CDCA OSCE
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ -
ANShyperthyroidism
signs/symtoms of skinny, weight loss - ANSGraves disease
weight gain, dry hair, lower voice, feels cold - ANShypothyroidism
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 - ANSaddisons disease
doubling the dose of steroids
cortisol in response to stress
patient with reduced or missing teeth on a pan - ANSectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis? - ANScleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON
WOOL appearance of bone - ANSPagets disease
hypercementosis will follow the ____ on a PAX - ANSPDL
Cleft lip is defection fusion of the ____ and _____ - ANSmedial nasal process
maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA - ANScleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) - ANSPierre
robin syndrome
looks like white and brown spots on the teeth - ANShypocalcified teeth
___ cannot be reversed
but microabrainsion and aching can improve aesthetics, but cannot reverse the condition -
ANSfluorosis
,flurosis can be caued by a patient living in a region wher the fluoride content in the water is
____ppm. Normal is ____ppm - ANS4ppm
normal is 0.7ppm
patient has no enamel on the teeth on bitewing or panx - ANSamelognesis 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 - ANSdentogenisis imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression -
ANSsyphillis
___ also known as twinning is due to incomplete formation of two teeth, common on incisors,
seen in maxillary laterals - ANSgemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors? - ANStaurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months with
fever) Treatment is ___ with ____ and analgesics - ANSacute 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 - ANSmajor apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside the
mucocel is ____ (mucus) - ANSinjured 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 - ANS1.8ml
,36mg
0.018mg of EP
t/f: according to cdc regulations, you are not required to wash hands before and after removing
gloves ? - ANStrue
Sodium hypochlorite should be changed ___ - ANSdaily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using biological
indicators ___ - ANSspore test
Tx for tetracycline staining? - ANSbest to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH - ANSxerostomia
____: can cause rampant caries in todder/infant - ANSbaby bottle syndrome
a patient on steriods will need ___ - ANSsupplemenation
a MI can produce ___ symptoms while ___ does not - ANSGI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI - ANSfalse
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion - ANSall 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 ____ - ANSMyocaridal infarction
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with see __
_and ___ occur - ANSchest 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
_____ - ANS0.4mg 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 - ANS0.4mg
nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used? - ANSmorphine, oxygen, nitroglycerine, asprin
angina treatment
Norpace/disopyramide - ANSAntiarrhythmic/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 - ANSGABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - ANSTRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient require medicaiton?
- ANSNo, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe - ANSTylenol
(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) - ANStrue-
due to anti rejection medications
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ -
ANShyperthyroidism
signs/symtoms of skinny, weight loss - ANSGraves disease
weight gain, dry hair, lower voice, feels cold - ANShypothyroidism
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 - ANSaddisons disease
doubling the dose of steroids
cortisol in response to stress
patient with reduced or missing teeth on a pan - ANSectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis? - ANScleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON
WOOL appearance of bone - ANSPagets disease
hypercementosis will follow the ____ on a PAX - ANSPDL
Cleft lip is defection fusion of the ____ and _____ - ANSmedial nasal process
maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA - ANScleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) - ANSPierre
robin syndrome
looks like white and brown spots on the teeth - ANShypocalcified teeth
___ cannot be reversed
but microabrainsion and aching can improve aesthetics, but cannot reverse the condition -
ANSfluorosis
,flurosis can be caued by a patient living in a region wher the fluoride content in the water is
____ppm. Normal is ____ppm - ANS4ppm
normal is 0.7ppm
patient has no enamel on the teeth on bitewing or panx - ANSamelognesis 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 - ANSdentogenisis imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression -
ANSsyphillis
___ also known as twinning is due to incomplete formation of two teeth, common on incisors,
seen in maxillary laterals - ANSgemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors? - ANStaurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months with
fever) Treatment is ___ with ____ and analgesics - ANSacute 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 - ANSmajor apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside the
mucocel is ____ (mucus) - ANSinjured 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 - ANS1.8ml
,36mg
0.018mg of EP
t/f: according to cdc regulations, you are not required to wash hands before and after removing
gloves ? - ANStrue
Sodium hypochlorite should be changed ___ - ANSdaily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using biological
indicators ___ - ANSspore test
Tx for tetracycline staining? - ANSbest to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH - ANSxerostomia
____: can cause rampant caries in todder/infant - ANSbaby bottle syndrome
a patient on steriods will need ___ - ANSsupplemenation
a MI can produce ___ symptoms while ___ does not - ANSGI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI - ANSfalse
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion - ANSall 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 ____ - ANSMyocaridal infarction
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with see __
_and ___ occur - ANSchest 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
_____ - ANS0.4mg 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 - ANS0.4mg
nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used? - ANSmorphine, oxygen, nitroglycerine, asprin
angina treatment
Norpace/disopyramide - ANSAntiarrhythmic/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 - ANSGABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - ANSTRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient require medicaiton?
- ANSNo, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe - ANSTylenol
(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) - ANStrue-
due to anti rejection medications
