DSE CDCA OSCE TEST QUESTIONS AND ANSWERS
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to
_____
hyperthyroidism
signs/symtoms of skinny, weight loss
Graves disease
weight gain, dry hair, lower voice, feels cold
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
addisons disease
doubling the dose of steroids
cortisol in response to stress
patient with reduced or missing teeth on a pan
ectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis?
cleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment
with COTTON WOOL appearance of bone
Pagets disease
hypercementosis will follow the ____ on a PAX
PDL
Cleft lip is defection fusion of the ____ and _____
medial nasal process
maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA
cleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway
obstruction)
Pierre robin syndrome
looks like white and brown spots on the teeth
hypocalcified teeth
___ cannot be reversed
but microabrainsion and aching can improve aesthetics, but cannot reverse the
condition
fluorosis
flurosis can be caued by a patient living in a region wher the fluoride content in
the water is ____ppm. Normal is ____ppm
,4ppm
normal is 0.7ppm
patient has no enamel on the teeth on bitewing or panx
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
dentogenisis imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central
depression
syphillis
___ also known as twinning is due to incomplete formation of two teeth, common
on incisors, seen in maxillary laterals
gemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors?
taurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6
months with fever) Treatment is ___ with ____ and analgesics
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
major apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____.
Inside the mucocel is ____ (mucus)
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
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 ?
true
Sodium hypochlorite should be changed ___
daily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test
using biological indicators ___
spore test
Tx for tetracycline staining?
best to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH
xerostomia
____: can cause rampant caries in todder/infant
baby bottle syndrome
a patient on steriods will need ___
supplemenation
a MI can produce ___ symptoms while ___ does not
GI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI
false
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion
all except indigestion and upset stomach
angina
patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and
third tablet and still nothing happens. Patient is most likley have a ____
Myocaridal infarction
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly
with see __ _and ___ occur
chest discomfort(not pain) epigrastrium area, usually preciptated by stress and exertion
nasua and vomitting
if a patient is sitting in dental chair with hands on heart, first thing you do is give
the patient _____
0.4mg of nitroglycerine tablet
, if patient is having a myocradial infarction/chest pain, andminster anti anginal
drugs such as _____.
when to not give this to the patient as can cause severe drop in blood pressure
0.4mg nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used?
morphine, oxygen, nitroglycerine, asprin
angina treatment
Norpace/disopyramide
Antiarrhythmic/antianginal agent
Valium (diazepam) has metabolies for long duration and binds to ___ receptors to
cause inhibtory effects . will have ___ channel opening
It is a ___ used for anxiety, siezures ,and insomina
GABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED
TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient
require medicaiton?
No, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe
Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress
dose)
true- due to anti rejection medications
analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY
FAULURE
PROPROXEPHINE
antihistmine to prevent motion sickness and as a sedative for insomina when
benzodiapenines are contacindicated. Can be used to treat allergic reactions
common side effects are tardive dysinesia, xerostomia
promethazine
bronchiodilater inhaler that relaxes muscles. Used for asthma
albuterol
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to
_____
hyperthyroidism
signs/symtoms of skinny, weight loss
Graves disease
weight gain, dry hair, lower voice, feels cold
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
addisons disease
doubling the dose of steroids
cortisol in response to stress
patient with reduced or missing teeth on a pan
ectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis?
cleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment
with COTTON WOOL appearance of bone
Pagets disease
hypercementosis will follow the ____ on a PAX
PDL
Cleft lip is defection fusion of the ____ and _____
medial nasal process
maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA
cleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway
obstruction)
Pierre robin syndrome
looks like white and brown spots on the teeth
hypocalcified teeth
___ cannot be reversed
but microabrainsion and aching can improve aesthetics, but cannot reverse the
condition
fluorosis
flurosis can be caued by a patient living in a region wher the fluoride content in
the water is ____ppm. Normal is ____ppm
,4ppm
normal is 0.7ppm
patient has no enamel on the teeth on bitewing or panx
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
dentogenisis imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central
depression
syphillis
___ also known as twinning is due to incomplete formation of two teeth, common
on incisors, seen in maxillary laterals
gemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors?
taurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6
months with fever) Treatment is ___ with ____ and analgesics
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
major apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____.
Inside the mucocel is ____ (mucus)
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
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 ?
true
Sodium hypochlorite should be changed ___
daily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test
using biological indicators ___
spore test
Tx for tetracycline staining?
best to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH
xerostomia
____: can cause rampant caries in todder/infant
baby bottle syndrome
a patient on steriods will need ___
supplemenation
a MI can produce ___ symptoms while ___ does not
GI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI
false
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion
all except indigestion and upset stomach
angina
patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and
third tablet and still nothing happens. Patient is most likley have a ____
Myocaridal infarction
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly
with see __ _and ___ occur
chest discomfort(not pain) epigrastrium area, usually preciptated by stress and exertion
nasua and vomitting
if a patient is sitting in dental chair with hands on heart, first thing you do is give
the patient _____
0.4mg of nitroglycerine tablet
, if patient is having a myocradial infarction/chest pain, andminster anti anginal
drugs such as _____.
when to not give this to the patient as can cause severe drop in blood pressure
0.4mg nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used?
morphine, oxygen, nitroglycerine, asprin
angina treatment
Norpace/disopyramide
Antiarrhythmic/antianginal agent
Valium (diazepam) has metabolies for long duration and binds to ___ receptors to
cause inhibtory effects . will have ___ channel opening
It is a ___ used for anxiety, siezures ,and insomina
GABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED
TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient
require medicaiton?
No, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe
Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress
dose)
true- due to anti rejection medications
analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY
FAULURE
PROPROXEPHINE
antihistmine to prevent motion sickness and as a sedative for insomina when
benzodiapenines are contacindicated. Can be used to treat allergic reactions
common side effects are tardive dysinesia, xerostomia
promethazine
bronchiodilater inhaler that relaxes muscles. Used for asthma
albuterol
