DSE OSCE Remake Exam

DSE OSCE Remake Exam Pre-medication required - ANS-- prosthetic heart valve - prosthetic material for valve repair - Hx IE - cyonotic heart disease - valve regurgitation even if repaired Cyonotic heart defects: - ANS-- tetralogy of Fallot - TGA - TAPVC - truncus - tricuspid valve abnormalities who is IE most common in - ANS-heart transplant pts when is the risk of IE highest - ANS-first 6mo because endothelial disruption, immunosuppressive therapy, frequent venous catheter and endomyocardial biopsies does a pregnant person with rheumatic fever and heart murmur need pre med? - ANSno how to manage pt afraid of needles - ANS-trendelburg position why does supine hypotension occur - ANS-- 3rd trimester because of compression of inferior VC best preventative tx of supine hypotension - ANS-- turn to left side to displace uterus from inferior VC how to treat 6mo pregnant pt with bleeding gums and mobile teeth - ANS-conservatice debridement why is pregnancy gingivitis harmful? - ANS-prevent plaque growth so it does NOT enter bloodstream and stimulate PG. - PG stimulate uterine contraction= early labor= premie 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? - ANS-chronic perio Permanent dentition with tetracycline staining, when did this happen? - ANS-pt ingested tetracycline when they were between 0-5yo what are common barbiturates taken the night before the dental appt - ANS-- Continues...