OUT CLC3 quizzes

When carrying out a Oral Heath Assessment/Dental Examination what modifying factors would you consider using to evaluate a patients level of risk for development of oral diseases, such as oral cancer. Please choose the appropriate options

• Alcohol intake

• Salivary flow rate

• Occupation

• Smoking habits

• Absence of fruit and veg in the diet

A patient mistakenly claims exemption for NHS dental treatment costs during a course of treatment at your Outreach placement. Which of the options below would be the action the NHS BSA would take?

A £100 penalty fine plus the cost of the treatment band

A newly qualified dentist or therapist would be expected to provide treatment to NHS patients at a Level 2 level of complexity

False

Procedures require a clinician with enhanced skills and experience who may or may not be on a specialist register e.g. extraction of retained root fragment following an attempt to extract

Level 2

A dental therapist is providing a restoration for a patient on referral from a dentist. Local Anaesthetic has been given.

During caries removal a small pinhead of pulp horn is exposed. The dentist is away on holiday there is no other dentist on site.

What would you expect the therapist to do, within their scope of practice?

Remove any soft caries with an excavator clearing the ADJ. Pulp cap the exposure and restore or dress. Document and warn patient about symptoms and possible need for RCT. Inform referring dentist.

A patient completes their PR form but is unsure whether they have to pay for their dental treatment. What should you do?

Ask them to pay the appropriate NHS band charge, and claim it back at a later date

You have just completed a dental examination of a patient previously assessed as having a high risk for dental caries. You regard this past disease as being stabilised and none active but are aware of several modifying risk factors that could, over time, significantly increase the patients likely hood of developing more carious lesions. Select from the options below the most appropriate management option for this patient.

discuss with the patient their risk factors providing a high strength fluoride supplement and review in 3 months

When carrying out a Oral Heath Assessment/Dental Examination what modifying factors would you consider using to evaluate a patients level of risk for development of oral diseases, such as periodontal disease. Please choose the appropriate options.

• Smoking habits

• Poor oral hygiene

• Diabetes

A dental Hygienist and Therapist can provide treatment to patients without the prescription of a dentist (Direct Access). What procedures or treatments, even if a patient is being seen under 'Direct Access', would still require a prescription from a dentist?

Toothwhitening

Commissioning in primary care requires dental professionals to provide dental care for differing levels of complexity. From the options below what bests describes the differences between level 1, level 2, level 3 complexity?

Procedural difficulty

You are considering an appropriate recall interval for a patient and have consulted the SDCEP guidance to help you record their oral health risk. You have communicated to the patient that they have a medium risk of developing dental caries. What follow up period should be advised?

6 months

Receptionists numerous duties highlight their important role in a dental practice. Choose all the possible duties a receptionist can undertake during a working day that would assist a dental professional in the monitoring of a patients oral disease?

• Updating the details of every patient, including contact numbers, email and place of residence

• Ensuring patients are booked in the correct recall period as prescribed by the dental professional

• Providing the dental professional with a list of patients that are overdue their recall period

In the Cheshire and Mersey region there are several ways you can refer a dental patient patient to another service provider for advanced services. Select all the appropriate methods of referral that will be accepted by a provider

• Paper proforma referral posted

• Paper proforma referral faxed

• Online dental referral

In primary dental care what does the acronym PDS stand for?

Personal dental service

The dental team works together to provide a holistic approach to patient care for the prevention of oral disease. What members of the dental team may be able to take radiographs without the prescription of a dentist to assist in the monitoring of a patients oral disease.

Dental therapist

In primary care, which options would you consider as having appropriate referral criteria to send to the Community Dental Service.

