What is the most important finding to discuss with the…
Pharmacology questions in the ADC written exam test applied prescribing decisions, not rote recall of drug names. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.
A 17-year-old male keeps a 4-day diet record. You notice he eats baked beans on toast for dinner on two of the four days, has "plain" digestive biscuits as study snacks, and drinks orange juice with breakfast. He tells you he has cut out sweets and chocolate completely. What is the most important finding to discuss with the patient?
- A. The orange juice at breakfast is acidic and contributes to erosive tooth wear
- B. The baked beans, "plain" biscuits, and other foods contain hidden sugars the patient is unaware of
- C. He should be praised for eliminating sweets and chocolate — the remaining diet is adequately safe
- D. The breakfast cereal he likely eats with the orange juice may contain added sugars
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Show the answer and cited explanation
Patients often do not realise that foods perceived as savoury or "plain" contain significant added sugars. Baked beans, breakfast cereals, tomato ketchup, and "plain" biscuits all have high hidden sugar content. The patient believes he has addressed his sugar problem by eliminating obvious sweets, but the hidden sugar sources are maintaining his caries risk. Identifying these is a critical part of dietary counselling.
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