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Terms in this set (170) What are the ADA recommendations for when pre-med is required - prosthetic cardiac valves, including transcatheterimplanted 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 toa structurally abnormal valve - the following congenital (present from birth) heartdisease --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* 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 - no yes - REVIEW HEALTH HISTORY - on my exam, thispatient had a previous history of infective endocarditis. Pre-med IS indicated - many of the OSCE quizlets say no.... Pre-med options for pregnant woman w/hx of infective endocarditis and penicillin allergy - amoxicillin - cephalexin - clarithromycin - ciproflaxacin clarithromycin I may not be correct, the correct option may be cephalexin. however I chose clarithromycin due to penicillin allergy, cross reaction with cephalosporins, and since clindamycin/erythromycin/azthromycin were not options. Ciproflaxacin is contraindicated in pregnancy. article for reference 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 although the main HELL NO is extraction, completing endo therapy increases risk if the apex is compromised/damaged during therapy. I teetered on prophy and scaling, but since it did not specify supragingival, decided that the risk of scaling can negatively affect the periosteum of a bisphosphanate patient. ADA recommendations: Patients%20on%20B 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 - turn the patient,preferably to the left side turn the patient, preferably to the left side - Best preventative treatment for supine hypotension is to turn the patient, preferably 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.

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DSE OSCE – 2024 / Study Guide Q-Bank / Expert
Verified Actual Questions & Answers for
Guaranteed Pass / Newest Update, 2025-2026.


Terms in this set (170)

What are the ADA - prosthetic cardiac valves, including transcatheterimplanted
recommendations for when prostheses and homografts
pre-med is required
- 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 toa
structurally abnormal valve
- the following congenital (present from birth) heartdisease
--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-
healthtopics/antibiotic-prophylaxis

, yes
41-yo woman, pregnant;
- REVIEW HEALTH HISTORY - on my exam, thispatient had a
prev rheumatic fever with
previous history of infective endocarditis. Pre-med IS
heart murmur (no valvular
indicated
abnormality); allergy to
- many of the OSCE quizlets say no....
penicillin. Positive history of
infective endocarditis. Does
she need to pre med?
- yes
- no

Pre-med options for clarithromycin
pregnant woman w/hx of I may not be correct, the correct option may be cephalexin.
infective endocarditis and however I chose clarithromycin due to penicillin allergy,
cross reaction with cephalosporins, and since
penicillin allergy
clindamycin/erythromycin/azthromycin were not options.
- amoxicillin Ciproflaxacin is contraindicated in pregnancy. article for
- cephalexin reference
- clarithromycin https://www.parents.com/pregnancy/my-body/is-itsafe/an
tibiotics-and-pregnancy/
- ciproflaxacin



What procedure can a occlusal restoration
dentist perform without although the main HELL NO is extraction, completing endo
consulting MD if a patient is therapy increases risk if the apex is compromised/damaged
currently taking during therapy. I teetered on prophy and scaling, but since
bisphosphonates? - endo it did not specify supragingival, decided that the risk of
therapy scaling can negatively affect the periosteum of a
- prophy and scaling bisphosphanate patient. ADA recommendations:
- extraction http://www.centreoms.com/admin/storage/news/ADA
- occlusal restoration %20Recommendations%20for%20Treatment%20of%20
Patients%20on%20Bisphosphon.pdf

,Pregnant person afraid of turn the patient, preferably to the left side
needles - stress
management by putting - Best preventative treatment for supine hypotension is to
patient in what position turn the patient, preferably to the left side, to displace the
uterus away from the inferior vena cava. The patient can
when in your chair (BEFORE
also be placed in a sitting position with the knees flexed.
they even get to the point of
passing out)? - supply
oxygen
- place in
Trendelenburg- make
patient sit up straight
- turn the
patient,preferably to the left
side

, 6 months pregnant had conservative debridement
bleeding gums and mobile .- pregnancy gingivitis: important to do ScRP (and stress good
teeth, how should they be oral hygiene) to prevent plaque growth. The plaque can enter
blood stream and stimulate patient's immune system to
treated? - immediate
produce prostaglandins, which can trigger uterine
extractions - do not treat contraction leading to early labor, premature birth, and a
until baby is born small baby.
- conservative
debridement -
immediate endo



Pregnant lady with a chronic perio
diastema in between #8 and - increased incidence of periodontal disease during
#9 with deep probing depth pregnancy => must emphasize good oral hygiene, and
remove all their plaque so it doesn't lead to premature birth
and class 1 mobility on 8 and
/ low birth weight
9. What is the reason for
diastema? - chronic
periodontitis
- distal drift
- normal
duringpregnancy

age 0-5 years
Permanent staining as a
- remember that PERMANENT dentition does not begin
result of tetracyline; did calcification until birth
this happen?
- During development
(asfetus) - 0-5yrs
- 5-10 yrs
- 10-15 yrs

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