ADC ADC - Australian Dental Council Treatment Planning and Clinical Examination Questions and Answers 1 — Questions and Answers
Question 1: What is the FIRST step when a new patient presents for a comprehensive dental examination?
- Taking radiographs
- Recording a detailed medical and dental history (Correct answer)
- Charting existing restorations
- Performing periodontal probing
Correct answer: Recording a detailed medical and dental history
Recording a thorough medical and dental history is the first and most critical step in any comprehensive examination, as it identifies systemic conditions and risk factors that affect treatment planning.
Question 2: Which of the following is the MOST important consideration when sequencing a dental treatment plan?
- Aesthetic concerns should be addressed first
- Emergencies and pain relief must be managed before elective care (Correct answer)
- Orthodontic evaluation precedes all other treatment
- Prosthodontic work should begin at the first appointment
Correct answer: Emergencies and pain relief must be managed before elective care
Treatment sequencing should prioritize emergency care and pain relief first, followed by disease control, then definitive and elective restorative treatment.
Question 3: A patient reports taking warfarin. What is the most appropriate pre-operative action before performing a surgical extraction?
- Discontinue warfarin 7 days before surgery
- Check the INR and consult with the patient's physician (Correct answer)
- Proceed without any modification as dental extractions are minor
- Prescribe aspirin as a substitute anticoagulant
Correct answer: Check the INR and consult with the patient's physician
The INR (International Normalized Ratio) must be checked and the prescribing physician consulted to determine a safe INR level for the planned procedure.
Question 4: Which clinical sign is MOST indicative of a non-vital tooth?
- Presence of a deep cavity
- Negative response to electric pulp testing and cold testing (Correct answer)
- Mild pain on biting
- Slight mobility of the tooth
Correct answer: Negative response to electric pulp testing and cold testing
A negative response to both electric pulp testing and cold thermal testing strongly indicates pulpal necrosis (non-vitality).
Question 5: What does the acronym 'SOAP' represent in clinical documentation?
- Symptoms, Observations, Assessment, Plan
- Subjective, Objective, Assessment, Plan (Correct answer)
- Symptoms, Outcome, Analysis, Procedure
- Subjective, Outcome, Assessment, Prescription
Correct answer: Subjective, Objective, Assessment, Plan
SOAP stands for Subjective (patient's complaint), Objective (clinical findings), Assessment (diagnosis), and Plan (treatment plan).
Question 6: A patient has uncontrolled type 2 diabetes with an HbA1c of 11%. What is the most appropriate approach for elective dental surgery?
- Proceed immediately as dental infections worsen glycemic control
- Defer elective surgery and refer to the patient's physician for better glycemic control (Correct answer)
- Prescribe a double antibiotic prophylaxis dose and proceed
- Perform surgery under general anesthesia only
Correct answer: Defer elective surgery and refer to the patient's physician for better glycemic control
Elective surgery should be deferred for patients with poorly controlled diabetes (HbA1c >8%) because of increased infection risk and impaired wound healing; referral for medical management is indicated.
ADC ADC - Australian Dental Council Treatment Planning and Clinical Examination Questions and Answers 1
What is the FIRST step when a new patient presents for a comprehensive dental examination?