Quiz
Week 2 DFT Prep - Equality, CQC, Radiography, Pilot schemes, quality assurance, GDC standard 4
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Questions in this quiz (52)
1According to the Equality Act 2010, how many protected characteristics are there?
- A7
- B8
- C6
- D10
2What act dictates that treatment of employees should not be affected by 8 "protected" characteristics?
- AFreedom of information act 2000
- BDisability discrimination act
- CGDC Standards for the dental team
- DEquality act 2010
3The treatment of employees should not be affected due to any of the following 8 protected characteristics
A[blank_start]ge[blank_end]
D[blank_start]isability[blank_end]
Gender r[blank_start]eassignment[blank_end]
M[blank_start]arriage[blank_end] and c[blank_start]ivil[blank_end] p[blank_start]artnership[blank_end]
R[blank_start]ace[blank_end]
R[blank_start]eligion[blank_end] or belief
S[blank_start]ex[blank_end]
S[blank_start]exual[blank_end] orientation
[blank_start]Pregnant[blank_end] women have special protections
Employers/service providers must make reasonable a[blank_start]djustments[blank_end] to the workplace to overcome b[blank_start]arriers[blank_end] experienced by d[blank_start]isabled[blank_end] people.- Age
- Bisability
- Ceassignment
- Darriage
- Eartnership
- Fivil
- Gace
- Heligion
- Iex
- Jexual
- KPregnant
- Ldjustments
- Marriers
- Nisabled
4True or false: the CQC have the right to carry out inspections unnanounced
- ATrue
- BFalse
5True or false: Comprehensive CQC inspections can be carried out unannounced
- ATrue
- BFalse
6True or false: Focussed inspections by the CQC are usually in response to a specific issue or concern
- ATrue
- BFalse
7True or false: Dental providers do not need to register with the CQC before they begin activities.
- ATrue
- BFalse
8The CQC is an i[blank_start]ndependent[blank_end] regulatory body for health and social care services.
Providers of care must satisfy CQC registration requirements. They rate providers as such:
O[blank_start]utstanding[blank_end]
Good
Require i[blank_start]mprovement[blank_end]
In[blank_start]adequate[blank_end]
Rating s[blank_start]uspended[blank_end].
They ask 5 key questions during the inspection process.
1. Are they s[blank_start]afe[blank_end]?
2. Are they e[blank_start]ffective[blank_end]?
3. Are they c[blank_start]aring[blank_end]?
4. Are they well l[blank_start]ed[blank_end]?
5. Are they r[blank_start]esponsive[blank_end] to peoples n[blank_start]eeds[blank_end]?- Andependent
- Butstanding
- Cmprovement
- Dadequate
- Euspended
- Fafe
- Gffective
- Haring
- Ied
- Jesponsive
- Keeds
9True or false: All dental practices were given a comprehensive inspection by the CQC in 2015/2016
- ATrue
- BFalse
10True or false: It is only in comprehensive inspections that the CQC ask the 5 key questions
- ATrue
- BFalse
11How long does a comprehensive inspection usually take?
- AA week
- B2 hours
- C30 minutes
- DA day
12The CQC may take action on service providers should they identify concerns. Should this concern breach a regulation, they have enforcement powers given to them by which act?
- AEquality act 2010
- BHealth and social care act 2008
- CDisability discrimination act
13Clinical governance is defined as:
"A framework through which NHS organisations are a[blank_start]ccountable[blank_end] for continually improving the q[blank_start]uality[blank_end] of their services and safeguarding high standards of c[blank_start]are[blank_end] by creating an environment in which e[blank_start]xcellence[blank_end] in clinical care will flourish"
Put simply, this means that clinical governance means that a service provider is responsible for improving their services and ensuring the services are always excellent in quality.- Accountable
- Buality
- Care
- Dxcellence
14In the primary care dental services clinical governance document, dental radiography requirements state that procedures and policies should be in accordance with which two key documents?
