DCT Scenarios Test With 100% Verified
Solutions
1. You are a DCT in an Oral Maxillofacial Surgery Unit and are called to the Emergency
Department to assess Andrew, a 23yr male who self presented with left temple and
facial swelling. On entering the bay, you observe he has an obvious left temple and
preauricular swelling. You note there also appears to be a left submental and
submandibular swelling on the same side. The chart shows vital signs: Temp 38 HR110
BP 98/45, RR14, Sats 98% on air. He's delighted to see you and asks since he's been
waiting ages, can he go for a cigarette? CORRECT ANSWERS key issue is pt safety -
increased temp, HR and decrease BP.
no to cigarette
general assessment: airway, voice, drooling. ABCDE
history + last meal
MH + SH
EO (mark swelling, firm or flucutant)
IO (FOM, dental? parotid)
concerned? let senior know
work with team - ask nurse to cannulate and bloods
coag, glucose (sepsis), crp, fbc,
OPG
iv abx? add to emergency list
1. You are working as an associate in dental practice. Today you have seen a 76-year
old patient who requires a simple extraction of a carious, unrestorable lower right first
molar tooth (LR6). The patient takes Rivaroxiban 20mg once daily for atrial fibrillation.
CORRECT ANSWERS take history - current pain, systemic symptoms, time of
day/week
MH - no dual therapy? who under care? what time they take? bleeding history
You are working as a DCT in an oral and maxillofacial surgery unit. You are called by
the Emergency Department at 10pm and asked to see a patient, called Joe, who had
some dental treatment at his dentist yesterday and has presented with a swelling. On
examination, the patient has a large swelling of the submandibular region, and a
fluctuant swelling in the lower right buccal sulcus. His observations are temperature
Solutions
1. You are a DCT in an Oral Maxillofacial Surgery Unit and are called to the Emergency
Department to assess Andrew, a 23yr male who self presented with left temple and
facial swelling. On entering the bay, you observe he has an obvious left temple and
preauricular swelling. You note there also appears to be a left submental and
submandibular swelling on the same side. The chart shows vital signs: Temp 38 HR110
BP 98/45, RR14, Sats 98% on air. He's delighted to see you and asks since he's been
waiting ages, can he go for a cigarette? CORRECT ANSWERS key issue is pt safety -
increased temp, HR and decrease BP.
no to cigarette
general assessment: airway, voice, drooling. ABCDE
history + last meal
MH + SH
EO (mark swelling, firm or flucutant)
IO (FOM, dental? parotid)
concerned? let senior know
work with team - ask nurse to cannulate and bloods
coag, glucose (sepsis), crp, fbc,
OPG
iv abx? add to emergency list
1. You are working as an associate in dental practice. Today you have seen a 76-year
old patient who requires a simple extraction of a carious, unrestorable lower right first
molar tooth (LR6). The patient takes Rivaroxiban 20mg once daily for atrial fibrillation.
CORRECT ANSWERS take history - current pain, systemic symptoms, time of
day/week
MH - no dual therapy? who under care? what time they take? bleeding history
You are working as a DCT in an oral and maxillofacial surgery unit. You are called by
the Emergency Department at 10pm and asked to see a patient, called Joe, who had
some dental treatment at his dentist yesterday and has presented with a swelling. On
examination, the patient has a large swelling of the submandibular region, and a
fluctuant swelling in the lower right buccal sulcus. His observations are temperature
