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14933 Surgery

EMQ/EMI Theme: Emergencies in the Dental Chair A – Adrenaline 1:1000 (1 mg/ml) B – Adrenaline 1:10 000 (1 mg/10 ml) C – Aspirin oral D – Chlorpheniramine E – Diazepam F – Glucagon G – Glucose H – Glyceryl trinitrate spray I – Hydrocortisone (IV) J – Oxygen K – Salbutamol For each of the following scenarios, the most appropriate management option from the list above are all EXCEPT. 1 Following oral administration of a 3 g sachet of amoxicillin, a 20-yearold woman reports shortness of breath and the development of a red rash over her body. 2 A 20-year-old man in your dental surgery waiting room is shaking involuntarily, frothing at the mouth and showing signs of incontinence. 3 A 57-year-old woman with type 1 diabetes collapses in the dental chair and a dipstick shows low blood glucose. 4 While being treated, a 60-year-old man complains of severe central crushing chest pain which radiates down the left arm and nausea. The pain does not respond to glyceryl trinitrate spray and oxygen. 5 A 30-year-old known asthmatic patient has just been told that she has to lose several of her teeth. She begins to wheeze and is short of breath.

A1 A Adrenaline 1:1000 (1 mg/ml)
B2 E Diazepam
C3 F Glucagon
D4 K Salbutamol
Surgery
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14939 Surgery

Wolff’s law states that –

AIf a bone is continuously subjected to a paicular stress it will adapt to become stronger to resist that loading
BOnly Diaphysis allows longitudinal growth in childhood
CAny infection not showing periosteal reaction within 1 week of symptoms can be ruled out to be osteomyelitis
DAngular deformities will progress till the closure of physis
Surgery
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