ORE Part 2 Patient Management 2

Question 1

A patient discloses that they are HIV positive before treatment. How should this affect your approach to clinical care?

Accepted Answer

Treat the patient with standard infection control precautions, which should be applied to all patients equally

Answer

Refuse treatment and refer to a specialist unit

Answer

Require additional blood tests before proceeding

Answer

Wear double gloves and a face shield only for HIV-positive patients

Question 2

What is the recommended action if a dental professional suspects a child is being abused or neglected?

Accepted Answer

Document the findings and refer to local safeguarding services or social care, following the practice's safeguarding policy

Answer

Confront the parent directly during the appointment

Answer

Wait for the child to disclose abuse before taking action

Answer

Discuss the concern with other patients for advice

Question 3

What is the maximum period a dentist can prescribe a Schedule 2 controlled drug (e.g., midazolam) for in the UK?

Accepted Answer

30 days

Answer

7 days

Answer

14 days

Answer

28 days

Question 4

During a Duty of Candour disclosure, what must a dental professional communicate to a patient after a notifiable safety incident?

Accepted Answer

A truthful account of what happened, an apology, and what will be done to prevent recurrence

Answer

Nothing — the practice's lawyer should handle all communication

Answer

Only that an error occurred, without providing details

Answer

Written communication only, never face-to-face

Question 5

Which medical emergency drug in the dental practice emergency kit is used to treat an acute asthma attack?

Accepted Answer

Salbutamol inhaler (100 micrograms per actuation)

Answer

Adrenaline (epinephrine) 1:1000

Answer

Oral glucose gel

Answer

Midazolam oromucosal solution

Question 6

A patient attending for routine treatment mentions they are 14 weeks pregnant. Which of the following dental treatments should ideally be avoided during the first trimester?

Accepted Answer

Elective radiography that is not urgently indicated

Answer

Dental examination and oral hygiene advice

Answer

Emergency treatment for pain relief

Answer

All dental treatment until after delivery