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Dentistry · Orthodontics and paediatric dentistry: teething
Sample itemA mother says her 8-month-old has a fever of 39.5 C and loose stools, and the gum over the lower incisors looks red and swollen. What is the appropriate advice?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Look for another cause, as teething causes only mild irritability and drooling
Teething may cause drooling and irritability but not high fever or diarrhoea. Another illness must be sought, and benzocaine gels are best avoided in infants.
Option by option
A. Start antibiotics for the gum
Antibiotics are not needed for normal teething.
B. Lance the gum to release the tooth
Lancing is not needed and may cause infection.
C. Look for another cause, as teething causes only mild irritability and drooling (correct)
Correct. Significant fever and diarrhoea need evaluation for another cause.
D. Attribute it to teething and use a benzocaine gel
Blaming teething risks missing infection.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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