DSE OSCE COMPREHENSIVE TEST BANK FINAL EXAM ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS/
VERIFIED ANSWERS (100% CORRECTLY SOLVED) GRADED A+ /
NEWEST VERSION!!
[According to limited data, infective endocarditis appears to be more
common in heart transplant recipients than in the general population;
the risk of infective endocarditis is highest in the first 6 months after
transplant because of endothelial disruption, high-intensity
immunosuppressive therapy, frequent central venous catheter access,
and frequent endomyocardial biopsies] ......ANSWER......Pre-Med
required for?
b ......ANSWER......5 month old preggers with rheumatic fever and heart
murmer: pre med?
a. yes
b. no
(remembered)
place her in trundelburg position.
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- supine hypotension in 3rd trimester usually occurs (bc compression Inf
vena cava) => must prevent this in dental chair bc it can cause patient to
pass out.
- Best preventative treatment for supine hypotension is to turn the
patient, prefera-bly 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. ......ANSWER......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)?
(remembered)
conservative debridement is what other person answered.
- pregnancy gingivitis: It is SO important to do ScRP (and stress good
oral hygeine) to prevent plaque growth. The plaque can enter blood
stream and stimuate patient's immune system to produce
prostaglandins, which can trigger uterine contraction leading to early
labor, premature birth, and a small baby. ......ANSWER......6 months
pregnant had bleeding gums and mobile teeth? How should they be
treated?
(remembered)
chronic perio
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- increased incidence of periodontal disease during pregnancy => must
emphasize good oral hygiene, and remove all their plaque so it doesn't
lead to premature birth / small baby. ......ANSWER......Pregnant lady
with a diastema in between #8 and #9 with deep probing depth and
class 1 mobility on 8 and 9. What is the reason for diastema?
(remembered)
Patient ingested tetracycline when they were between 0 and 5 years old
......ANSWER......Permanent dentition with tetracycline staining, when
did this happen?
(remembered)
barbiturates - Both pentobarbital (Nembutal) and secobarbital (Seconal)
are used primarily on the evening before the dental appointment.
......ANSWER......• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs?
Benadryl -> if its a mild-moderate allergy.
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- When a patient experiences a milder form of anaphylactic reaction,
the drug or prepara- tion that caused a reaction is discontinued and the
patient is given diphenhydramine (Benadryl), 25-50 mg/tablet PO q6h
for 48-72 hr. ......ANSWER......Barbiturates - how should an allergic
reaction be treated?
(remembered)
duration and dosage.
- "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. ......ANSWER......Steroids - whats most important information
you need to get from your patient when you find out they are on
steroids.. before even thinking about treating them?
(remembered)
b ......ANSWER......Patients _____ is the most important thing for
calculating medication dosage for a child.