ORE Part 2 NHS Dental Contracts & Medical Emergencies

Question 1

What is the initial management of an anaphylactic reaction in a dental surgery?

Accepted Answer

Call 999, administer IM adrenaline 0.5 mg (500 mcg) 1:1000, lie flat with legs elevated, give oxygen

Answer

Give oral antihistamine and monitor

Answer

IV corticosteroids as first-line treatment

Answer

Adrenaline 1:10,000 IV only

Question 2

What is the correct dose of aspirin in the management of a suspected myocardial infarction in a dental practice?

Accepted Answer

300 mg dispersible aspirin orally (if not contraindicated)

Answer

75 mg aspirin

Answer

500 mg aspirin

Answer

1000 mg aspirin

Question 3

What is the recommended management of hypoglycaemia in a conscious diabetic patient in the dental surgery?

Accepted Answer

15–20 g of fast-acting carbohydrate orally (e.g., glucose gel, sugary drink), repeat if no improvement in 15 min

Answer

Glucagon IM only

Answer

IV dextrose as first line

Answer

Call 999 immediately without any oral treatment

Question 4

What drug and dose is used for an acute asthma attack not responding to a salbutamol inhaler in a dental practice?

Accepted Answer

Repeat salbutamol puffs (10 puffs via spacer), call 999, give oxygen, and consider IM adrenaline if severe

Answer

Oral prednisolone tablet

Answer

IV aminophylline in the surgery

Answer

Nebulised ipratropium as first line

Question 5

What is the correct management of a patient who collapses with a witnessed cardiac arrest in a dental surgery?

Accepted Answer

Call 999, start CPR (30:2), use the AED as soon as available, continue until help arrives

Answer

Start CPR without calling 999

Answer

Give adrenaline before starting CPR

Answer

Perform precordial thump first in all cases

Question 6

What emergency drug must all dental practices in the UK stock according to Resuscitation Council and GDC guidelines?

Accepted Answer

Adrenaline 1:1000 (IM)

Answer

Atropine

Answer

Digoxin

Answer

Heparin