MFDS Part 1 - Membership of Faculty of Dental Surgery Pharmacology and Pain Control Questions and Answers

Question 1

A healthy 4-year-old child weighing 18kg requires post-operative analgesia following a dental extraction.
According to the British National Formulary for Children (BNFC), what is the appropriate single oral dose of paracetamol for this child?

Accepted Answer

270 mg

Answer

180 mg

Answer

120 mg

Answer

500 mg

Question 2

A 62-year-old patient requests analgesia for acute dental pain. Their medical history includes a peptic ulcer 5 years ago, well-controlled hypertension treated with ramipril, and asthma. Which of the following analgesics is generally contraindicated?

Accepted Answer

Ibuprofen 400mg

Answer

Co-codamol 8/500

Answer

Paracetamol 500mg

Answer

Dihydrocodeine 30mg

Question 3

A patient undergoing conscious sedation with intravenous midazolam becomes over-sedated and experiences significant respiratory depression. According to UK sedation guidelines (IACSD), which drug is the specific reversal agent for this situation?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

Adrenaline

Answer

Atropine

Question 4

A 35-year-old patient presents with a painful, localised, fluctuant swelling adjacent to a non-vital lower molar. There are no signs of systemic involvement or spreading infection. According to the Scottish Dental Clinical Effectiveness Programme (SDCEP) guidance, what is the most appropriate initial management?

Accepted Answer

Establish drainage of the abscess without prescribing antibiotics

Answer

Prescribe a 5-day course of amoxicillin 500mg TDS

Answer

Prescribe a 5-day course of metronidazole 400mg TDS

Answer

Advise analgesics and review in 48 hours

Question 5

What is the maximum recommended dose (MRD) of 2% lidocaine with 1:80,000 adrenaline for a healthy 70 kg adult, according to the British National Formulary (BNF)?

Accepted Answer

7.0 mg/kg

Answer

4.4 mg/kg

Answer

2.2 mg/kg

Answer

10.0 mg/kg

Question 6

A 68-year-old patient is diagnosed with idiopathic trigeminal neuralgia, experiencing severe, lancinating pains in the V2 distribution. According to the National Institute for Health and Care Excellence (NICE) guideline [CG173], which of the following is the recommended first-line pharmacological treatment?

Accepted Answer

Carbamazepine

Answer

Amitriptyline

Answer

Gabapentin

Answer

Ibuprofen

A healthy 4-year-old child weighing 18kg requires post-operative analgesia following a dental extraction.According to the British National Formulary for Children (BNFC), what is the appropriate single oral dose of paracetamol for this child?

A healthy 4-year-old child weighing 18kg requires post-operative analgesia following a dental extraction.
According to the British National Formulary for Children (BNFC), what is the appropriate single oral dose of paracetamol for this child?