DSE OSCE Test Questions and Answers Graded A+
41-yo woman, pregnant; prev rheumatic fever with heart
murmur (no valvular abnormality); allergy to penicillin.
yes
Positive history of infective endocarditis. Does she need
- on my exam, this patient had a previous history of infec-
to pre med?
tive endocarditis. Pre-med IS indicated
- yes
- no
*clarithromycin*
Pre-med options for pregnant woman w/hx of infective
I may not be correct, the correct option may be cephalex-
endocarditis and penicillin allergy
in. however I chose clarithromycin due to penicillin
- amoxicillin
allergy, cross reaction with cephalosporins, and since
- cephalexin
clindamycin/erythromycin/azthromycin were not options.
- clarithromycin
Ciproflaxacin is contraindicated in pregnancy. article for
- ciproflaxacin
reference
*occlusal restoration*
What procedure can a dentist perform without consulting
although the main HELL NO is extraction, completing endo
MD if a patient is currently taking bisphosphonates?
therapy increases risk if the apex is compromised/dam-
- endo therapy
aged during therapy. I teetered on prophy and scaling,
- prophy and scaling
but since it did not specify supragingival, decided that the
- extraction
risk of scaling can negatively attect the periosteum of a
- occlusal restoration
bisphosphanate patient. ADA recommendations:
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 her in Trendelburg position
- place in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup
6 months pregnant had bleeding gums and mobile teeth, conservative debridement
how should they be treated? .- pregnancy gingivitis: important to do ScRP (and stress
- immediate extractions good oral hygiene) to prevent plaque growth. The plaque
, DSE OSCE Test Questions and Answers Graded A+
can enter blood stream and stimulate patient's immune
- do not treat until baby is born
system to produce prostaglandins, which can trigger uter-
- conservative debridement
ine contraction leading to early labor, premature birth, and
- immediate endo
a small baby.
Pregnant lady with a diastema in between #8 and #9 with
chronic perio
deep probing depth and class 1 mobility on 8 and 9. What
- increased incidence of periodontal disease during preg-
is the reason for diastema?
nancy => must emphasize good oral hygiene, and remove
- chronic periodontitis
all their plaque so it doesn't lead to premature birth / low
- distal drift
birth weight
- normal during pregnancy
Permanent staining as a result of tetracyline; did this hap-
pen?
age 0-5 years
- During development (as fetus)
- remember that PERMANENT dentition does not begin
- 0-5yrs
calcification until birth
- 5-10 yrs
- 10-15 yrs
Pentobarbital (Nembutal) and Secobarbital (Seconal) are
what type of drugs?
- benzodiazepines barbituates
- NSAIDS - used primarily evening BEFORE appointment
- barbituates
- atypical antipsychotic
A patient has an allergic reaction to a barbiturate, how do
you treat?
- epinephrine benadryl (diphenhydramine)
- diphenhydramine
- send to ER
*dose and duration*
A patient is on a steroidal medication. What information
- "The rule of twos": Ask whether the patient is currently
do you need to obtain before treating them?
on steroids or has been on corticosteroids for 2 weeks or
, - dose and pharmacy that filled the RX longer within the past 2 years. You must go back 2 years
- duration of prescription in the history because it can take 2 weeks to 2 years for
- both dose and duration the adrenal glands to bounce back to normal function.
What is the most important factor when calculation med-
ication dosage for a child
- age
weight
- weight
- gender
- height
A patient is confirmed to have trisomy 21. What are you
congenital heart defects
initially concerned about?
Consider cardiac status and posibility of pre-medication:
- congenital heart defect
- atrioventricular septal defect, patent ductus arteriosus,
- Cushings
Tetralogy of Fallot
- cerebrovascular accident
Are they on anticoagulants
A patient has recently had a stroke. What is your first - Stroke patients could be on blood thinners, such as
concern? aspirin, dipyradamole (Persan- tine), clopidogrol (Plavix),
- when was their last cleaning or Coumadin, postrecovery. Prior to major surgery, always
- are they on anticoagulants consult with the patient's physician to determine whether
- current blood pressure and when the blood thinners can be stopped and subse-
quently restarted.
