ADC Practice Question — Confidentiality, Privacy & Mandatory Reporting

Which combination of findings is most incompatible…

Paediatric dentistry questions combine clinical management with age-appropriate considerations — LA dosing by weight, behaviour management. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A 4-year-old presents with a torn upper labial frenum, bilateral ear bruising, and bruises at different stages of healing on the arms. The parent says the child fell off a swing. Which combination of findings is most incompatible with the stated mechanism of injury?

A. All findings are consistent with a swing fall
B. Bilateral ear bruising is the most incompatible finding
C. The torn frenum alone confirms abuse
D. Only fractures are incompatible with a fall

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: B

Bilateral ear bruising is the most incompatible finding — ears are "protected sites" that are very rarely injured in falls but commonly injured by slapping or grabbing. Combined with: torn labial frenum (can occur in falls but is a sentinel injury for forced feeding or direct facial trauma), and bruises at different stages of healing (indicating injuries sustained at DIFFERENT times, not a single incident). A swing fall would produce unilateral abrasions with a consistent age, not bilateral protected-site bruising with multi-age bruises. The history does not match the injuries — this triggers mandatory reporting obligations regardless of certainty

Source: Odell 4th Ed, Case 36: A Skateboard Injury

Remy's study tip — Always note the child’s age and which tooth is involved. Primary vs permanent changes everything.

Exam preparation FAQ

How do I approach an unfamiliar Confidentiality, Privacy & Mandatory Reporting vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

How should I prepare for Paediatric Dentistry in the ADC exam?

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