Level 2 Technical Certificate in Working in Dental Settings ( ) Sample Theory Exam

Transcription

1 Level 2 Technical Certificate in Working in Dental Settings ( ) Sample Theory Exam Duration: 1 hour 30 minutes 1

2 Question / 1. State which colour of fire extinguisher should be used on an electrical fire. 1 mark Total 1 mark Only one mark for either of: Blue Black 2. State two groups of people who the Health and Safety at Work Act is in place to protect. Total One mark for each of the following points to a maximum of two marks: Staff Public Patients 3. Explain why the dimensions of a large box of dental equipment should be considered when preparing to move and handle it. Total One mark for each point to a maximum of The dimensions of the box might limit visibility causing accidents (1 mark), may required additional support/assistance/equipment with manoeuvring (1 mark), may need to clear obstacles out of the way when moving to prevent damage (1 mark), may have to ensure the is space/suitable set down point at the end of the journey (1 mark), the box could obstruct accessibility (1 mark). 4. State two categories of hazardous waste that may be found in a dental practice. Total One mark for each of the following points to a maximum of two marks: Clinical waste Sharps Special waste Gypsum waste 2

3 Question / 5. Explain two ways in which micro-organisms can be transmitted from person to person within a dental setting through the following a) Sneezes b) Contact with surfaces Total 4 marks One mark for each point covered to a maximum of two marks for each factor: a) Sneezes contain fluid/spit (1 mark) which from an infected person contains microorganisms/germs (1 mark), these can survive outside the body (1 mark) giving time for transfer to another if breathed in/ ingested (1 mark) b) Microorganisms can survive on contaminated surfaces (1 mark) these can then transfer through contact to hands/skin (1 mark) which if not washed, can quickly be transferred (1 mark) e.g. through dental instruments / hands to open grazes in the patient s mouth (1 mark for relevant example) 6. Describe three potential language barriers to communication. Total One mark per description point from the following to a maximum of Speech patterns may be difficult to understand (1 mark) dialects and accents (1 mark) make words sound different when spoken by different people and cause confusion and misunderstanding (1 mark) Use of specific language can either be misunderstood (colloquialisms/slang) (1 mark) or unknown by the recipient (jargon) (1 mark) leading to misinterpretation or total lack of understanding (1 mark) Where people have English as an additional/second language (1 mark) or speak no English at all will require communication through other methods (visual aids, gestures, interpreter etc.) (1 mark) 7. Explain two ways in which a patient who appears aggressive and disoriented may pose a risk to themselves and others. Total 3

4 Question / Only one mark for a explanation of each of the following points to a maximum two marks: Others may be at risk of being a victim of violence Themselves and others may be at risk of accidental injury Others may be subject to verbal abuse The patient might be at risk of a medical emergency such as hypoglycaemia or shock 8. State one way in which patient identity can be confirmed in a dental reception before treatment. 1 mark Total 1 mark Mark Scheme One mark for each of the following points to a maximum of one mark: Gain verbal confirmation Get them to check and confirm their records form Confirm using photographic ID Check signature 9. Explain three reasons why safeguarding children and vulnerable adults is an important part of roles in dental settings. Total One mark for explanation of each of the following points to a maximum of Correct implementation and following of safeguarding procedures will ensure children and vulnerable adults are protected from harm, abuse and neglect (1 mark). These procedures ensure that potential issues are raised/recorded (1 mark) and escalated/dealt with (1 mark) Dental settings have a legal duty of care to patients (1 mark), non compliance with safeguarding can result in legal action (1 mark) and loss of jobs/closure of practice (1 mark) Safeguarding procedures provides structure for the provision of safe and effective care (1 mark) which will put patients/carers of patients at ease (1 mark) and potentially encourage repeat business (1 mark) 10. List three of the principles of the General Dental Council. Total 4

