Diagnostic Skills Exam OSCE (DSE OSCE) Questions And
Answers 2022/2023 Download
Pre-Med required for?
- Prosthetic heart valves, or prosthetic material used for cardiac valve repair.
- Hx of infective endocarditis
- cyonotic heart disease
- valve regurgitation w. heart thingys (even if has transplant or was repaired already)
[According to limited data, infective endocarditis appears to be more common in heart
transplant recipients than in the general population; the risk of infective endocarditis is
highest in the first 6 months after transplant because of endothelial disruption, high-
intensity immunosuppressive therapy, frequent central venous catheter access, and
frequent endomyocardial biopsies]
5 month old preggers with rheumatic fever and heart murmer: pre med?
a. yes
b. no
(remembered)
b
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)?
(remembered)
place her in trundelburg position.
- supine hypotension in 3rd trimester usually occurs (bc compression Inf vena cava) =>
must prevent this in dental chair bc it can cause patient to pass out.
- Best preventative treatment for supine hypotension is to turn the patient, prefera-bly to
the left side, to displace the uterus away from the inferior vena cava. The patient can
also be placed in a sitting position with the knees flexed.
6 months pregnant had bleeding gums and mobile teeth? How should they be
treated?
(remembered)
conservative debridement is what other person answered.
- pregnancy gingivitis: It is SO important to do ScRP (and stress good oral hygeine) to
prevent plaque growth. The plaque can enter blood stream and stimuate 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?
,(remembered)
chronic perio
- increased incidence of periodontal disease during pregnancy => must emphasize
good oral hygiene, and remove all their plaque so it doesn't lead to premature birth /
small baby.
Permanent dentition with tetracycline staining, when did this happen?
(remembered)
Patient ingested tetracycline when they were between 0 and 5 years old
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs?
barbiturates - Both pentobarbital (Nembutal) and secobarbital (Seconal) are used
primarily on the evening before the dental appointment.
Barbiturates - how should an allergic reaction be treated?
(remembered)
Benadryl -> if its a mild-moderate allergy.
- When a patient experiences a milder form of anaphylactic reaction, the drug or
prepara- tion that caused a reaction is discontinued and the patient is given
diphenhydramine (Benadryl), 25-50 mg/tablet PO q6h for 48-72 hr.
Steroids - whats most important information you need to get from your patient
when you find out they are on steroids.. before even thinking about treating
them?
(remembered)
duration and dosage.
- "The rule of twos": Ask whether the patient is currently on steroids or has been on
corticosteroids for 2 weeks or longer within the past 2 years. You must go back 2 years
in the history because it can take 2 weeks to 2 years for the adrenal glands to bounce
back to normal function.
Patients _____ is the most important thing for calculating medication dosage for
a child.
a. age
b. weight
c. gender
, d. height
(remembered)
b
Biggest concern with down syndrome?
he thought Congenital Heart Defects.
- Trisomy 21 are at increased risk of cardiac defects, true.
- early onset periodontal disease IS MOST SIGNIFICANT ORAL HEALTH
PROBLEM; they have a lower prevalence of dental caries though.
Consider prescribing Chlorhexidine or other antimicrobial agents for daily use.
- When treating, consider patient's cardiac status and need for premedication
(medical consult may be indicated).
(remebered)
Patient just had a stroke. What do you need to worry about?
(remembered)
if they are on anti-coagulants (blood thinners).
- Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan-
tine), clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always
consult with the patient's physician to determine whether and when the blood thinners
can be stopped and subsequently restarted.
- . Following a CVA that required significant hospitalization, routine dental treatment
must be delayed by 6 months.
- Routine dental treatment should be delayed by 3 months if the post-CVA recovery was
uneventful and the patient was admitted overnight just for observation.
- Avoid epinephrine containing LAs during the first 6 months of dental treatment.
Subsequent use of epinephrine depends on the patient's prognosis. Epinephrine
containing LAs can be used starting 1 year after the stroke, when the patient
demonstrates progressive improvement of the CVA and absence of TIAs.
What is the difference in anaphylaxis vs syncope?
(remembered)
anaphylaxis has wheezing and
bronchoconstriction.
