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Exam (elaborations)

OSCE – dental Exam Questions and Answers (Most Recent Version, Complete Study Material).

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OSCE – dental Exam Questions and Answers (Most Recent Version, Complete Study Material).

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OSCE – dental Exam Questions and
Answers (Most Recent Version, Complete
Study Material)
Order to put PPE on - Correct Answers ✅1. wash hands
2.Mask and visor
4.Apron
5.gel
6. Gloves


Basic extraction skills station - recommended approach -
Correct Answers ✅1. PPE - wash hands, mask and visor,
gel, then apron, gel, gloves (must use correct order)
2. Select correct forceps for tooth AND handedness
3. Patient positioning
4. Operator positioning
5. Hold forceps correctly - from underneath and curve of
handle resting in palm of hand
6. Apply forceps correctly - blades applied bucco-lingually
into gingival crevice, vertically down long axis of tooth (beak
to cheek)
7. Remove fingers from between handles
8. Position supporting hand correctly
9. Use correct movement for forceps
10. Extract correct tooth

,OSCE – dental Exam Questions and
Answers (Most Recent Version, Complete
Study Material)
Patient position for extractions - Correct Answers ✅Upper -
head between elbow and shoulder, patient at 60% back to
upright
Lowers - head at elbow height, patient sat straight up


Operator position for extractions - Correct Answers
✅"lower right your in the shite" e.g. LRQ behind patient, all
others in front.


Extra-oral examination station - recommended approach: -
Correct Answers ✅1. PPE
2. Introduction to patient and explanation of procedure
3. Oral history - ask patient if they have experienced any
pain/swelling around the head/neck
4. Visual inspection - soft tissue lesions (face, vermillion
border, perioral), signs of ill health, symmetry (in front,
behind and above patient)
5. Muscles of mastication - looking for tenderness or spasm -
bilateral palpation of masseter and temporalis
6. Lymph nodes - state each as you progress
7. TMJ and mandibular opening - extent of opening, any
deviations on opening/closing, check TMJ for clicks/crepitus,
any pain?
8. Other facial features - assess eyes/ears/neck
(changes/scars/swelling)

,OSCE – dental Exam Questions and
Answers (Most Recent Version, Complete
Study Material)

Lymph node examination - Correct Answers ✅Submental
and submandibular lymph nodes
Pre-auricular and post-auricular lymph nodes
Occipital lymph nodes
Cervical lymph nodes around the sternocleidomastoid muscle


Local anaesthesia prior to UL6 extraction station -
recommended approach - Correct Answers ✅1. PPE
2. Equipment preparation:
- select correct needle - for infiltration, short needle
- LA cartridge - assess for expiry date, air bubbles, sealed
cartridge
- assembly of needle, syringe, cartridge
3. Topical LA application - gel onto cotton wool roll, indicate
where you will apply it
4. Correct positioning of operator and patient
5. Buccal infiltration:
- retract buccal tissue
- insert needle into gingiva at distal aspect of UL6 approx
5mm, down long axis of tooth
- aspirate
- inject slowly approx. 1/2 cartridge and withdraw

, OSCE – dental Exam Questions and
Answers (Most Recent Version, Complete
Study Material)
6. Palatal infiltration:
- halfway between midline and gingival margin UL6 of LHS
palate = injection site
- aspirate
- deposit solution in appropriate position - look for blanching
of palatal tissues
7. Disposal for equipment - double click needle, remove
syringe, throw cartridge and syringe into sharps bin


Inferior alveolar block anaesthesia station - recommended
approach - Correct Answers ✅1. PPE
2. Choose long needle - yellow
3. Check lidocaine cartridge for batch number and expiry
date, any bubbles, cracks, etc. - explain you would note BN
and EXP in patient notes
4. Set up syringe correctly
5. Topical LA application - explanation of use
6. Place chair in supine position, position head to allow good
visualisation, use light!
7. Locate landmarks
8. Do injection - technique
9. Disposal of equipment - double click syringe, place into
sharps bin with cartridge
10. Explain which tissues are anaesthetised

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