D. Caution should be used on tooth surfaces where there may be a cosmetic concern

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

21. 1st patient, 30 year old healthy, facial swelling related to tooth 13, diagnosis acute apical abscess.
You did the extraction of the involved tooth.
What antibiotics will you prescribe-

A. Phenoxymethylpenicillin 500 mg orally, 6-hourly for 5 days

Correct Incorrect Correct answer

B. Amoxicillin 500 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

C. Amoxicillin+clavulanate 875+125 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

D. Metronidazole 400 mg orally, 12-hourly for 5 days

Correct Incorrect Correct answer

E. No need for antibiotics

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

22. 2nd patient, 26 year old healthy, tooth 46 grossly decayed with severe tenderness to percussion, sensibility testing reveals no response.
You attempted extraction but the distal ⅓ of the root fractured and you are not able to remove the tooth.
You have referred the patient to an oral surgeon who is going to see him in 3 days.
What should you prescribe-

A. Phenoxymethylpenicillin

Correct Incorrect Correct answer

B. Metronidazole + Amoxicillin

Correct Incorrect Correct answer

C. Clindamycin

Correct Incorrect Correct answer

D. Metronidazole + Phenoxymethylpenicillin

Correct Incorrect Correct answer

E. No need for antibiotics

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

23. 3rd patient, 30 year old healthy, Tooth 45 presents with a localized swelling, negative response to sensibility testing, you commenced RCT and completed pulpectomy.
What should you prescribe-

A. Phenoxymethylpenicillin 500 mg orally, 6-hourly for 5 days

Correct Incorrect Correct answer

B. Amoxicillin 500 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

C. Amoxicillin+clavulanate 875+125 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

D. Metronidazole 400 mg orally, 12-hourly for 5 days

Correct Incorrect Correct answer

E. No need for antibiotics

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

24. 4th patient, 45 years old healthy, facial swelling associated with tooth 16.
Tooth is tender to percussion and negative response to sensibility testing. Patient would like to save the tooth with RCT.
It’s already 4:45 pm and you only have 15 mins and you let the patient know about time restraints and schedule his RCT appointment 2 days later.
What should you prescribe-

A. Phenoxymethylpenicillin

Correct Incorrect Correct answer

B. Metronidazole + Amoxicillin

Correct Incorrect Correct answer

C. Clindamycin

Correct Incorrect Correct answer

D. Metronidazole + Phenoxymethylpenicillin

Correct Incorrect Correct answer

E. No need for antibiotics

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

25. A 30 year old patient presents to you with facial swelling in the lower 36 region. You diagnose the condition as acute apical abscess.
The culprit tooth is planned to be extracted today.
Patient medical history states nonsevere immediate hypersensitivity reaction to a penicillin.
What antibiotic is needed after extraction-

A. Cefalexin 200 mg orally, 6-hourly for 5 days

Correct Incorrect Correct answer

B. Cefalexin 500 mg orally, 6-hourly for 5 days

Correct Incorrect Correct answer

C. Clindamycin 300 mg orally, 8-hourly for 5 days

Correct Incorrect Correct answer

D. Metronidazole 400 mg 12-hourly for 5 days + PLUS Cefalexin 500 mg 6-hourly for 5 days

Correct Incorrect Correct answer

E. No need for antibiotics as extraction is already done

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

26. Samantha, a 8 year child presented to you with her mum with pain in the lower left 75 region. There is an abscess associated with the tooth with no spreading infection.
Her cooperation is not really friendly and her Tx is planned to be conducted with a pedodontist under nitrous oxide sedation.
It’s Monday morning today and her appointment with the pedodontist is scheduled for Thursday afternoon.
Her mum also states in the medical history that Samantha has severe delayed hypersensitivity reaction to a penicillin.
What should you do for today-

A. Metronidazole 10 mg/kg up to 400 mg

Correct Incorrect Correct answer

B. Cefalexin 20 mg/kg up to 750 mg

Correct Incorrect Correct answer

C. Clindamycin 10 mg/kg up to 300 mg

Correct Incorrect Correct answer

D. Phenoxymethylpenicillin 12.5 mg/kg up to 500 mg

Correct Incorrect Correct answer

E. No need for antibiotics

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with adequate care and antibiotic medications.

27. On Monday morning you did an extraction for a patient with acute apical abscess.
You see the patient on Wednesday evening for a review appointment and he seems to be doing well, pain is gone and swelling significantly reduced.
What further advice is appropriate-

A. Advise them to stop the antibiotics as it is not necessary to complete the prescribed course

Correct Incorrect Correct answer

B. They should seek prompt dental review if their condition deteriorates

Correct Incorrect Correct answer

C. In emergency situation, they should visit the hospital nearby

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D. All of the above

Correct Incorrect Correct answer

You are seeing multiple patients for acute odontogenic infections today at your busy practice and planning to provide them with
adequate care and antibiotic medications.

