Week 1 DFT Prep - IRR, IRMER, Social Media, Prescribing, Teamworking, Clinical Records, GDC standard 8

What is the annual radiation dose limit for a "classified employee"?

What is the annual radiation dose limit for a member of the public?

All steps must be taken to restrict exposure to ionising radiation to ALARP. ALARP stands for: A[blank_start]s[blank_end] L[blank_start]ow[blank_end] A[blank_start]s[blank_end] R[blank_start]easonably[blank_end] P[blank_start]racticable[blank_end]

An RPA stands for: R[blank_start]adiation[blank_end] P[blank_start]rotection[blank_end] A[blank_start]dviser[blank_end]

For a salaried dentist, their "employer" is...

For a self employed NHS dentist, their "employer" is...?

For a self employed private dentist, their "employer" is...?

The person who carries out or engages others to carry out medical exposures is defined as the e[blank_start]mployer[blank_end]

A r[blank_start]eferrer[blank_end] is defined as a registered healthcare professional who is entitled with the employer's procedures to refer individuals to a practitioner for dental exposure

A p[blank_start]ractitioner[blank_end] is a registered healthcare professional who is entitled in accordance with the employer's procedures to take responsibility for an individual exposure

An o[blank_start]perator[blank_end] is a person who is entitled in accordance with the employer's procedures to carry out practical aspects of dental exposures

If you post cases on social media, you must ensure that...

True or false: The GDC states you must NOT post any information or comments about patients on social networking or blogging sites.

True or false: You must NEVER add a patient on social media sites

Online behaviour by a colleague that might be putting a patient at risk (conduct, decision making, behaviour) must be raised as a concern by you in accordance with which GDC standard?

You must maintain the public's confidence in you and the dental p[blank_start]rofession[blank_end] (GDC standard [blank_start]9[blank_end]). This means you must avoid posting/sharing the following to social media; D[blank_start]runken[blank_end] images Underwear/n[blank_start]udity[blank_end] Comments or statuses about [blank_start]patients[blank_end] Photographs of [blank_start]illegal[blank_end] substances R[blank_start]acist[blank_end] images or statuses Anything that may damage your i[blank_start]mage[blank_end] as a dental professional or that of your practice

To avoid breaches in confidentiality there are three overall procedures to follow (Confidentiality NHS Code of Practice/NHS Care Record Guarantee for England): Duty of c[blank_start]onfidence[blank_end] E[blank_start]xplicit[blank_end] consent L[blank_start]egal[blank_end] requirement

To maintain levels of patient confidentiality, a committee reported on the NHS and set out six principles. These are known as the "..." principles?

The six Caldicott principles (instigated to maintain levels of confidentiality within the NHS) are: 1. Do you have a j[blank_start]ustified[blank_end] purpose for using this confidential information? 2. Are you using it because it is absolutely n[blank_start]ecessary[blank_end] to do so? 3. Are you using the m[blank_start]inimum[blank_end] information required? 4. Are you allowing a[blank_start]ccess[blank_end] to this information on a strict need-to-know basis only? 5. Do you understand your r[blank_start]esponsibility[blank_end] and duty to the subject with regards to keeping their information s[blank_start]ecure[blank_end] and confidential? 6. Do you understand the l[blank_start]aw[blank_end] and are you complying with the law before handling the confidential information?

The person employed by each NHS trust to oversee policies, compliance, and safeguarding of patient identifiable information is known as the...?

The data protection act sets out 8 key principles 1. Processed fairly and l[blank_start]awfully[blank_end] 2. Processed for the s[blank_start]pecified[blank_end] purpose for which it was obtained 3. Adequate, relevant, and not e[blank_start]xcessive[blank_end] for the purpose for which it was obtained 4. Accurate and kept up to d[blank_start]ate[blank_end] 5. Not kept for l[blank_start]onger[blank_end] than necessary for the purpose for which it was obtained 6. Processed in accordance with the r[blank_start]ights[blank_end] of data subjects 7. Appropriate measures taken against accidental l[blank_start]oss[blank_end], destruction, or damage 8. Not transferred outside the E[blank_start]uropean[blank_end] Economic area, unless adequately protected

The stipulation that you must not keep patient data for longer than necessary is in accordance with which principles?

