skip to main content

Suspected Domestic Abuse Dental — ORE Part 1 MCQ

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

ModerateBehavioural Sciences & EthicsSuspected Domestic Abuse DentalORE Part 1

A dental hygienist sees an adult patient alone for periodontal care. At successive appointments, the hygienist observes new bruising on the patient's arms and neck. The patient appears withdrawn and does not wish to discuss the injuries. There is no indication of immediate danger. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: E — Record the observations, inform the safeguarding lead and follow the local referral pathway

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

A is correct. Recurrent unexplained bruising, particularly involving the neck, with withdrawal may indicate domestic abuse. UK dental safeguarding guidance requires accurate documentation of signs and concerns, sharing these with the named safeguarding practice lead, and following the relevant local safeguarding/referral process. NICE also emphasises safety, private and sensitive enquiry, and referral through established pathways. B delays an appropriate response to an accumulating concern. C is unsafe: a partner may be the perpetrator and should not be approached for an explanation. D may be appropriate if there is immediate danger, but the stem excludes this and the usual response is safeguarding escalation rather than automatic police reporting. E abandons the patient and fails to address the safeguarding concern.

Reference: Public Health England, Safeguarding in general dental practice: a toolkit for dental teams, 2019, Appendix 6 safeguarding flowchart and section 3.3 Record keeping. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/791681/Guidance_for_Safeguarding_in_GDP.pdf