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Exam (elaborations)

OSCE (DSE) Test Questions and Answers Rated A

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T/F: Nifidepine causes gingival hyperplasia. - ANSWER -True Ca channel blockers: Amlodipine, diltiazem, verapamil, "dipines" Dilantin (Phenytoin): anti-convulsant Cyclosporine: immunosuppressant Large space between 11 and 12. What do you do? - ANSWER -a. Mini implant b. Do a bridge c. Leave it alon

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OSCE (DSE) Test Questions and Answers Rated A
T/F: Nifidepine causes gingival hyperplasia. -
ANSWER -True
Amelogenesis imperfecta Xray - ANSWER -
Ca channel blockers: Amlodipine, diltiazem, (Look up other examples too)
verapamil, "dipines"
Dilantin (Phenytoin): anti-convulsant
Cyclosporine: immunosuppressant [Picture of blue sclera] What other dental findings
should you see? - ANSWER -
Dentinogenesis imperfecta
Large space between 11 and 12. What do you
do? - ANSWER -a. Mini implant short roots
b. Do a bridge bulbous bell crowns (DEJ constriction)
c. Leave it alone**** obliterated pulps
blue sclera

Picture with white cauliflower nodule on dorsal
tongue is: - ANSWER -Papilloma on a Hyperthyroid symptoms are all except:
tongue 1. Exopthalmos
2. Tachycardia
3. Tremors of extremities
How do you treat this? (Mucocele) - 4. Fatigue - ANSWER -4. Fatigue
ANSWER -Excise with salivary gland
remnants
Minimum axial reduction for a crown is -
ANSWER -1.5mm
What is the problem with resin bonded bridges? -
ANSWER -Debonding
Replacing #9 crown. Which measurement is
correct? (weird question with weird wording) -
Hepatitis A/ Jaundice is fine to treat after - ANSWER -2mm
ANSWER -1 week

What is the maximum amount of unsupported
Allergic reaction to barbiturate on the lip. What porcelain allowed? - ANSWER -2mm
do you give? - ANSWER -Antihistamines
(Benadryl)
T/F: Cyclosporine causes gingival hyperplasia -
ANSWER -True
Picture of patient that didn't like the look of their
canine and premolar, and asked what it was? - Ca channel blockers: Amlodipine, diltiazem,
ANSWER -Hypoplasia verapamil, "dipines"
Dilantin (Phenytoin): anti-convulsant
Cyclosporine: immunosuppressant
Facial erosion on teeth due to - ANSWER -
Acidic beverages


, OSCE (DSE) Test Questions and Answers Rated A
Most important treatment for ANUG is - you chose? - ANSWER -Something with
ANSWER -Debridement lower shade saturation and less gray

(could give antibiotics if you can't debride in time) - higher value (cannot increase value) -> less
gray
- lower chroma (can raise chroma) -> lower
What is the treatment for gingival hyperplasia? - shade saturation
ANSWER -Gingivectomy
Chroma = saturation
Value = gray level (bright/dark)
Patient presents with a liver clot. What is the Hue = color
treatment? - ANSWER -Irrigate, apply
pressure, reassess
Worst place for implant is - ANSWER -
Maxillary posterior
Would you rather overcontour or under contour
the temporary crown to preserve gingival health -
ANSWER -Undercontour Best place for implant is - ANSWER -Either
mandibular posterior or anterior

Picture of a patient with all crowns on upper and
lower. What is wrong? - ANSWER - Best long term prognosis for an implant? -
Impingement on gums/gum health ANSWER -Either mandibular posterior or
(Other choices were incorrect overjet/overbite, anterior
improper contour of crown)

Worst cement for deep restoration? -
Patient has pain on swallowing when wearing ANSWER -Zinc phosphate
their denture, why? - ANSWER -
Overextension of lingual flange
BW xray of a tooth with an amalgam and patient
complained of pain when provoked by hot or
Patient presents with space in between premolar cold. Why? - ANSWER -Deep amalgam
and 3rd molar with class 2 mobility. What do you filling
do to fix this? - ANSWER -Implant

