ORE Part 2 NHS Dental Contracts & Medical Emergencies 2

Question 1

What is the Resuscitation Council recommended ratio of chest compressions to rescue breaths in adult CPR?

Accepted Answer

30 compressions to 2 rescue breaths (30:2)

Answer

The Resuscitation Council UK guidelines recommend a 30:2 ratio of chest compressions to rescue breaths for adult CPR by trained responders, prioritising high-quality chest compressions.

Question 2

What is the correct management of a faint (vasovagal syncope) in the dental chair?

Accepted Answer

Lower the chair (supine position), elevate legs, loosen tight clothing, ensure airway is open, monitor recovery

Answer

Vasovagal syncope is managed by lying the patient flat with legs elevated to restore cerebral perfusion; most patients recover quickly without medication.

Question 3

Which drug reverses the effects of benzodiazepine oversedation in conscious sedation emergencies?

Accepted Answer

Flumazenil

Answer

Flumazenil is the specific benzodiazepine receptor antagonist that reverses benzodiazepine-induced sedation and respiratory depression, used in sedation emergencies.

Question 4

What is the minimum oxygen supply requirement for a dental practice according to emergency guidelines?

Accepted Answer

Portable oxygen cylinder sufficient for 30 minutes of flow (minimum 1,000 litres)

Answer

Resuscitation Council UK guidelines recommend a minimum oxygen supply of at least 1,000 litres (approximately 30 minutes at 10 L/min) to sustain emergency treatment until ambulance arrival.

Question 5

What is the correct inhaled dose of salbutamol for an acute mild-to-moderate asthma attack?

Accepted Answer

2–10 puffs of 100 mcg salbutamol via spacer

Answer

For mild-to-moderate acute asthma in the dental surgery, 2–10 puffs of salbutamol (100 mcg per puff) via a spacer device are recommended, allowing reassessment between administrations.

ORE Part 2 Practice Test

ORE Part 2 Practice Test

ORE Part 2 NHS Dental Contracts & Medical Emergencies 2