ADEX OSCE Exam 4 Questions with 100%
Correct Answers
What are the ADA recommendations for when pre-med is
required
- prosthetic cardiac valves, including transcatheter-implanted
prostheses and homografts
- prosthetic material used for cardiac valve repair, such as
annuloplasty rings and chords
- a history of infective endocarditis
- a cardiac transplanta with valve regurgitation due to a
structurally abnormal valve
- the following congenital (present from birth) heart disease
--unrepaired cyanotic congenital heart disease, including palliative
shunts and conduits
--any repaired congenital heart defect with residual shunts or
valvular regurgitation at the site of or adjacent to the site of a
prosthetic patch or a prosthetic device
**ADA website**
https://www.ada.org/en/member-center/oral-health-
topics/antibiotic-prophylaxis
First choice for someone who needs antibiotic prophylaxis,
no penicillin allergy?
Single dose of Amoxicillin 2g, 30-60min before appointment
First choice for someone who needs antibiotic prophylaxis,
penicillin allergy?
Single dose of Clindamycin 600mg, 30-60min before appointment
41-yo woman, pregnant; prev rheumatic fever with heart
murmur (no valvular abnormality); allergy to penicillin.
Positive history of infective endocarditis. Does she need to
pre med?
yes
,Pre-med options for pregnant woman w/hx of infective
endocarditis and penicillin allergy
- amoxicillin
- cephalexin
- clarithromycin
- ciproflaxacin
Clarithromycin
Pt taking penicillin; developed burning on tongue. What
diagnostic test?
Fungal test
What procedure can a dentist perform without consulting MD
if a patient is currently taking bisphosphonates?
- endo therapy
- prophy and scaling
- extraction
- occlusal restoration
Occlusal restoration
Pregnant person afraid of needles - stress management by
putting patient in what position when in your chair (BEFORE
they even get to the point of passing out)?
- supply oxygen
- place in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup
place her in Trendelburg position
6 months pregnant had bleeding gums and mobile teeth, how
should they be treated?
- immediate extractions
- do not treat until baby is born
- conservative debridement
- immediate endo
conservative debridement
.- pregnancy gingivitis: important to do ScRP (and stress good
oral hygiene) to prevent plaque growth. The plaque can enter
blood stream and stimulate patient's immune system to produce
,prostaglandins, which can trigger uterine contraction leading to
early labor, premature birth, and a small baby.
Pregnant lady with a diastema in between #8 and #9 with
deep probing depth and class 1 mobility on 8 and 9. What is
the reason for diastema?
- chronic periodontitis
- distal drift
- normal during pregnancy
chronic perio
Permanent staining as a result of tetracyline; did this
happen?
- During development (as fetus)
- 0-5yrs
- 5-10 yrs
- 10-15 yrs
age 0-5 years
****Size of a post should not exceed...
1/3 diameter of canal at CEJ (not apex)
also should be 2/3 the length of the tooth, so it should be longer
than the crown
4-5 mm of GP left at the apex
-- it asked if 2 mm was acceptable
SLOB rule on a radiograph
same lingual, opposite buccal
Pentobarbital (Nembutal) and Secobarbital (Seconal) are
what type of drugs?
- benzodiazepines
- NSAIDS
- barbituates
- atypical antipsychotic
barbituates
A patient has an allergic reaction to a barbiturate, how do
you treat?
- epinephrine
, - diphenhydramine
- send to ER
benadryl (diphenhydramine)
A patient is on a steroidal medication. What information do
you need to obtain before treating them?
- dose and pharmacy that filled the RX
- duration of prescription
- both dose and duration
dose and duration
What is the most important factor when calculation
medication dosage for a child
- age
- weight
- gender
- height
weight
Signs of a cerebrovascular accident
"Stroke"
Left side face paralysis.
Slurred Speech.
F-A-S-T
Face droop.
Arm weakness
Speech slur
Time to call 911.
A patient has recently had a stroke. What is your first
concern?
- when was their last cleaning
- are they on anticoagulants
- current blood pressure
Are they on anticoagulants
What is the main symptom that differentiates anaphylaxis
from syncope?
