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CDCA OSCE Questions with Verified Answers 2026/2027 A+ Grade Clinical Dental Hygiene Objective Structured Clinical Examination Study Guide

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This document contains structured OSCE-style questions and verified answers for the CDCA (Commission on Dental Competency Assessments) Objective Structured Clinical Examination. It focuses on key clinical dental hygiene competencies including patient assessment, periodontal charting, infection control protocols, radiographic interpretation, instrumentation techniques, and patient education. The study guide is designed to help dental hygiene candidates strengthen clinical decision-making skills, improve procedural accuracy, and prepare effectively for OSCE performance-based examinations.

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CDCA OSCE questions with verified answers 2026\2027
A+ Grade


bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____
- correct answer hyperthyroidism



signs/symtoms of skinny, weight loss
- correct answer Graves disease



weight gain, dry hair, lower voice, feels cold
- correct answer hypothyroidism



Acute adrenal insufficnecy is also known as ____disease. A patient on steroids might have an attack if
not supplmeneted by ___ the steroid dose before dental treatment due to thier inability to produce
extra ___ in response to stress
- correct answer addisons disease



doubling the dose of steroids



cortisol in response to stress



patient with reduced or missing teeth on a pan
- correct answer ectodermal dysplasia



patient has supernumerary teeth (extra teeth) ... likely diagnosis?
- correct answer cleiodcranial dysplasia

,: can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON WOOL
appearance of bone
- correct answer Pagets disease



hypercementosis will follow the ____ on a PAX
- correct answer PDL



Cleft lip is defection fusion of the ____ and _____
- correct answer medial nasal process

maxillary process



failure of the palatal shelves to fuse result in ____

BIFID UVULA
- correct answer cleft palate, bifid uvula



patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction)
- correct answer Pierre robin syndrome



looks like white and brown spots on the teeth
- correct answer hypocalcified teeth



___ cannot be reversed



but microabrainsion and aching can improve aesthetics, but cannot reverse the condition
- correct answer fluorosis



flurosis can be caued by a patient living in a region wher the fluoride content in the water is ____ppm.
Normal is ____ppm
- correct answer 4ppm



normal is 0.7ppm

,patient has no enamel on the teeth on bitewing or panx
- correct answer amelognesis imperfecta



can see OBLITERATED pulp chambers on radiogrpahs and teeth have a TRANSLUCENT or opalescent hue
(greyish or blue)



also known as osteogenisis imperfect



associated with collagenn maturation problem, non systemic
- correct answer dentogenisis imperfecta



mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression
- correct answer syphillis



___ also known as twinning is due to incomplete formation of two teeth, common on incisors, seen in
maxillary laterals
- correct answer gemination



bull shaped crowns with shortened roots on PAN or fms



What can be a 2 contributing factors?
- correct answer taurodontism



overweight, hypertension



Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months with fever)
Treatment is ___ with ____ and analgesics
- correct answer acute herpactic gingivostomatitis



pallative care with lidocaine rinses and analgesics

, long standing and heal with a scar, can see on the lip and palate, pemphoid can also heal with a scar
- correct answer major apthous ulcers



mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside the mucocel is
____ (mucus)
- correct answer injured salivary gland



treat with excision



saliva,mucous



A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and 1:100,000 (____) of
EPI vasoconstrictor
- correct answer 1.8ml



36mg



0.018mg of EP



t/f: according to cdc regulations, you are not required to wash hands before and after removing gloves ?
- correct answer true



Sodium hypochlorite should be changed ___
- correct answer daily



to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using biological indicators
___
- correct answer spore test



Tx for tetracycline staining?
- correct answer best to leave alone

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