- anaphyalxis: intense itching, hives, flushing over the face and chest. Rhinitis,
Answers 2022/2023 Download
Pre-Med required for?
- Prosthetic heart valves, or prosthetic material used for cardiac valve repair.
- Hx of infective endocarditis
- cyonotic heart disease
- valve regurgitation w. heart thingys (even if has transplant or was repaired already)
[According to limited data, infective endocarditis appears to be more common in heart
transplant recipients than in the general population; the risk of infective endocarditis is
highest in the first 6 months after transplant because of endothelial disruption, high-
intensity immunosuppressive therapy, frequent central venous catheter access, and
frequent endomyocardial biopsies]
5 month old preggers with rheumatic fever and heart murmer: pre med?
a. yes
b. no
(remembered)
b
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)?
(remembered)
place her in trundelburg position.
- supine hypotension in 3rd trimester usually occurs (bc compression Inf vena cava) =>
must prevent this in dental chair bc it can cause patient to pass out.
- Best preventative treatment for supine hypotension is to turn the patient, prefera-bly to
the left side, to displace the uterus away from the inferior vena cava. The patient can
also be placed in a sitting position with the knees flexed.
6 months pregnant had bleeding gums and mobile teeth? How should they be
treated?
(remembered)
conservative debridement is what other person answered.
- pregnancy gingivitis: It is SO important to do ScRP (and stress good oral hygeine) to
prevent plaque growth. The plaque can enter blood stream and stimuate 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?
,(remembered)
chronic perio
- increased incidence of periodontal disease during pregnancy => must emphasize
good oral hygiene, and remove all their plaque so it doesn't lead to premature birth /
small baby.
Permanent dentition with tetracycline staining, when did this happen?
(remembered)
Patient ingested tetracycline when they were between 0 and 5 years old
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs?
barbiturates - Both pentobarbital (Nembutal) and secobarbital (Seconal) are used
primarily on the evening before the dental appointment.
Barbiturates - how should an allergic reaction be treated?
(remembered)
Benadryl -> if its a mild-moderate allergy.
- When a patient experiences a milder form of anaphylactic reaction, the drug or
prepara- tion that caused a reaction is discontinued and the patient is given
diphenhydramine (Benadryl), 25-50 mg/tablet PO q6h for 48-72 hr.
Steroids - whats most important information you need to get from your patient
when you find out they are on steroids.. before even thinking about treating
them?
(remembered)
duration and dosage.
- "The rule of twos": Ask whether the patient is currently on steroids or has been on
corticosteroids for 2 weeks or longer within the past 2 years. You must go back 2 years
in the history because it can take 2 weeks to 2 years for the adrenal glands to bounce
back to normal function.
Patients _____ is the most important thing for calculating medication dosage for
a child.
a. age
b. weight
c. gender
, d. height
(remembered)
b
Biggest concern with down syndrome?
he thought Congenital Heart Defects.
- Trisomy 21 are at increased risk of cardiac defects, true.
- early onset periodontal disease IS MOST SIGNIFICANT ORAL HEALTH
PROBLEM; they have a lower prevalence of dental caries though.
Consider prescribing Chlorhexidine or other antimicrobial agents for daily use.
- When treating, consider patient's cardiac status and need for premedication
(medical consult may be indicated).
(remebered)
Patient just had a stroke. What do you need to worry about?
(remembered)
if they are on anti-coagulants (blood thinners).
- Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan-
tine), clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always
consult with the patient's physician to determine whether and when the blood thinners
can be stopped and subsequently restarted.
- . Following a CVA that required significant hospitalization, routine dental treatment
must be delayed by 6 months.
- Routine dental treatment should be delayed by 3 months if the post-CVA recovery was
uneventful and the patient was admitted overnight just for observation.
- Avoid epinephrine containing LAs during the first 6 months of dental treatment.
Subsequent use of epinephrine depends on the patient's prognosis. Epinephrine
containing LAs can be used starting 1 year after the stroke, when the patient
demonstrates progressive improvement of the CVA and absence of TIAs.
What is the difference in anaphylaxis vs syncope?
(remembered)
anaphylaxis has wheezing and
bronchoconstriction.
- anaphyalxis: intense itching, hives, flushing over the face and chest. Rhinitis,