- AHTM01-05
- BIRR and IRMER
- CCaldicott principles
- DFreedom of information act
15Dental radiography service providers must ensure that they follow the dental radiography requirements from the Primary care dental services clinical governance documents. These are:
1. Procedures and policies are in accordance with [blank_start]IRR[blank_end] and IRMER
2. A quality a[blank_start]ssurance[blank_end] system is in place
3. X ray m[blank_start]alfunction[blank_end] plan should be stated - including management of over-exposures
4. Records of staff t[blank_start]raining[blank_end] and updates
5. X ray equipment m[blank_start]aintenance[blank_end] records- Assurance
- BIRR
- Calfunction
- Draining
- Eaintenance
16An [blank_start]excellent[blank_end] quality radiograph is given the rating [blank_start]1[blank_end]. This means there are no errors of patient preparation, exposure, positioning, processing, or film handling
A [blank_start]diagnostically[blank_end] acceptable radiograph is given the rating 2. This means there are some errors of patient preparation, exposure, positioning, processing, or film handling but they do not detract from the diagnostic utility of the radiograph
An unacceptable radiograph is given the [blank_start]rating 3[blank_end]. This means there are errors of preparation, exposure, positioning, processing, or film handling that render the radiograph diagnostically unacceptable.- A1
- B2
- C3
- Dexcellent
- Ediagnostically acceptable
- Funacceptable
- Gdiagnostically
- Hradiographically
- Ipracticably
- Jrating 3
- Krating 2
- Lrating 1
17Quality assurance in radiography ensures consistently a[blank_start]ccurate[blank_end] diagnostic information, keeping radiation doses to the patient A[blank_start]LARP[blank_end] (according to I[blank_start]RR[blank_end]). Radiographs must be prescribed and j[blank_start]ustified[blank_end], taking into account:
P[blank_start]reviou[blank_end]s x rays
R[blank_start]easons[blank_end] for taking radiograph
Diagnostic b[blank_start]enefit[blank_end] to patient
R[blank_start]adiation[blank_end] risk
A[blank_start]lternative[blank_end] techniques
Radiographs should be carried out in a c[blank_start]ontrolled[blank_end] area.- Accurate
- BLARP
- CRR
- Dustified
- Ereviou
- Feasons
- Genefit
- Hadiation
- Ilternative
- Jontrolled
18The target for grade 1 rated radiographs should ideally not be less than...
- A70%
- B60%
- C%0%
19The target for radiographs graded 3 should not be more than...
- A5%
- B15%
- C10%
- D20%
20Who should be contacted if a patient receives a dose of radiation much greater than intended?
- AAn RPA
- BThe dentists' indemnity provider
- CPractice manager
- DLocal trust board
21What multiple of the intended dose is considered "much greater than intended"?
- A10 times
- B5 times
- C30 times
- D20 times
22Bisphosphonates [blank_start]reduce[blank_end] bone resorption by hindering formation and function of [blank_start]osteoclasts[blank_end]. Bisphosphonates can cause bone fracture and pain. They accumulate at [blank_start]high[blank_end] sites of bone turnover e.g. the jaw and can lead to bone death due to decreased [blank_start]blood[blank_end] supply. This is known as bisphosphonate related [blank_start]osteonecrosis[blank_end] of the jaw.
- Areduce
- Bincrease
- Costeoclasts
- Dosteoblasts
- Ehigh
- Flow
- Gblood
- Hlymph
- Iantibiotic
- Jbisphosphonate
- Kosteonecrosis
- Losteoradionecrosis
- Mosteomyelitis
- Nosteogenesis
23To be classified as BRONJ, necrotic bone must be present in the mouth for more than how many weeks?
- A2 weeks
- B4 weeks
- C8 weeks
- D12 weeks
24True or false: for diagnosis of BRONJ, a patient must have had a history of radiation.
- ATrue
- BFalse
25Select all the symptoms of BRONJ
- AStratified mucosa
- BPain
- CSoft tissue swelling
- DInfection
- EDelayed healing
- FGlossitis
26True or false: A patient should not be advised to stop taking their bisphosphonates even if they present with BRONJ
- ATrue
- BFalse
27True or false: patients on bisphosphonates should avoid dental treatment
- ATrue
- BFalse
28Select all the high risk BRONJ patients.
