Day 6 of Thirty - Days Intensive ADC Part 1 Practice Program
Before You Start: Day-6 Student Guide (Click to Expand)
Theme: Management Precision — Doing the Right Thing First
1. What Day-6 Is Testing
Day-6 is not a diagnosis paper. It is a clinical sequencing paper.
- Choosing the correct first step
- Understanding the order of care
- Distinguishing interim vs definitive treatment
- Knowing when to delay, stabilise, or escalate
Most errors occur due to wrong timing, not lack of knowledge.
2. Core Rule
Correct treatment in the wrong order is still wrong.
3. How to Approach Each Scenario
Step 1 — Identify Immediate Risk
- Airway compromise?
- Active bleeding?
- Medical instability?
- Need for drainage?
Step 2 — Interim or Definitive?
- Acute inflammation → Control first
- Active infection → Drain first
- Medical instability → Optimise first
Step 3 — Stability Check
- Unstable → Emergency protocol
- Stable → Stage appropriately
4. The 5 Common Day-6 Traps
Antibiotic Trap
Prescribing antibiotics when drainage or operative treatment is required.
Definitive-Treatment Trap
Jumping to extraction, RCT, or surgery before stabilisation.
Investigation Trap
Ordering imaging or referral before controlling the immediate issue.
Patient-Pressure Trap
Choosing convenience over clinical safety.
Stability Trap
Proceeding with elective care despite uncontrolled medical risk.
5. Emergency Management Rule
In emergencies follow sequence:
- Position
- Airway
- Breathing
- Circulation
- Medication
6. Interim vs Definitive Logic
- Irreversible pulpitis → Remove inflamed pulp
- Abscess → Drain
- Pericoronitis → Irrigate first
- Periodontal disease → Stabilise before prosthetics
- High BP → Optimise before extraction
7. Conservative vs Escalated Care
Not all findings require intervention.
- No pathology → Monitor
- No progression → Review
- No risk → Avoid overtreatment
8. How to Break 50–50 Decisions
When unsure, ask:
- Which option addresses the immediate risk first?
- Which option respects sequencing?
- Which option prevents harm?
Final Instruction
Do not choose the most impressive treatment. Choose the most appropriate next step.