Dental OSCE 2024/2025 QUESTIONS AND CORRECT
ANSWERS PROFESSOR VERIFIED
1. Immunosuppresant drug used in Transplant Patients that causes
Gingival Hyperplasia: Cyclosporine
2. How is Perio disease related to diabetes?: Glucose levels are increased.
3. Cause for cement failure?: increased SOLUBILITY of the cement
4. Before trimming teeth on a stone cast for an immediate denture, you
must first...: mark a line 3 mm above the free gingival margin.
5. ** Which analgesic(s) is safe for a Patient with kidney disease?: Tylenol
(acetaminophen) ONLY.
NOT NSAIDS OR ASPIRIN
6. ** For Patients on dialysis, where do you take their blood pressure?: On
the arm opposite of the shunt.
7. How do you prevent syncope?: Trendlenburg position.
(feet higher than head)
8. How do you treat syncope if breathing?
,How do you treat syncope if not breathing?: Place the patient in the
trendlenburg position. (flat/feet higher than head)
If breathing? Use crushed ammonia under nose and pure oxygen.
Not breathing? start BLS.
9. Treatment of a child with Fibrous Dysplasia?: for kids, prolong surgical
intervention as long as possible.
some lesions will stabilize & some lesions will grown. Only surgically remove if
esthetics are a concern.
*Note: Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous)
tissue develops in place of normal bone. This can weaken the affected bone &
cause deformations or fractures.
*Radiographic appearance: orange peel if late stage.
10. ** Treatment of barbiturate allergic reaction.: antihistamine (synergic
reaction to barbituate) ** look at this.
11. **Can you treat a patient who had Hepatitis A, one year ago?: yes. they
can be treated "1 week after having jaundice" -- the exam referred to it as
jaundice.
12. At what intervals are intermediate dentures evaluated?: 24- hrs.
72- hrs.
1 week
1 month
Every 3 months
13. **How long to keep a dressing on after periodontal treatment?: Pack is
kept in for 1 week after surgery.
,14. TX for Primary herpetic gingivostomatitis?: Palliative only - you only treat
for fever and pain.
15. Eagles Syndrome symptoms: Pain while swallowing, turning head, or
mouth opening. may include dysphagia, dysphonia, otalgia, headaches, dizziness.
* The elongation of styloid process// mineralization of the stylohyoid ligament.
16. ** Epinepherine//vasoconstrictors are contraindicated in patients with
____________. They would exacerbate the symptoms.: hyperthyroid - My
exam asked which anesthetic to use on someone with hyperthyroid patients. **
17. ** "Opalescent hue": dentinogenesis imperfecta -- my exam showed a pic of
eyes (blue sclera) and stated this patient had brittle bones. this exam
intertwines osteogenesis imperfecta with DI, I think. OI was not an option.
18. Radiographic findings of Dentinogenesis Imperfecta.: Bulbous crowns.
Obliterated canals & Pulp chambers.
Cervical Constrictions
19. amelogenesis imperfecta heredity: dominant/recessive/x-linked.
20. ** hypomaturation amelogenesis imperfecta manifests clinically as....
showed an image but it wasn't quite textbook: "Snowcapped" Pattern. Showed
an image.
this is due to the matrix not forming well. crystals are weird.
21. hypoPLASTIC amelogenesis imperfecta manifests clinically as...: a
generalized/localized pitted pattern on enamel typically. can be
smooth/pitted/or rough.
can be AD, AR, X-linked.
, 22. Best TX for tetracycline stain: Veneers.
23. ** Facial reduction for a PFM crown?: 1.5 mm.
(( 1.0-1.5 mm))
* This is the same for lingual reduction*
24. ** If a Traumatic ulcer is formed after extraction. What is the treatment?: -
Observe// Re-evaluate (2 weeks)
25. ***Patient with tenderness anterior to ear lobe?: Inflammed Stenson's duct
(Parotid duct). *** asked about this MANY TIMES
26. ***After SRP, a patient notices more spaces between teeth. why?:
decreased swelling of the gingiva.
27. Radiograph with herringbone effect. Why?: film was placed backwards.
"a reverse exposure of x-ray film"
28. film that requires least amount of radiation?: e-speed.
d-slowest-"dumb"
e & f = fastest.
29. How much epi can be given to a patient with BP of 160/110?: None. Don't
treat this patient. Refer to physician.
30. *** Patient with history of slow-growing mandible for 10 years, this is
indicative of...: Hyper Pituitarism.
31. ** Patient with history of weight gain, deepening voice, dry skin:
hypothyroidism
hashimoto's- autoimmunethyroiditis.