28. An extraction was done on Friday for a patient diagnosed with irreversible pulpitis tooth 26.
The patient presented on Tuesday with purulent discharge from the surgical site & pain and swelling that is worsening.
You diagnose the condition as postoperative odontogenic infection not associated with severe local or systemic features.
You management will include all of the above except-

A. Washout and debridement of any debris in the socket

Correct Incorrect Correct answer

B. Oral antibiotics

Correct Incorrect Correct answer

C. Removing residual root or tooth fragments if demonstrated on X-ray

Correct Incorrect Correct answer

D. Analgesia and hydration

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E. None of the above

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You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

29. Which pain medication is not available over the counter in Australia-

A. Ibuprofen

Correct Incorrect Correct answer

B. Panadol

Correct Incorrect Correct answer

C. Aspirin

Correct Incorrect Correct answer

D. Oxycodone

Correct Incorrect Correct answer

You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

30. Nonsteroidal anti-inflammatory drugs (NSAIDs) are preferred for postprocedural dental pain because-

A. Pain is inflammatory in nature

Correct Incorrect Correct answer

B. Pain is neuropathic in nature

Correct Incorrect Correct answer

C. Pain is nociplastic in nature

Correct Incorrect Correct answer

D. They are the only medications available to dentists

Correct Incorrect Correct answer

You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

31. Outline the pain meds you wish to prescribe for this patient-

A. Celecoxib

Correct Incorrect Correct answer

B. Celecoxib + Paracetamol

Correct Incorrect Correct answer

C. Paracetamol + Oxycodone

Correct Incorrect Correct answer

D. Celecoxib + Oxycodone

Correct Incorrect Correct answer

E. Ibuprofen + Paracetamol + Oxycodone

Correct Incorrect Correct answer

You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

32. You should inform the patient of the usual course of pain that is-

A. Pain is most severe 24 to 48 hours after surgery, then improves

Correct Incorrect Correct answer

B. Pain is most severe 48 to 72 hours after surgery, then improves

Correct Incorrect Correct answer

C. Pain is most severe 72 to 96 hours after surgery, then improves

Correct Incorrect Correct answer

D. Pain is there all the time

Correct Incorrect Correct answer

You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

33. Which pain medication can the dentist legally not prescribe in Australia-

A. Ibuprofen

Correct Incorrect Correct answer

B. Celecoxib

Correct Incorrect Correct answer

C. Paracetamol

Correct Incorrect Correct answer

D. Oxycodone

Correct Incorrect Correct answer

E. None

Correct Incorrect Correct answer

You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

34. The patient also reports a habit of sleep bruxism.
You decide to use an occlusal splint.
It should-

A. Be custom made

Correct Incorrect Correct answer

B. Full coverage

Correct Incorrect Correct answer

C. Regular review and adjustment should be undertaken

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

You have completed a surgical extraction of a grossly decayed tooth 36 on a patient.

The patient has been given post surgical instructions.

You decide to advise on the use of painkillers for this patient.

35. The patient’s wife suffers from obstructive sleep apnea. Regarding the use of oral appliances to treat obstructive sleep apnoea-

A. Without medical examination and investigation is not appropriate

Correct Incorrect Correct answer

B. Are mandibular advancement appliances

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C. Is one of a range of treatments for obstructive sleep apnoea

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D. All of the above

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A 22 year old patient, Jack presented to your clinic today with a complaint of pain in his lower right side.

He doesn’t really know which tooth is hurting and has difficulty expressing the nature of pain he is going through.

He is feeling very anxious at the dental practice today and it’s been 6 years since he saw a dentist.

The patient medical history states he is suffering from autism that is affecting communication, social interaction, and behavior.

The patient is accompanied by his mum.

36. The mum says they face challenges with Jack’s regular dental care.
What is considered to be the greatest barrier-

A. Not able to afford dental services

Correct Incorrect Correct answer

B. Live to far away from any dental clinics

Correct Incorrect Correct answer

C. Finding dental professionals willing to treat Jack

Correct Incorrect Correct answer

D. Private health insurance not covering patients with cognitive disabilities like Jack

Correct Incorrect Correct answer

A 22 year old patient, Jack presented to your clinic today with a complaint of pain in his lower right side.

He doesn’t really know which tooth is hurting and has difficulty expressing the nature of pain he is going through.

He is feeling very anxious at the dental practice today and it’s been 6 years since he saw a dentist.

The patient medical history states he is suffering from autism that is affecting communication, social interaction, and behavior.

The patient is accompanied by his mum.

37. The mum says it is difficult for Jack to maintain adequate oral hygiene practices at home.
What intervention might be considered useful-

A. Narrow handle toothbrushes

Correct Incorrect Correct answer

B. Two sided toothbrushes

Correct Incorrect Correct answer

C. Electric toothbrushes

Correct Incorrect Correct answer

D. Manual toothbrushes

Correct Incorrect Correct answer

A 22 year old patient, Jack presented to your clinic today with a complaint of pain in his lower right side.

He doesn’t really know which tooth is hurting and has difficulty expressing the nature of pain he is going through.

He is feeling very anxious at the dental practice today and it’s been 6 years since he saw a dentist.

The patient medical history states he is suffering from autism that is affecting communication, social interaction, and behavior.

The patient is accompanied by his mum.

