Overseas Registration Examination

ORE Part 1 Format

Part 1 of the test comprises two, three-hour written papers, undertaken on a computer and is made up of Extended Matching Questions (EMQs) and Multiple Choice Questions (MCQs) in the form of Single Best Answer questions (SBAs). Extended matching questions (EMQs) Extended matching questions are grouped into themes. Each theme has a heading that tells you what the questions are about. Within each theme there are several numbered items. These are the questions and the problems you have to solve. There are examples in the next section. We recommend that you begin by reading carefully the instruction that precedes the numbered items. We recommend that you consider each of the numbered items and decide what you think the answer is. You should then look for that answer in the list of options above the items (each of which 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 that there are several possible answers to an item, but you must choose the best one from the option list. If you enter more than one answer on the answer sheet you will gain no mark for the question even 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 such circumstances the examiners are looking for the single answer that is generally accepted to accord with 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 be used more than once. Example EMQs Example 1 appearances of oral tissue The options provided below are diagnoses for conditions with characteristic appearances that may be recognised when examining patients mouths. For each clinical scenario described choose the single most likely diagnosis from the list of options. Each option may be used once, more than once, or not at all.

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Options list: A. B. C. D. E. F. G. H. Circumvallate papillae Filiform papillae Fordyce spots Leukoedema Leukoplakia Lingual tonsils Mandibular tori 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. C 2. Bilateral raised red lumps, which enlarge during viral infections, at the lateral borders of the base of the tongue. F 3. 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. A 4. A milky white translucent whitening of the oral mucosa, commoner in black races which disappears on stretching the mucosa. D 5. Bilateral bony hard swellings on the lingual aspect of the mandible in the premolar regions. G Example 2 Theme: use of antibiotics For 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. B. C. D. E. F. G. H. I. J. K. L. Amoxicillin 250mg qds. for 5 days Amoxicillin 500mg bd. for 7 days Amoxicillin 1g intravenously Amoxicillin 3g single oral dose Azithromycin 500mg single oral dose Clindamycin 600mg single oral dose Erythromycin 250mg qds for 5 days Metronidazole 200mg tds for 7 days Metronidazole 200mg qds for 7 days Penicillin V 125mg qds. for 5 days Penicillin V 250mg qds. for 5 days Tetracydine 250mg qds. for 5 days

Clinical scenarios:

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1. A 50-year-old man with a prosthetic heart valve requiring a tooth extraction. There is no other relevant medical history. D 2. The same patient who requires a further dental procedure three weeks after the extraction. F 3. A 55-year-old man who is allergic to penicillin and who is unable to swallow capsules. E 4. A 60-year old woman with a previous history of endocarditis requiring scaling and root planning and who is allergic to penicillin. F 5. A 5-year-old child attends in the dental emergency clinic at the weekend, with swelling of the right side of the face resulting from an abscessed tooth. There is no significant medical history. J 6. A 23-year-old woman presents complaining of sore, red, bleeding gums and halitosis. H 7. A pyrexic 30-year-old man presents with an exacerbation of an apical infection two days 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 clinical scenario, followed by a set of usually five possible answers. You are asked to choose what you think is the most accurate answer. Example SBAs Example 1 - Whilst undertaking root canal preparation of a lower molar tooth anaesthetised with interior 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 you anticipate 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 and lethargy at his treatment review

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. Which of the following medical conditions is most likely to be associated with his presenting condition?

Angina Cushings syndrome Diabetes mellitus Lymphoma Tuberculosis

Example 4 - A two year old experienced trauma to her upper deciduous incisors. What is the most likely 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 1 Clinically applied dental science; Clinically applied human disease; Paper 2 All 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. For example the applied implications of anatomy for Prosthodontics or Oral Surgery may be covered in Paper 1 while the relationship of clinical procedures to anatomical features may be covered in Paper 2. Similarly in relation to materials Paper 1 might look at clinical application from the science viewpoint while Paper 2 might relate clinical technique to the underlying science.

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