Leave perio pack in for how long? -
Patient missing #2 and #3. #1 has class 3 ANSWER -1 week
mobility and furcation involvement. What would
be the optimal treatment plan? -
ANSWER -Extract #1 and either implant for Picture of an epulis fissuratum. How do you treat
#3 or #2 and #3. this before making a new denture? -
ANSWER -Excision.
[Other answer choices: Apply tissue conditioner,
If you cannot pick a color for a crown what do leave lesion alone, prescribe antibiotics]


, OSCE (DSE) Test Questions and Answers Rated A
after SRP. Why? - ANSWER -Reduction in
edema
Reason for perio flap? - ANSWER -Access
for instrumentation
1-2 mm of reduction in probing depth after
performing SRP. What is the cause? -
Maxillary tori in denture patient. What do you do ANSWER -Formation of long junctional
before making a new denture? - epithelium
ANSWER -Remove it

If a patient has a shunt on the left arm where do
What does a major connector of a denture need? you take BP? - ANSWER -Right arm
- ANSWER -Rigidity

Picture of #10 and #11 lingual surface, what is
According to OSHA you need to check the wrong with the gingiva? - ANSWER -Edema
autoclave with what frequency? -
ANSWER -Weekly
Space in between #29 and #30 in a very old
patient with no #31 and #32 and barely occluding
HIV ELISA test was negative for a person who with #3. Why is this happening? -
had a needle stick. What does that mean? - ANSWER -No occlusion or mesial drifting
ANSWER -Patient has no Ab's present premolars


Ortho case- what was the most important thing Surgical stent fits the gums but immediate
they did in maxillary arch? - ANSWER - denture doesn't fit. What do you do? -
Align the teeth for future restorative procedures ANSWER -Relieve until it seats
(Not close upper and lower diastema)

Picture of the bottom of the tongue with multiple
What pain reliever do you give to a patient who white lesions. Stated that the patient had
has kidney disease? - ANSWER - complaint of sore gums and tongue, fever of 101
Acetaminophen degrees. What is most likely diagnosis? -
ANSWER -Primary herpetic stomatitis

Picture of surveyor. Asked what we were looking
at? - ANSWER -Space for guideplane Treatment of Primary herpetic stomatitis -
ANSWER -Palliative

What is a major complication of Phlebitis? -
ANSWER -Pulmonary Embolism Patient with purple lesions on palate and said
they had similar lesions on body too. What is
most probable cause? - ANSWER -HIV
Patient complaining of space in between teeth (Kaposi Sarcoma)


, OSCE (DSE) Test Questions and Answers Rated A
Other answer choices: Sturge weber, erythema Post crown cementation sensitivity is due to -
multiforme ANSWER -Microleakage


What disease will effect wearing complete Before you line a complete denture you must first
dentures the most? - ANSWER -Sjogren's establish: - ANSWER -Posterior occlusion
Disease (xerostomia)

Picture of patient's maxilla with a FPD and RPD
Lesion in the mouth that heals with a scar? - attached to it. Asked how they are attached? -
ANSWER -Major aphthous ulcer ANSWER -Semiprecision attachment?


Picture with an arrow pointing to a soft tissue Precision attachments are not good with patient
mass on FOM. This is the opening of - with - ANSWER -Low dexterity
ANSWER -Wharton's Duct (Submandibular
Duct)
Patient on steroids. What do you need to know
before dental treatment? - ANSWER -
Lichen planus is present on the tongue that was Duration and dosage
asymptomatic, asked what is the treatment? -
ANSWER -Corticosteroids (Would have
picked "Nothing" but "Nothing" was not an What is the most important thing for calculating
option) medication dosage for child? - ANSWER -
Patient's weight
Picture of white things on buccal mucosa, and
asked what it was. - ANSWER -Lichen Patient just had a stroke. What do you need to
planus worry about? - ANSWER -If they are on
anticoagulants
but it also looked like leukoedema, cheek biting,
etc. and all were answer choices (LOOK FOR
STRIAE OF WICKHAM) Contraindication for apically positioned flap is -
ANSWER -Esthetics
Panoramic xray with radiopacity underneath the
mandibular incisors, asked what was it? -
Purpose of a wedge during a restoration is -
ANSWER -???? Supernumerary tooth
ANSWER -Adaptation of he matrix band
(maybe odontoma)

contraindication for a patient with hyperthyroidism
Gingival edema is caused by - ANSWER -
is - ANSWER -Vasoconstrictions
Anaerobes
(Epinephrine)

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