32. exophthalmos is a sign of: Bulging eyes.
ANSWERS PROFESSOR VERIFIED
1. Immunosuppresant drug used in Transplant Patients that causes
Gingival Hyperplasia: Cyclosporine
2. How is Perio disease related to diabetes?: Glucose levels are increased.
3. Cause for cement failure?: increased SOLUBILITY of the cement
4. Before trimming teeth on a stone cast for an immediate denture, you
must first...: mark a line 3 mm above the free gingival margin.
5. ** Which analgesic(s) is safe for a Patient with kidney disease?: Tylenol
(acetaminophen) ONLY.
NOT NSAIDS OR ASPIRIN
6. ** For Patients on dialysis, where do you take their blood pressure?: On
the arm opposite of the shunt.
7. How do you prevent syncope?: Trendlenburg position.
(feet higher than head)
8. How do you treat syncope if breathing?
,How do you treat syncope if not breathing?: Place the patient in the
trendlenburg position. (flat/feet higher than head)
If breathing? Use crushed ammonia under nose and pure oxygen.
Not breathing? start BLS.
9. Treatment of a child with Fibrous Dysplasia?: for kids, prolong surgical
intervention as long as possible.
some lesions will stabilize & some lesions will grown. Only surgically remove if
esthetics are a concern.
*Note: Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous)
tissue develops in place of normal bone. This can weaken the affected bone &
cause deformations or fractures.
*Radiographic appearance: orange peel if late stage.
10. ** Treatment of barbiturate allergic reaction.: antihistamine (synergic
reaction to barbituate) ** look at this.
11. **Can you treat a patient who had Hepatitis A, one year ago?: yes. they
can be treated "1 week after having jaundice" -- the exam referred to it as
jaundice.
12. At what intervals are intermediate dentures evaluated?: 24- hrs.
72- hrs.
1 week
1 month
Every 3 months
13. **How long to keep a dressing on after periodontal treatment?: Pack is
kept in for 1 week after surgery.
,14. TX for Primary herpetic gingivostomatitis?: Palliative only - you only treat
for fever and pain.
15. Eagles Syndrome symptoms: Pain while swallowing, turning head, or
mouth opening. may include dysphagia, dysphonia, otalgia, headaches, dizziness.
* The elongation of styloid process// mineralization of the stylohyoid ligament.
16. ** Epinepherine//vasoconstrictors are contraindicated in patients with
____________. They would exacerbate the symptoms.: hyperthyroid - My
exam asked which anesthetic to use on someone with hyperthyroid patients. **
17. ** "Opalescent hue": dentinogenesis imperfecta -- my exam showed a pic of
eyes (blue sclera) and stated this patient had brittle bones. this exam
intertwines osteogenesis imperfecta with DI, I think. OI was not an option.
18. Radiographic findings of Dentinogenesis Imperfecta.: Bulbous crowns.
Obliterated canals & Pulp chambers.
Cervical Constrictions
19. amelogenesis imperfecta heredity: dominant/recessive/x-linked.
20. ** hypomaturation amelogenesis imperfecta manifests clinically as....
showed an image but it wasn't quite textbook: "Snowcapped" Pattern. Showed
an image.
this is due to the matrix not forming well. crystals are weird.
21. hypoPLASTIC amelogenesis imperfecta manifests clinically as...: a
generalized/localized pitted pattern on enamel typically. can be
smooth/pitted/or rough.
can be AD, AR, X-linked.
, 22. Best TX for tetracycline stain: Veneers.
23. ** Facial reduction for a PFM crown?: 1.5 mm.
(( 1.0-1.5 mm))
* This is the same for lingual reduction*
24. ** If a Traumatic ulcer is formed after extraction. What is the treatment?: -
Observe// Re-evaluate (2 weeks)
25. ***Patient with tenderness anterior to ear lobe?: Inflammed Stenson's duct
(Parotid duct). *** asked about this MANY TIMES
26. ***After SRP, a patient notices more spaces between teeth. why?:
decreased swelling of the gingiva.
27. Radiograph with herringbone effect. Why?: film was placed backwards.
"a reverse exposure of x-ray film"
28. film that requires least amount of radiation?: e-speed.
d-slowest-"dumb"
e & f = fastest.
29. How much epi can be given to a patient with BP of 160/110?: None. Don't
treat this patient. Refer to physician.
30. *** Patient with history of slow-growing mandible for 10 years, this is
indicative of...: Hyper Pituitarism.
31. ** Patient with history of weight gain, deepening voice, dry skin:
hypothyroidism
hashimoto's- autoimmunethyroiditis.
32. exophthalmos is a sign of: Bulging eyes.
