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Fracture Emergency Management — ORE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateOral SurgeryFracture Emergency ManagementORE Part 1

A patient attends your dental emergency clinic shortly after a punch to the lower face. They have malocclusion, mandibular mobility and intra-oral bleeding, so you suspect a mandibular fracture. They are conscious, can speak in full sentences and have no cervical-spine symptoms. Which is the most appropriate management in the clinic before transfer?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Assess and maintain the airway, control bleeding, provide appropriate analgesia, and arrange emergency medical transfer without prescribing antibiotics initially

Explanation lettering: D = shown as C · E = shown as D · C = shown as E

A is correct. A suspected mandibular fracture requires prompt assessment for immediate threats, particularly airway compromise and bleeding, followed by emergency medical referral for specialist management. SDCEP advises that suspected facial fractures should be sent to emergency medical care via NHS 24/111, or 999 if the patient is unsafe to move or has an emergency such as airway compromise. It also states not to prescribe antibiotics at the initial assessment. Analgesia is appropriate while transfer is arranged. B and E propose definitive or semi-definitive fracture management outside the appropriate setting and may delay specialist assessment. C wrongly prioritises imaging over emergency triage and transfer. D delays management and incorrectly includes routine initial antibiotics.

Reference: Scottish Dental Clinical Effectiveness Programme. Management of Acute Dental Problems, 2nd edition: “Injuries to the mouth, face and jaws” (March 2026). https://www.acutedentalproblems.sdcep.org.uk/guidance/management-of-oral-conditions/less-common-oral-conditions/injuries-to-the-mouth-face-and-jaws/