- ATreatment for malignant condition
- BOsteogenesis imperfecta
- CPaget's disease
- DPrevious bronj
- ECorticosteroid use
- FOral bisphosphonates
- GOsteoarthritis
- HOsteoporosis
29Why would cessation of bisphosphonate use not impact on a patient's risk for BRONJ following dental treatment?
- ABisphosphonates remain in the bone for some time after they've stopped taking it
- BCessation would increase likelihood of pathological fracture
- CBisphosphonates act to strengthen bone and would increase the chance of BRONJ if stopped
- DBisphosphonates prevent secondary infection of extraction sockets
30True or false: even low risk patients for BRONJ should be referred to maxfacs
- ATrue
- BFalse
31To reduce the chance of BRONJ, low risk patients may be treated with which of the following precautions?
- AReferral to maxfacs for routine XLA
- BAtraumatic extractions
- CSurgical extractions
- DIncreased time between check ups
- EDenture adjustment
- FPeriodontal/preventative treatment
- GXGA for all extractions
32If a high risk patient for BRONJ arrives at your practice for treatment, who should you ask for advice?
- ALocal maxfacs don
- BLocal periodontal expert
- CPrimary care trust board
- DYour trainer
33In what year did the first NHS pilot schemes begin?
- A2009
- B2012
- C2011
- D2003
34NHS pilot schemes have shifted focus towards...
- ATreatment and repair
- BPrevention and oral health
- CIncreased services for non UK residents
35The two main paradigm shifts in the pilot NHS contracts focus on which two of the following key principles?
- ARisk assessment and management
- BRenumeration models
- CTreatment options
- DIncreased bureaucracy
36Renumeration models in pilot schemes reward dentists on...
- AQuality of care
- BNumber of treatments
- CNumber of treatment courses
- DQuality of premises
37Type 1 pilots remunerate dentists for providing an [blank_start]expected[blank_end] level of care based on what they were delivering prior to the pilot. This essentially means they are paid based on [blank_start]achieving[blank_end] their average target and not based on financial incentives for increased activity or patient numbers. Providing treatment that surpasses these targets [blank_start]does not[blank_end] provide any benefit to the dentist.
- Aexpected
- Bincreased
- Cdecreased
- Dachieving
- Eexceeding
- Fdoes not
- Gwill always
38Type 2 pilots are remunerated based on the [blank_start]number[blank_end] of weighted capitated patients they have - capitation weighting depends on the patients age, gender, and [blank_start]deprivation[blank_end] status. The capitation payment system is intended to [blank_start]compensate[blank_end] for the average cost of care for an individual with that capitation weighting. The remuneration is dependent on the number of patients.
- Adeprivation
- Bsocial
- Cfinancial
- Dnumber
- Etype
- Fcompensate
- Gincentivise
39Type 3 pilots are remunerated based on their number of weighted capitated patients also. However; the weighted capitation payment is only for [blank_start]preventive and routine[blank_end] treatment only (i.e. band 3 treatment payments are fixed and not adjusted for with capitation weightings).
- Apreventive and routine
- Bprosthodontic and paedodontic
- Cendodontic
40The clinical care pathway was developed for use in the pilot schemes and is based on need/risk pathways. The pathway begins with what clinical activity?
- AComprehensive oral health assessment
- BExtraction of hopeless teeth
- CSmoking cessation, diet advice, and alcohol advice as necessary
- DReferral to GP for health assessment
41According to the clinical care pathway, which of the following are considered the four main causes of poor oral health?
