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  • 7/29/2019 Part 1 Ab Format

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    ORE Part 1 Format

    Part 1 of the test comprises two, three-hour written papers, undertaken on a computer and is madeup of Extended Matching Questions (EMQs) and Multiple Choice Questions (MCQs) in the form ofSingle Best Answer questions (SBAs).

    Extended matching questions (EMQs)Extended matching questions are grouped into themes. Each theme has a heading that tells youwhat the questions are about.

    Within each theme there are several numbered items. These are the questions and the problemsyou have to solve. There are examples in the next section.

    We recommend that you begin by reading carefully the instruction that precedes the numbereditems.

    We recommend that you consider each of the numbered items and decide what you think theanswer is. You should then look for that answer in the list of options above the items (each ofwhich is identified by a letter of the alphabet). If you cannot find the answer you have thought of,you should look for the option which, in your opinion, is the best answer to the problem posed.

    For each numbered item, you must choose ONE, and only one, of the options. You may feel thatthere are several possible answers to an item, but you must choose the best one from the optionlist. If you enter more than one answer on the answer sheet you will gain no mark for the questioneven though you may have given the right answer along with one or more wrong ones.

    On occasions you may feel that more than one option offers a credible answer. In suchcircumstances the examiners are looking for the single answer that is generally accepted to accordwith current best practice or clinical guidelines.

    In each theme there are more options than items, so not all the options will be used as answers.This is why the instruction says that some options may not be used at all.Alternatively a given option may provide the answer to more than one item. For example, for two

    different scenarios the most likely diagnosis could be the same. In this case the option would beused more than once.

    Example EMQs

    Example 1 appearances of oral tissueThe options provided below are diagnoses for conditions with characteristic appearances that maybe recognised when examining patients mouths. For each clinical scenario described choose thesingle most likely diagnosis from the list of options. Each option may be used once, more thanonce, or not at all.

    Overseas Registration Examination Page 1 of 4

    General Dental Council, Overseas Registration Examination, 37 Wimpole Street, London W1G 8DQTel: +44 (0)20 7344 3735 Email:[email protected] www.gdc-uk.org

    Overseas Registration Examination

    mailto:[email protected]:[email protected]:[email protected]://www.gdc-uk.org/mailto:[email protected]://www.gdc-uk.org/
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    Options list:

    A. Circumvallate papillaeB. Filiform papillaeC. Fordyce spotsD. LeukoedemaE. LeukoplakiaF. Lingual tonsilsG. Mandibular toriH. Palatal tori

    Clinical scenarios

    1. Sebaceous glands visible as white or cream coloured spopts up to 0.5mm diameter

    usually present in the labial and buccal mucosa. C2. Bilateral raised red lumps, which enlarge during viral infections, at the lateral

    borders of the base of the tongue. F3. A row of 8-12 pink/red lumps on the dorsum of the tongue at the junction of the

    anterior two thirds and posterior third of the tongue. A4. A milky white translucent whitening of the oral mucosa, commoner in black races

    which disappears on stretching the mucosa. D5. Bilateral bony hard swellings on the lingual aspect of the mandible in the premolar

    regions. G

    Example 2 Theme: use of antibioticsFor each of the clinical scenarios described below, select the most appropriate antibiotic from the

    options list. Each might be used once, more than once, or not at all.

    Options list:

    A. Amoxicillin 250mg qds. for 5 daysB. Amoxicillin 500mg bd. for 7 daysC. Amoxicillin 1g intravenouslyD. Amoxicillin 3g single oral doseE. Azithromycin 500mg single oral doseF. Clindamycin 600mg single oral doseG. Erythromycin 250mg qds for 5 daysH. Metronidazole 200mg tds for 7 days

    I. Metronidazole 200mg qds for 7 daysJ. Penicillin V 125mg qds. for 5 daysK. Penicillin V 250mg qds. for 5 daysL. Tetracydine 250mg qds. for 5 days

    Clinical scenarios:

