ADC Practice Question — Confidentiality, Privacy & Mandatory Reporting

Which combination of findings is most incompatible with the stated mechanism of injury?

Ethics and professionalism questions in the ADC written exam test your understanding of the Dental Board of Australia Code of Conduct — professional boundaries, mandatory reporting, delegation, and cultural safety. This exam-level vignette tests your ability to apply the Code to clinical scenarios.

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.

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Which combination of findings is most incompatible with the stated mechanism of injury?

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