- ADental caries
- BPeriodontal disease
- CTooth surface loss
- DSoft tissue conditions
- EBony abnormalities
- FDelayed development
- GSmoking
42The clinical care pathway developed for pilot schemes focusses on the patient's need for treatment based on their risk for the [blank_start]4[blank_end] main causes of poor oral health. A [blank_start]comprehensive[blank_end] oral health assessment will identify a patient's risk of these conditions occuring/[blank_start]progressing[blank_end] and the pathway guides clinicians to provide preventive care plans. These plans are based on a red amber green (RAG) system for risk for each of these 4 causes of poor oral health. The care plan provides a platform for [blank_start]communication[blank_end] with patients and aids in transferring [blank_start]responsibility[blank_end] for patient self care.
- A4
- B3
- C2
- D5
- Ecomprehensive
- Fbrief
- Gfocussed
- Hprogressing
- Iresolving
- Jcommunication
- Kinvoicing
- Lpizza
- Mresponsibility
- Nmoney
- Oneed
43True or false: pilot schemes using the clinical care pathway put more onus on the clinical for responsibility over the patient's oral health status
- ATrue
- BFalse
44Clinical care pathway plans based on a patients [blank_start]RAG[blank_end] risk status for dental caries, [blank_start]periodontal[blank_end] disease, tooth surface loss, and soft tissue conditions includes the following;
[blank_start]Tailored[blank_end] advice to patients on their oral health and preventive actions they need to take to improve oral health
information about prevention regimes implemented by the [blank_start]dental team[blank_end] - interim care management. This includes use of fluoride varnish.
Suggested timing for the next [blank_start]oral health review[blank_end]- ARAG
- Bsexual
- Cenvironmental
- Dperiodontal
- Egastrointestinal
- Fbony
- GTailored
- HGeneral
- IBrief
- Jdental team
- Kpatient
- LParents
- Moral health review
- Nextractions
- Oroot surface debridement
45The GDC outlines a set of standards for education for their quality assurance programme. This ensures the degree is fit for purpose. These standards are:
[blank_start]Patient[blank_end] protection
Quality evaluation and review
Student [blank_start]assessment[blank_end]
Equality and diversity- APatient
- BPayment
- Cassessment
- Dexpulsion
- Etorture
46A good q[blank_start]uality[blank_end] a[blank_start]ssurance[blank_end] programme is essential in practice and should cover all aspects of patient care. It should also help the practice work more e[blank_start]fficiently[blank_end] and reduce the kinds of incident that can lead to c[blank_start]omplaint[blank_end] or claim.
Review practice p[blank_start]olicies[blank_end] and procedures to ensure they are fit for purpose and encourage members of staff to speak up should problems may arise- Auality
- Bssurance
- Cfficiently
- Domplaint
- Eolicies
47GDC standard 4: Maintaining and protecting patient c[blank_start]onfidentiality[blank_end].
This standard focusses on the patient's expectation for records to be:
- Up to [blank_start]date[blank_end]
- C[blank_start]lear[blank_end]
- Stored s[blank_start]ecurely[blank_end]
- A[blank_start]ccessible[blank_end] should they be requested- Aonfidentiality
- Bdate
- Clear
- Decurely
- Eccessible
48GDC Standard 4.1
Make and keep c[blank_start]ontemporaneous[blank_end], complete, and a[blank_start]ccurate[blank_end] patient records- Aontemporaneous
- Bccurate
49GDC standard 4.2
Protect c[blank_start]onfidentiality[blank_end] and only use the information for the p[blank_start]urpose[blank_end] for which it was given- Aonfidentiality
- Burpose
50GDC standard 4.3
Only release information without p[blank_start]ermission[blank_end] in e[blank_start]xceptiona[blank_end]l circumstances
e.g. interests of public, risk to patient. Document efforts to gain consent.- Aermission
- Bxceptiona
51GDC standard 4.4
Ensure patients have a[blank_start]ccess[blank_end] to their records
Under the data p[blank_start]rotection[blank_end] act 1998. You may charge for this.- Access
- Brotection
52GDC standard 4.5
Keep information s[blank_start]ecure[blank_end] at all times wether paper or electric- Aecure
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- Description
- Week 2 DFT prep
- Language
- English
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- History
- Created on 25 Sep 2016 · updated on 26 Sep 2016
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