DSE OSCE COMPREHENSIVE TEST BANK FINAL
EXAM 2026-2027 ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS/
VERIFIED ANSWERS (100% CORRECTLY
SOLVED) GRADED A+ / NEWEST VERSION!!
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:
,A patient is on a steroidal medication. What information do you
need to obtain before treating them?
- dose and pharmacy that filled the RX
- duration of prescription
- both dose and duration
*dose and duration*
- "The rule of twos": Ask whether the patient is currently on
steroids or has been on corticosteroids for 2 weeks or longer
within the past 2 years. You must go back 2 years in the
history because it can take 2 weeks to 2 years for the adrenal
glands to bounce back to normal function.
What is the most important factor when calculation medication
dosage for a child
- age
- weight
- gender
- height
weight
,A patient is confirmed to have trisomy 21. What are you initially
concerned about?
- congenital heart defect
- Cushings
- cerebrovascular accident
congenital heart defects
Consider cardiac status and posibility of pre-medication:
- atrioventricular septal defect, patent ductus arteriosus,
Tetralogy of Fallot
Drugs that may have increased chance of periodontal destruction
- "-statin"
- "-olol"
- "-ipril"
- "-ipine"
Amlodipine (Ca Channel Blocker)
, A patient has recently had a stroke. What is your first concern?
- when was their last cleaning
- are they on anticoagulants
- current blood pressure
Are they on anticoagulants
- Stroke patients could be on blood thinners, such as aspirin,
dipyradamole (Persan- tine), clopidogrol (Plavix), or
Coumadin, postrecovery. Prior to major surgery, always
consult with the patient's physician to determine whether and
when the blood thinners can be stopped and subsequently
restarted.
What is the main symptom that differentiates anaphylaxis from
syncope?
- bronchoconstriction
- clammy skin and pallor
- nausea, vomiting
Bronchoconstriction
- Anaphy alxis: intense itching, hives, flushing over the face and
chest. Rhinitis, conjunctivitis, nausea, vomiting, abdominal
cramps, and perspiration. Palpitation, tachycardia, sub- sternal
tightness, coughing, wheezing, and dyspnea. BP drops rapidly
and loss of consciousness or cardiac arrest can occur in
severe cases.
-Syncope: fight or flight response. Anxiety, tachycardia,
perspiration, light-headedness, and blurred vision are
commonly experienced.
EXAM 2026-2027 ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS/
VERIFIED ANSWERS (100% CORRECTLY
SOLVED) GRADED A+ / NEWEST VERSION!!
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:
,A patient is on a steroidal medication. What information do you
need to obtain before treating them?
- dose and pharmacy that filled the RX
- duration of prescription
- both dose and duration
*dose and duration*
- "The rule of twos": Ask whether the patient is currently on
steroids or has been on corticosteroids for 2 weeks or longer
within the past 2 years. You must go back 2 years in the
history because it can take 2 weeks to 2 years for the adrenal
glands to bounce back to normal function.
What is the most important factor when calculation medication
dosage for a child
- age
- weight
- gender
- height
weight
,A patient is confirmed to have trisomy 21. What are you initially
concerned about?
- congenital heart defect
- Cushings
- cerebrovascular accident
congenital heart defects
Consider cardiac status and posibility of pre-medication:
- atrioventricular septal defect, patent ductus arteriosus,
Tetralogy of Fallot
Drugs that may have increased chance of periodontal destruction
- "-statin"
- "-olol"
- "-ipril"
- "-ipine"
Amlodipine (Ca Channel Blocker)
, A patient has recently had a stroke. What is your first concern?
- when was their last cleaning
- are they on anticoagulants
- current blood pressure
Are they on anticoagulants
- Stroke patients could be on blood thinners, such as aspirin,
dipyradamole (Persan- tine), clopidogrol (Plavix), or
Coumadin, postrecovery. Prior to major surgery, always
consult with the patient's physician to determine whether and
when the blood thinners can be stopped and subsequently
restarted.
What is the main symptom that differentiates anaphylaxis from
syncope?
- bronchoconstriction
- clammy skin and pallor
- nausea, vomiting
Bronchoconstriction
- Anaphy alxis: intense itching, hives, flushing over the face and
chest. Rhinitis, conjunctivitis, nausea, vomiting, abdominal
cramps, and perspiration. Palpitation, tachycardia, sub- sternal
tightness, coughing, wheezing, and dyspnea. BP drops rapidly
and loss of consciousness or cardiac arrest can occur in
severe cases.
-Syncope: fight or flight response. Anxiety, tachycardia,
perspiration, light-headedness, and blurred vision are
commonly experienced.
