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Paul’s mini quiz Number 1
2020-21 Study Group Meeting 1 - Quiz
On completion of the quiz you will be emailed your result and directed to the Study Group resources page
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Results will be Emailed to
A patient attends with severe pain from a grossly carious, unrestorable tooth 36. The tooth requires extraction. Medically, the patient is on prednisolone, alendronic acid and ramipril. What would be the best way to manage this situation?
*
Refer to OMFS immediately
Extract the tooth under antibiotic cover
Discuss the risk of MRONJ with the patient, gain valid consent, extract the tooth and review
Arrange with the patient’s GMP to provide a drug holiday
Procced with the extraction as the patient has been on the alendronic acid for less than 5 years
What is the mode of action of apixaban?
*
Inhibition of thrombin
Inhibition of factor Xa
Inhibition of factor VIII
Inhibition of ADP
Inhibition of platelet aggregation
Which of the following is most likely to cause a dry mouth?
*
Ramipril
Amitryptyline
Amlodipine
Fluoxetine
Pilocarpine
A denture patient has the following teeth remaining: 45, 44, 43, 33, 34, 35, 36, 37. What is the Kennedy classification?
*
Class 1
Class 2
Class 2 modification 1
Class 1 modification 2
Class 3 modification 2
Which of the following is the most appropriate pain relief for a patient on dabigatran, following extraction of tooth 46?
*
Ibuprofen
Aspirin
Diclofenac
Paracetamol
Naproxen
Which of the following conditions is NOT associated with secondary Sjogren’s syndrome?
*
Primary biliary cirrhosis
Scleroderma
Rheumatoid arthritis
SLE
Liver cirrhosis
Which of the following is NOT appropriate advice for management of erosive tooth wear?
*
Keep acidic drinks to mealtimes and limit the number of fruit drinks (not more than 1 per day)
Ensure toothpaste is low abrasive in nature
Brush immediately after acidic food/drinks
Seek medical advice for management of intrinsic sources of acid (e.g. reflux or eating disorders)
Consider use of a high fluoride toothpaste
A patient on warfarin attends for scheduled extraction of a symptomless retained root at 22. The INR was recorded yesterday as 4.0. What is the correct management of this situation?
*
Extract the tooth atraumatically, place a haemostatic packing and suture.
Refer to GMP/Anticoagulant clinic and delay treatment
Refer to OMFS
Extract and prescribe a tranexamic acid mouthwash
Arrange for the patient to miss the next dose of warfarin and reschedule the extraction for the following morning
Duraphat varnish is used for prevention of caries. What is the concentration in parts-per-million?
*
226.00 ppm
2,260 ppm
22,600 ppm
226,000 ppm
2,260,000 ppm
Which of the following procedures would require a patient to miss a dose of apixaban?
*
IDB
Incision and drainage of an abscess
Extraction of a lower first molar
Subgingival periodontal instrumentation
Extraction of teeth 45 & 46 in the same visit
Which of the following is NOT a property of midazolam?
*
Anxiolysis
Sedation
Muscle relaxation
Anterograde amnesia
Respiratory stimulation
Which of the following is the most appropriate fluoride regime for an 11-year old with a high caries rate?
*
1000ppm toothpaste 2x daily
1450ppm toothpaste 2x daily
1450ppm toothpaste 2x daily plus weekly use of a 0.05% NaF mouthwash
2800ppm toothpaste 2x daily
5000ppm toothpaste 2x daily