- bronchoconstriction
Correct Answers
What are the ADA recommendations for when pre-med is
required
- prosthetic cardiac valves, including transcatheter-implanted
prostheses and homografts
- prosthetic material used for cardiac valve repair, such as
annuloplasty rings and chords
- a history of infective endocarditis
- a cardiac transplanta with valve regurgitation due to a
structurally abnormal valve
- the following congenital (present from birth) heart disease
--unrepaired cyanotic congenital heart disease, including palliative
shunts and conduits
--any repaired congenital heart defect with residual shunts or
valvular regurgitation at the site of or adjacent to the site of a
prosthetic patch or a prosthetic device
**ADA website**
https://www.ada.org/en/member-center/oral-health-
topics/antibiotic-prophylaxis
First choice for someone who needs antibiotic prophylaxis,
no penicillin allergy?
Single dose of Amoxicillin 2g, 30-60min before appointment
First choice for someone who needs antibiotic prophylaxis,
penicillin allergy?
Single dose of Clindamycin 600mg, 30-60min before appointment
41-yo woman, pregnant; prev rheumatic fever with heart
murmur (no valvular abnormality); allergy to penicillin.
Positive history of infective endocarditis. Does she need to
pre med?
yes
,Pre-med options for pregnant woman w/hx of infective
endocarditis and penicillin allergy
- amoxicillin
- cephalexin
- clarithromycin
- ciproflaxacin
Clarithromycin
Pt taking penicillin; developed burning on tongue. What
diagnostic test?
Fungal test
What procedure can a dentist perform without consulting MD
if a patient is currently taking bisphosphonates?
- endo therapy
- prophy and scaling
- extraction
- occlusal restoration
Occlusal restoration
Pregnant person afraid of needles - stress management by
putting patient in what position when in your chair (BEFORE
they even get to the point of passing out)?
- supply oxygen
- place in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup
place her in Trendelburg position
6 months pregnant had bleeding gums and mobile teeth, how
should they be treated?
- immediate extractions
- do not treat until baby is born
- conservative debridement
- immediate endo
conservative debridement
.- pregnancy gingivitis: important to do ScRP (and stress good
oral hygiene) to prevent plaque growth. The plaque can enter
blood stream and stimulate patient's immune system to produce
,prostaglandins, which can trigger uterine contraction leading to
early labor, premature birth, and a small baby.
Pregnant lady with a diastema in between #8 and #9 with
deep probing depth and class 1 mobility on 8 and 9. What is
the reason for diastema?
- chronic periodontitis
- distal drift
- normal during pregnancy
chronic perio
Permanent staining as a result of tetracyline; did this
happen?
- During development (as fetus)
- 0-5yrs
- 5-10 yrs
- 10-15 yrs
age 0-5 years
****Size of a post should not exceed...
1/3 diameter of canal at CEJ (not apex)
also should be 2/3 the length of the tooth, so it should be longer
than the crown
4-5 mm of GP left at the apex
-- it asked if 2 mm was acceptable
SLOB rule on a radiograph
same lingual, opposite buccal
Pentobarbital (Nembutal) and Secobarbital (Seconal) are
what type of drugs?
- benzodiazepines
- NSAIDS
- barbituates
- atypical antipsychotic
barbituates
A patient has an allergic reaction to a barbiturate, how do
you treat?
- epinephrine
, - diphenhydramine
- send to ER
benadryl (diphenhydramine)
A patient is on a steroidal medication. What information do
you need to obtain before treating them?
- dose and pharmacy that filled the RX
- duration of prescription
- both dose and duration
dose and duration
What is the most important factor when calculation
medication dosage for a child
- age
- weight
- gender
- height
weight
Signs of a cerebrovascular accident
"Stroke"
Left side face paralysis.
Slurred Speech.
F-A-S-T
Face droop.
Arm weakness
Speech slur
Time to call 911.
A patient has recently had a stroke. What is your first
concern?
- when was their last cleaning
- are they on anticoagulants
- current blood pressure
Are they on anticoagulants
What is the main symptom that differentiates anaphylaxis
from syncope?
- bronchoconstriction
