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Part 1 Mini Mock 2021
2021 Study Group Mock Exam 2 November 2021
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Please fill in your answers and then press submit when you are ready. You can use the 'next' and 'previous' buttons after each five-question section to check or change answers and go over all of your answers before you press submit. Good luck!
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1. A worried mother telephones your practice, as her 3 year old son has eaten a half-full tube of toothpaste. What is the toxic level of fluoride ingestion?
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1 mg/kg
5 mg/kg
10 mg/kg
32 mg/kg
64 mg/kg
2. An adult patient has an anaphylactic reaction to chlorhexidine (being used to irrigate a dry socket). You are about to give adrenaline as treatment. Which of the following do you give?
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500 micrograms IM
500 micrograms IV
500 milligrams IM
500 milligrams IV
5000 micrograms IM
3. Which of the following is NOT associated with an increased risk of MRONJ?
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Zolendronic acid
Denosumab
Diltiazem
Bevacizumab
Aflibercept
4. You saw an 8 year old child in 2003. When do you keep the records until?
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2008
2010
2014
2015
2020
5. What is the risk of permanent ID nerve damage following extraction of a lower third molar which is assessed radiographically as “high risk”?
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0.5%
1%
2%
10%
19%
6. A 58-year old female patient attends complaining of a dull, throbbing pain on the right side of her face. When you ask her to remove her glasses, she reports tenderness on the right side. Haematological investigation reveals the ESR is 81mm/hr. What is the most likely diagnosis?
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Maxillary sinusitis
Giant cell ateritis
Trigeminal neuralgia
Cluster headache
Atypical facial pain
7. What is the mode of action of clopidogrel?
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Inhibition of platelet aggregation
Inhibition of Factor VIII
Inhibition of ADP
Inhibition of thrombin
Inhibition of factor Xa
8. A patient presents with hypodontia and sparse hair. What is the most likely diagnosis?
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Cleidocranial dysostosis
Ectodermal Dysplasia
Peutz-Jegher’s syndrome
Gorlin-Goltz syndrome
Gardner’s syndrome
9. How often should radiographic equipment be subjected to routine testing?
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6-monthly
Yearly
2-Yearly
3-Yearly
5-Yearly
10. What is the appropriate splinting regime for a lateral luxaton injury?
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1 week, rigid splint
2 weeks, flexible splint
4 weeks, flexible splint
4 weeks, rigid splint
4 months, rigid splint
11. A patient with oral ulceration is found to be anaemic. Her MCV is 68 fl. Which deficiency is most likely?
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Folic acid
Thiamine
Iron
Vitamin B12
Intrinsic factor
12. A patient presents with a 7mm overjet, and an ectopic (unerupted) 23. What is the IOTN score?
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1
2
3
4
5
13. Smoking is a risk factor for oral cancer. According to PHE’s Delivering Better Oral Health, how much more common is oral cancer in smokers vs. lifetime non-smokers?
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2-3 times
3-4 times
4-6 times
7-10 times
11 times
14. An 8-year old has a high caries rate. Which of the following would be an appropriate fluoride regime?
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Brush twice daily with a 1000 ppm toothpaste
Brush twice daily with a 1350-1500 ppm toothpaste
Brush twice daily with a 1350-1500 ppm toothpaste, plus a daily 0.05% NaF M/W
Brush twice daily with a 1350-1500 ppm toothpaste, plus a daily 0.2% NaF M/W
Brush twice daily with a 2800 ppm toothpaste
15. Your practice oxygen cylinder is CD size. How long will this last at 15l/min?
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15 minutes
22 minutes
30 minutes
45 minutes
1 hour
16. Which resin-bonded bridge design would give the BEST prognosis?
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Abutments 21, 23, pontic 22
Abutments 11, 22, pontic 21
Abutments 22, 24, pontic 23
Abutment 26, pontic 25
Abutment 23, pontic 22
17. Gypsum products (incl. dental plaster casts) are prohibited at landfill sites. Which gas do they produce?
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Methane
Hydrogen sulphide
Carbon monoxide
Carbon dioxide
Butane
18. What is the principal duty of an IR(ME)R practitioner?
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Setting the exposure
Image quality assurance
Justification of the exposure
Clinical evaluation of radiographs
Designating the controlled area
19. A 14-year old girl attends your surgery accompanied by her teacher. She has suffered trauma in a hockey match and requires emergency dental treatment. Attempts to contact her parents are unsuccessful. What do you do?
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Tell the patient to make an appointment later and to bring a parent
Try to ascertain if the patient is able to give consent herself
Get her teacher to give consent
Apply the Mental Capacity Act 2005
Explain what you think needs to be done, and do it
20. Which of the following is the most appropriate depth of undercut for a CoCr clasp?
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0.1mm
0.25mm
0.5mm
0.75mm
1mm
21. A patient collapses in your practice. After checking for danger, and donning appropriate PPE, what is your initial response?
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Open the airway
"Shake and Shout"
Call 999
Start CPR
Send for an AED
22. A patient has suffered damage to the accessory nerve. Which of the following muscles would you use to assess this nerve?
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Lateral pterygoid
Buccinator
Trapezius
Masseter
Medial pterygoid
23. A 25-year old male presents with blood-crusted lips, fever, lymphadenopathy, oral ulceration & skin lesions. Which of the following is NOT a recognised cause?
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Amoxicillin
HSV
NSAIDS
Mycoplasma Pneumoniae
Nicorandil
24. Which of the following muscles receives its motor supply from CN VII?
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Medial pterygoid
Temporalis
Buccinator
Lateral pterygoid
Anterior belly of digastric
25. Which of the following p-values is considered to indicate that a result is “statistically significant”?
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p < 0.5
p < 0.05
p < 0.01
p < 0.005
p < 0.001
26. A new patient’s BPE score is: 3 1 3 3 4 2 There is no significant recession or mobility. Which of the following would be an appropriate radiographic examination?
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Full-mouth periapicals
OPG
Horizontal bitewings, plus supplemental periapicals of selected teeth
Vertical bitewings, plus supplemental periapicals of selected teeth
Horizontal bitewings
27. When carrying out inhalational sedation, the oxygen stops working. Who do you report this to?
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CQC
HSE
MHRA
The manufacturer of the device
Your health board
28. Which of the following is an example of a developmental odontogenic cyst?
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Nasopalatine cyst
Dentigerous cyst
Radicular cyst
Aneurysmal bone cyst
Residual cyst
29. A pyrexial patient attends with pain from tooth 46 and a spreading infection causing difficulty in swallowing. What do you do?
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Obtain drainage and refer immediately to your local maxillofacial unit
Obtain drainage, prescribe amoxicillin 500mg TDS for 5 days & review in 2-3 days
Obtain drainage & review in 2-3 days
Prescribe amoxicillin 500mg TDS for 5 days & review in 2-3 days
Prescribe amoxicillin 500mg TDS plus metronidazole 400mg TDS (both for 5 days) & review in 2-3 days
30. Which of the following materials has the best 5-year survival in class V cavities?
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Amalgam
Composites
Glass ionomer
Compomer
Resin-modified glass ionomer