ADC ADC - Australian Dental Council Treatment Planning and Clinical Examination Questions and Answers 3

Question 1

A patient presents with trismus, fever, and a submandibular swelling that is crossing the midline. What is the most likely diagnosis?

Accepted Answer

Ludwig's angina

Answer

Ludwig's angina is a rapidly spreading, bilateral, severe cellulitis of the submandibular and sublingual spaces often originating from a lower molar, presenting with trismus, fever, and bilateral floor-of-mouth swelling.

Question 2

What does the term 'informed consent' require in Australian dental practice?

Accepted Answer

The patient is provided with sufficient information about the proposed treatment, risks, alternatives, and consequences of no treatment, to make a voluntary decision

Answer

Valid informed consent requires the patient to receive adequate information about the procedure, potential risks, alternatives, and outcomes of refusal, and to voluntarily agree without coercion.

Question 3

When treating a patient with a history of bisphosphonate use, which complication is of greatest concern following tooth extraction?

Accepted Answer

Medication-related osteonecrosis of the jaw (MRONJ)

Answer

Bisphosphonates inhibit osteoclast activity and can impair bone remodeling, leading to medication-related osteonecrosis of the jaw (MRONJ) following dento-alveolar surgery.

Question 4

In a comprehensive examination, what does the 'soft tissue examination' include?

Accepted Answer

Inspection of lips, cheeks, tongue, floor of mouth, palate, and oropharynx for lesions or abnormalities

Answer

A thorough intraoral soft tissue examination includes systematic inspection of all mucosal surfaces including lips, buccal mucosa, tongue, floor of mouth, hard and soft palate, and oropharynx to detect pathology.

Question 5

What is the significance of a positive response to cold thermal testing in a tooth with a deep carious lesion?

Accepted Answer

The pulp is still vital, though it may be inflamed (reversible or irreversible pulpitis)

Answer

A positive response to cold testing indicates a vital pulp; however, the quality and duration of response help differentiate reversible pulpitis (brief, sharp pain) from irreversible pulpitis (lingering pain).

ADC - Australian Dental Council Practice Test

ADC - Australian Dental Council Practice Test

ADC ADC - Australian Dental Council Treatment Planning and Clinical Examination Questions and Answers 3