UK dental licensing · question banks

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#575883 · sbaSample
Medical EmergenciesAnaphylaxisEmergency managementMedium

A 34-year-old woman undergoing routine dental treatment becomes acutely unwell. Within minutes she develops widespread urticaria, swelling of the lips and face, an audible wheeze and light-headedness; her blood pressure is falling. What is the most appropriate immediate management?

AIntramuscular adrenaline 500 micrograms (0.5 mL of 1:1000)
BIntramuscular adrenaline 1 mg (1:10,000)
CIntravenous chlorphenamine 10 mg
DIntramuscular hydrocortisone 200 mg
EHigh-flow oxygen and a salbutamol nebuliser alone

Why A

This is anaphylaxis — sudden onset with Airway/Breathing/Circulation compromise (wheeze, falling blood pressure) alongside skin changes. Adrenaline is the only life-saving treatment and must be given first: in an adult, 500 micrograms intramuscularly (0.5 mL of 1:1000) into the anterolateral thigh, repeated after 5 minutes if there is no improvement. Hence option A. Exam tip: two distractors do the killing here — the 1 mg / 1:10,000 IV arrest dose dressed up as an anaphylaxis answer, and reaching for an antihistamine or steroid first. The immediate answer to anaphylaxis is always IM adrenaline. Guideline note (Resus Council UK 2021): adult IM adrenaline 500 micrograms, repeat after 5 min if features persist; antihistamines and corticosteroids are not part of immediate management. Paediatric IM doses: >12 y 500 micrograms, 6-12 y 300 micrograms, <6 y 150 micrograms.

Anaphylaxis recognition and immediate management — adult doses, Resus Council UK 2021

Source · Resuscitation Council UK - Emergency treatment of anaphylaxis

Exams covered

One bank. Built for each exam.

Each question bank is tailored to the specific syllabus, question format, and guidance sources for that exam — not a generic dentistry resource repackaged.

ORE
GDC

Overseas Registration Exam — the GDC route to practising in the UK.

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LDS
RCS

Licentiate in Dental Surgery — the Royal College of Surgeons route.

Coming soon
MFDS
RCS

Membership of the Faculty of Dental Surgery.

Coming soon
MFD RCSI
RCSI

Membership of the Faculty of Dentistry, RCSI.

Coming soon

Why Prepfy

Every question is built to teach, not just test.

Most banks tell you which answer was right. The hard part of UK dental licensing exams is understanding why — across the whole option set — so you can reason it out under pressure on the day.

01

A rationale on every option

Not just the correct answer — why each distractor is wrong, so each question closes a real gap in your understanding.

02

Checked against current guidance

Written and verified against current sources, with the guideline noted on the answer — so you're revising what the exam actually keys to.

03

Made for overseas candidates

Pitched at the realities of sitting UK exams from abroad, with progress and weak-area tracking so you spend your time where it counts.