38. Patient has tooth 47 which is carious involving the pulp. Treatment options of No Tx, RCT & Extraction are discussed with the patient. You judge the patient doesn’t have the capacity & cannot be supported to make an informed decision.
Who will provide the informed consent-

A. Patient

Correct Incorrect Correct answer

B. You

Correct Incorrect Correct answer

C. Substitute decision maker

Correct Incorrect Correct answer

D. Appointed guardian

Correct Incorrect Correct answer

A 22 year old patient, Jack presented to your clinic today with a complaint of pain in his lower right side.

He doesn’t really know which tooth is hurting and has difficulty expressing the nature of pain he is going through.

He is feeling very anxious at the dental practice today and it’s been 6 years since he saw a dentist.

The patient medical history states he is suffering from autism that is affecting communication, social interaction, and behavior.

The patient is accompanied by his mum.

39. What methods would you implement to reduce risk of complications arising from dental care-

A. Use of short-acting local anaesthetic

Correct Incorrect Correct answer

B. Positioning a patient in a more supine position

Correct Incorrect Correct answer

C. Increased water spray

Correct Incorrect Correct answer

D. Shortening the appointment time

Correct Incorrect Correct answer

A 22 year old patient, Jack presented to your clinic today with a complaint of pain in his lower right side.

He doesn’t really know which tooth is hurting and has difficulty expressing the nature of pain he is going through.

He is feeling very anxious at the dental practice today and it’s been 6 years since he saw a dentist.

The patient medical history states he is suffering from autism that is affecting communication, social interaction, and behavior.

The patient is accompanied by his mum.

40. You notice some of Jack’s teeth show signs of erosion. What can be the reason that might be prevalent in such a group of patients?

A. Gastro-oesophageal reflux disease

Correct Incorrect Correct answer

B. Bruxism

Correct Incorrect Correct answer

C. Multiple medications intake

Correct Incorrect Correct answer

D. Lack of adequate oral hygiene measures

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

41. You are planning to place a small Class I restoration in a healthy patient along with removal of stains and fluoride Tx.
Select that applies

A. Surgical antibiotic prophylaxis is indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is not indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

42. A patient with rheumatic heart disease presents to your practice for pit and fissure sealants and supragingival scaling.
Select that applies-

A. Surgical antibiotic prophylaxis is indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

43. A patient with mitral valve prolapse and on prednisolone 10 mg for 2 months has presented to your practice for root canal Tx of upper 26.
Select that applies-

A. Surgical antibiotic prophylaxis is indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

44. A patient with leukaemia presented to have his lower tooth 44 removed.
Select that applies-

A. Surgical antibiotic prophylaxis can be indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. Prolonged bleeding is always unlikely

Correct Incorrect Correct answer

E. All of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

45. A patient who has a prosthetic heart valve and on prednisolone 5 mg for 4 years for his rheumatoid arthritis comes in for implant placement on tooth 11.
Select that applies-

A. Surgical antibiotic prophylaxis can be indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. All of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

46. A healthy Female patient, Jasleen presented to you today with a complaint of sensitivity in the upper right side.
She has a history of artificial knee joints and occasionally takes Ibuprofen for her joint pains.
You can see a carious lesion close to the pulp and based on patient symptoms, diagnose the condition as reversible pulpitis.
You plan to carry out a composite restoration.

Select that applies-

A. Surgical antibiotic prophylaxis is indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

47. While removing caries, you determine if you go any further, the pulp horn will be exposed, you-

A. Remove all caries and let the pulp be exposed and then carry out direct pulp capping

Correct Incorrect Correct answer

B. Remove all caries and carry out pulpectomy

Correct Incorrect Correct answer

C. Remove most of the caries but leave the caries on top of the possible exposure site and carry out a restoration

Correct Incorrect Correct answer

D. Remove all caries and let the pulp be exposed and then carry out partial pulpotomy

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

48. Based on the radiograph what else do you think might have happened in the past-

A. Erosion

Correct Incorrect Correct answer

B. Attrition

Correct Incorrect Correct answer

C. Orthodontic Rx

Correct Incorrect Correct answer

D. TMJ disorder

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

49. A healthy patient aged 32 years presents for an implant placement in tooth 11 region.
The patient’s medical history reveals asthma for which he uses salbutamol only when necessary.
Select that applies-

A. Surgical antibiotic prophylaxis is indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is indicated

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

You are undergoing some training to handle patients with medical conditions.

50. Jasmeen is a 45 year old patient who is presented to have a cast partial denture in her jaw tooth 45 46 47.
Upon examination you noted uneven alveolar bone and recommended alveoloplasty before you plan on the cast partial denture.
Her medical history reveals beta blockers for hypertension and immune suppressive drugs for inflammatory bowel disease.
Select that applies-

A. Surgical antibiotic prophylaxis can be indicated

Correct Incorrect Correct answer

B. Infective endocarditis prophylaxis is indicated

Correct Incorrect Correct answer

C. An increase in glucocorticoid replacement is never indicated

Correct Incorrect Correct answer

D. None of the above

Correct Incorrect Correct answer

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