True or false: The FOI act gives the public right to request ANY recorded information held by any type of public authority

True or false: The FOI act states that a person's confidential information may be requested

Select all the drugs that warfarin might interact with

True or false: prescribing azoles and clarithromycin to a patient taking statins may result in myopathy

When prescribing NSAIDs, you must ensure you do not prescribe them to people who are;

Patient who have additional/complex needs when prescribing must be considered carefully. These include:

"Off label" prescribing means that some licensed drugs are recommended for use outside of their l[blank_start]icense[blank_end]. Their use in management of dental conditions has been endorsed by the B[blank_start]NF[blank_end]. Some drugs are licensed for use in adults but not in [blank_start]children[blank_end] as most drugs are not tested in [blank_start]children[blank_end]. Responsibility for prescribing drugs "off-label" lies with the practitioner who signs the p[blank_start]rescription[blank_end].

What must be stated on the prescription as a LEGAL requirement of prescription writing for children under 12 years?

True or false; prescriptions must be written in ink

True or false; if you are a consultant it is a LEGAL requirement to write your prescriptions illegibly

True or false: micrograms may be abbreviated to mcg on a prescription

Patients should be warned about potential side effects of any prescribed drug. These are commonly;

Adrenaline stored for medical emergencies should be:

What dose of glucagon should be given in a medical emergency in the first instance?

Aspirin stored for medical emergencies should be;

A single dose of metered GTN spray delivers...

Midazolam solution should be given in an emergency as...

One actuation of a salbutamol inhaler delivers...

True or false: allergies should always be treated by administration of IM adrenaline. Oral antihistamines are ineffective.

The recommended regimen to aid anxiety is:

True or false: diazepam is safe for use in children

True or false: there is no evidence to suggest prescription of antibiotics for prevention of dry socket in non surgical extractions.

When a patient presents with trismus, FoM swelling, or difficulty breathing, patients should be treated as such:

Antibtioic prescribing should be kept to a minimum because... (tick all that apply)

True or false: take care when prescribing antibiotics that do not induce liver enzymes to those on oral contraceptives or the contraceptive ring

True or false: Previous experience of vomiting with clarithromycin should preclude further prescription

You should consider antibiotic prescription for dental abscesses when: (select all that apply)

Metronidazole can be prescribed when (select all that apply)

Select the first line antibiotics for dental abscesses

For NUG you should first prescribe... (select all that apply)

Sinusitis is usually self limiting

Select all the interventions appropriate for sinusitis

To avoid f[blank_start]ungal[blank_end] infections, those with a steroid inhaler should be advised to r[blank_start]inse[blank_end] their mouth with water or brush teeth immediately after using the inhaler. Infection of p[blank_start]seudomembraneous[blank_end] candidosis can be treated with a [blank_start]7[blank_end] day course of f[blank_start]luconazole[blank_end] capsules or m[blank_start]iconazole[blank_end] oromucosal gel. If these are contraindicated you can try n[blank_start]ystatin[blank_end] oral suspension for 7 days.

The same regime for denture stomatitis can be used as for pseudomembranous candidosis, the patient can also be advised to [blank_start]brush[blank_end] their palate daily, clean dentures in c[blank_start]hlorhexidine[blank_end] or sodium h[blank_start]ypochlorite[blank_end] for 15 minutes daily, and to leave dentures out as o[blank_start]ften[blank_end] as possible during treatment.

Angular cheilitis can be treated with the following (select all that apply)

Herpes simplex infections can be treated with (select all that apply)

A patient with a history of peptic ulcers who's odontogenic pain is not quelled with paracetamol can be prescribed...

Trigeminal neuralgia in primary care can be controlled quickly by...

TMJ dysfunction can be treated in the following ways: 1. Reassurance, avoid [blank_start]chewing[blank_end] gum, have a s[blank_start]oft[blank_end] diet, and possibly an o[blank_start]cclusal[blank_end] splint 2. Analgesia (acute) e.g. i[blank_start]buprofen[blank_end] 3. Short course of muscle relaxant e.g. d[blank_start]iazepam[blank_end]

Mucosal ulceration and inflammation can be treated with: 1. Rinsing with HSMWs 2. Simple moutwashes e.g. s[blank_start]odium[blank_end] chloride 3. Antimicrobial mouthwashes e.g. c[blank_start]hlorhexidine[blank_end] 4. H[blank_start]ydrogen[blank_end] p[blank_start]eroxide[blank_end] mouthwash 5. T[blank_start]etracycline[blank_end] mouthwash (RAS) - doxycycline dispersible tablets 6. Local analgesics e.g. b[blank_start]enzydamine[blank_end] mouthwash or oral spray, l[blank_start]idocain[blank_end]e ointment or spray 7. Topical c[blank_start]orticosteroids[blank_end] e.g. betamethasone soluble tablets