5 Question / One mark for each of the following points to a maximum of Put patients interests first Communicate effectively with patients Obtain valid consent Maintain and protect patients information Have a clear and effective complaints procedure Work with colleagues in a way that is in the patients interests (being professional) Maintain, developing and work within your professional knowledge and skills (CPD and training) Raise concerns if patients are at risk (Whistleblowing) Make sure your personal behaviour maintains patients confidence in you and the dental profession (being professional at all times) Exact wording from GDC principles not required but should link to points in bold. 11. Label points a-i on the diagram of the skull in Figure 1 using the following labels: 9 marks Total 9 marks Angle Frontal Mandible Maxilla Occipital Parietal Ramus Temporal Zygomatic arch Figure 1 5

6 Question / One mark to be given for each correct answer against the matching letter to a maximum of 9 marks: a. Parietal b. Temporal c. Occipital d. Ramus e. Angle f. Mandible g. Maxilla h. Zygomatic arch i. Frontal 12. For each of the following, describe three potential signs or symptoms a) Oral Cancer b) Cold sores. b) One mark for each of the following points to a maximum of non healing ulcer white or red patches neck swelling () () Total 6 marks b) One mark for each of the following points to a maximum of blister on the outside of the lip/nose discomfort/tingling sensation cracking and bleeding 13. a) List three instruments used in a dental examination. b) Describe the use of each of the instruments identified in a). Total 6 marks 6

7 Question / a) One mark for each of the following points to a maximum of Mirror Probe BPE probe b) One mark for each of the following points to a maximum of Mirror Enable vision of soft and hard tissues of the oral cavity / mouth, reflects light (1 mark), retract soft tissues (lips, cheeks, tongue) (1 mark) Probe Detect caries (1 mark) BPE probe to diagnose gingivitis and periodontal disease (1 mark), coding of pocket depths (1 mark) 14. a) List three items a first aid kit must contain. b) Describe the responsibilities of the first aider in a dental setting. a) One mark for each of the following points to a maximum of A leaflet giving general guidance on first aid Individually wrapped sterile plasters (assorted sizes) Sterile eye pads Triangular bandages (preferably sterile) Safety pins Sterile individually wrapped wound dressings Disposable gloves (non latex) Scissors Total 6 marks b) One mark for each of the following points to a maximum of The first aider is responsible for providing first line basic medical assistance in the case of accident/injury (1 mark) in order to preserve life/promote recovery (1 mark). They are responsible for ensuring the safety and security of those receiving first aid treatment (1 mark) They are also responsible for maintaining first aid equipment/kit (1 mark), reporting and recording accidents/first aid incidents (1 mark), and seeking help/raising the alarm in cases where they cannot assist (1 mark). 7

8 Question / Scenario Michael is 70 years old and is a smoker. He has a loose front tooth. He has recently lost his wife and is receiving benefits. 9 marks Total 9 marks 15. Discuss potential treatment options available to Michael and factors that may influence the decision making process. 8

9 Question / Band 0: 0 marks No awardable marks. Band 1: 1- Basic Largely listed considerations with generalised, simplistic explanation treatment options identified with no explanation. Little or no consideration of factors that would contribute to how choice is made. Response is disorganized and ambiguous. Band 2: 4-6 marks Clear More detailed explanation in response, inclusion of examples of practice and considerations of their impacts. Consideration made to both short and long term treatment options and factors that impact on decision making and choice of treatment. Band 3: 7-9 marks Comprehensive detail on consideration of different treatment options including both short and long term treatments. Assessment of numerous influencing factors (both internal and external) including a person centered approach. Thorough explanation in response with specific detail and examples, presented in a structured format. Indicative content Considerations could include the following: Specific types of treatment extraction with no replacement, immediate denture, immediate addition to denture, long term bridge, metal or acrylic denture or implant Dental considerations gum disease, effects of smoking Patient history potential medication (Warfarin or other medication causing a dry mouth), general health conditions Funding options NHS and private for various treatment, exemption from treatment Communication barriers, state of mind, no jargon, speak clearly, patient might have a hearing aid, friendly approach, Provide reassurance Appearance whether to replace at all Person centred approach Total marks 60 9