    Overseas Registration Examination, Page 2 of 4

    General Dental Council, Overseas Registration Examination, 37 Wimpole Street, London W1G 8DQTel: +44 (0)20 7344 3735 Email: [email protected] www.gdc-uk.org

    mailto:[email protected]://www.gdc-uk.org/mailto:[email protected]://www.gdc-uk.org/
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    1. A 50-year-old man with a prosthetic heart valve requiring a tooth extraction. There isno other relevant medical history. D

    2. The same patient who requires a further dental procedure three weeks after theextraction. F

    3. A 55-year-old man who is allergic to penicillin and who is unable to swallowcapsules. E

    4. A 60-year old woman with a previous history of endocarditis requiring scaling androot planning and who is allergic to penicillin. F

    5. A 5-year-old child attends in the dental emergency clinic at the weekend, withswelling of the right side of the face resulting from an abscessed tooth. There is nosignificant medical history. J

    6. A 23-year-old woman presents complaining of sore, red, bleeding gums andhalitosis. H

    7. A pyrexic 30-year-old man presents with an exacerbation of an apical infection twodays after initiation of root canal therapy. K

    Single Best Answer questions (SBAs)Single Best Answer questions are characterised by a question, which may be based on a clinicalscenario, followed by a set of usually five possible answers. You are asked to choose what youthink is the most accurate answer.

    Example SBAs

    Example 1 - Whilst undertaking root canal preparation of a lower molar tooth anaesthetised withinterior alveolar nerve block, the patient experiences pain.

    Which root canal is most likely to contain sensitive tissue:

    Distobuccal root canal Distolingual root canal Mesiobuccal root canal Mesiolingual root canal Distal root canal

    Example 2 - You are considering your choice of local analgesia for a surgical procedure which youanticipate will be difficult.

    Which one of the following agents provides the most prolonged analgesia?

    Articaine Bupivicaine Lidocaine (lignocaine) Mepivicaine Prilocaine

    Example 3 - A 51 year old man with chronic periodontal disease complains of polyuria, thirst andlethargy at his treatment review

    Overseas Registration Examination, Page 3 of 4

    General Dental Council, Overseas Registration Examination, 37 Wimpole Street, London W1G 8DQTel: +44 (0)20 7344 3735 Email: [email protected] www.gdc-uk.org

    mailto:[email protected]://www.gdc-uk.org/mailto:[email protected]://www.gdc-uk.org/
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    .Which of the following medical conditions is most likely to be associated with his presentingcondition?

    Angina Cushings syndrome Diabetes mellitus Lymphoma Tuberculosis

    Example 4 - A two year old experienced trauma to her upper deciduous incisors. What is the mostlikely permanent consequence for the developing incisors?

    Dilacerated tooth Enamel hypoplasia Geminated tooth

    Hutchinsons incisor Turners tooth

    ORE Part 1 - Content

    The purpose of Part 1 is to test the candidates application of knowledge to clinical practice.

    The ORE Part 1 consists two papers testing candidates knowledge of:

    Paper 1Clinically applied dental science;

    Clinically applied human disease;

    Paper 2All aspects of clinical dentistry, including law and ethics and health and safety.

    For more detailed information on the possible topic areas, please refer to the section below.

    You will see that some learning outcomes may be covered in either Paper 1 and/or in Paper 2. Forexample the applied implications of anatomy for Prosthodontics or Oral Surgery may be covered inPaper 1 while the relationship of clinical procedures to anatomical features may be covered inPaper 2. Similarly in relation to materials Paper 1 might look at clinical application from the scienceviewpoint while Paper 2 might relate clinical technique to the underlying science.

    Overseas Registration Examination, Page 4 of 4

    General Dental Council, Overseas Registration Examination, 37 Wimpole Street, London W1G 8DQTel: +44 (0)20 7344 3735 Email: [email protected] www.gdc-uk.org

    mailto:[email protected]://www.gdc-uk.org/mailto:[email protected]://www.gdc-uk.org/