• Special care patients - Children or adults for continuing care

• Oral surgery - For a single course of treatment

• Paediatric exodontia with local anaesthetic and inhalation sedation or general anaesthetic

From the options choose the correct prescription form, used in an NHS primary care GDS practice, that can be used to prescribe prescription inly medicines such as fluoride toothpastes

Yellow prescription pad(FP10D)

The dental team works together to provide a holistic approach to patient care, including the prevention of oral disease. What members of the dental team may be able to prescribe radiographs without the prescription of a dentist to help in monitoring a patients oral disease.

Dental therapist

When working to a Patient Group Direction (PGD) it is important to understand the limitations of your scope of practice

PGDs are required for a dental care professional to administer a prescription only medicine, which can be provided without a dentist present in the practice.

The Community Dental Service can offer appointments and treatments to  which patients

• Patients with learning and physical disabilities

• Patient requiring routine extractions under sedation

  • Medically compromised patients

When working in a primary care practice a patient specific direction (PSD) can be used by a dentist to allow a dental care professional such as a therapist to administer and in some instances supply prescription only medicines.

• Local anaesthetic

• Topical fluoride

• Toothpaste (duraphat)

What band of treatment applies to a course of treatment that generates 3 Units of Dental Activity

Band 2

A primary care dental practice will need to manage its budget to enable sustainable cashflow throughout a financial year. Generally how would a practice owner raise the funds for a capital purchase such as a dental chair

• Bank loan

• Personal finances

• Credit agreement with supplier

You have recently had your medical emergencies training session and the practice owner has decided the equipment and emergency drugs are most accessible from your room as it is closest to reception and on the ground floor. The lead nurse is in charge of checking the equipment and asks you how often should the emergency equipment be checked

Weekly

When considering members of the dental team in a typical GDS dental practice, what members of the dental team are currently able to plan a course of NHS treatment.

• Foundation dentist

• Associate dentist

• Dental therapist

An adult patient receives a course of treatment consisting of an examination, bitewing radiographs, preventive advice, scale & polish and 2 fissure sealants. What band should the dentist claim?

Band 1

When considering members of the dental team in a typical GDS dental practice, what members of the dental team are currently able to complete items in course of NHS treatment.

• Dental nurse

• Dental therapist

• Foundation dentist

• Associate dentist

A DAC universal Autoclave is used for the disinfection and sterilisation of dental mirror and probes?

False

A primary care dental practice will need to manage its budget to enable sustainable cashflow throughout a financial year. Identify below the costs that are generally the responsibility of a GDS practice owner.

• Uniform for a hygienist who is employed

• Uniform for a dental nurse

Examination, Composite filling, Scale and Polish

Band 2

Examination, Radiographs, Root Canal Treatment

Band 2

Examination, Periodontal treatment, Fissure sealant

Band 2

5 main lines of enquiry the CQC will use to inspect dental services in England.

• Effective

• Well led

• Caring

• Responsive

• Safe

What type of evidence can members of the dental team submit to the GDC that shows they are practising within their scope of practice?

• Lecture attendance

• E-learning certificates

• Clinical audits

From the list below what are the key areas from the the IPS audit tool a practice will be measuring their compliance against?

• Waste management

• Management of medical devices

• Prevention of blood borne virus exposure

• Staff PPE

Decontamination of reusable dental instruments

Every dental practice should be achieving Essential practice

A Dental Assurance Framework (DAF) report is produced by the BSA for dental practices how often?

Quarterly

A GDS practice will have set roles for the team in relation to the radiation protection regulations. Which of the roles below is linked to a radiation (medical) physics expert?

Radiation protection advisor

Why are clinical audits important in clinical dental practice?

Audits help improve a service by constantly reviewing clinical processes

A dental nurse is able to take dental radiographs, but without any further training what stage of the radiographic process must a be completed by another qualified member of the team.

• Referral

• Justification

• Reporting

• Interpretation

A patient makes a written complaint about treatment you have provided for them on the NHS. What initial steps should you take?

Acknowledge the complaint as soon as possible but within 3 days

If a patient has a complaint after they have received a course of treatment how long do they generally have to log their complaint to the dental practice?

12 months