Bronchoconstriction
- Anaphyalxis: intense itching, hives, flushing over the
What is the main symptom that ditterentiates anaphylaxis
face and chest. Rhinitis, conjunctivitis, nausea, vomiting,
from syncope?
abdominal cramps, and perspiration. Palpitation, tachy-
- bronchoconstriction
cardia, sub- sternal tightness, coughing, wheezing, and
- clammy skin and pallor
dyspnea. BP drops rapidly and loss of consciousness or
- nausea, vomiting
cardiac arrest can occur in severe cases.
-Syncope: fight or flight response. Anxiety, tachycardia,
, perspiration, light-headedness, and blurred vision are
commonly experienced.
The Enzyme Linked Immune Absorbent Assay (ELISA) Test
- a negative response for a person who had needle stick
*the patient does not have HIV antibodies*
means what?
- consider that false negatives are a thing, life happens.
- the patient definitely has an HIV infection
We cannot definitively say they do not have HIV,but we can
- the patient has antibodies to HIV-1 present
say that no Ab were detected.
- the patient definitely does not have an HIV infection
- the patient has no antibodies to HIV-1 present.
14 year old presents with inflamed gingiva. Bloodwork
indicates abnormal RBC, WBC, and platelets. Diagnosis? leukemia
- normal 14 year old -high WBC, lymphadenopathy, painful gingiva. Don't for-
- hypothyroidism get that WBC can be elevated OR decreased in leukemia!
- leukemia Gingival hypertrophy is a common sign/symptom
- anemia
Stem indicates patient has recently taken medications,
which one likely caused the rash present on their arm?
- Acetamiophen Penicillin allergy
- Barbituates - hives is a common response to penicillin allergies
- Penicillin
- diphenhydramine
"CDC"
Calcium channel blockers (amlodipine, nifedipine)
Name the drugs that induce gingival hyperplasia
Dilantin (anticonvulsants)
Cyclosporines
Drugs that may have increased chance of periodontal
destruction
Amlodipine (Ca Channel Blocker)
- "-statin"
- "-olol"
41-yo woman, pregnant; prev rheumatic fever with heart
murmur (no valvular abnormality); allergy to penicillin.
yes
Positive history of infective endocarditis. Does she need
- on my exam, this patient had a previous history of infec-
to pre med?
tive endocarditis. Pre-med IS indicated
- yes
- no
*clarithromycin*
Pre-med options for pregnant woman w/hx of infective
I may not be correct, the correct option may be cephalex-
endocarditis and penicillin allergy
in. however I chose clarithromycin due to penicillin
- amoxicillin
allergy, cross reaction with cephalosporins, and since
- cephalexin
clindamycin/erythromycin/azthromycin were not options.
- clarithromycin
Ciproflaxacin is contraindicated in pregnancy. article for
- ciproflaxacin
reference
*occlusal restoration*
What procedure can a dentist perform without consulting
although the main HELL NO is extraction, completing endo
MD if a patient is currently taking bisphosphonates?
therapy increases risk if the apex is compromised/dam-
- endo therapy
aged during therapy. I teetered on prophy and scaling,
- prophy and scaling
but since it did not specify supragingival, decided that the
- extraction
risk of scaling can negatively attect the periosteum of a
- occlusal restoration
bisphosphanate patient. ADA recommendations:
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 her in Trendelburg position
- place in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup
6 months pregnant had bleeding gums and mobile teeth, conservative debridement
how should they be treated? .- pregnancy gingivitis: important to do ScRP (and stress
- immediate extractions good oral hygiene) to prevent plaque growth. The plaque
, DSE OSCE Test Questions and Answers Graded A+
can enter blood stream and stimulate patient's immune
- do not treat until baby is born
system to produce prostaglandins, which can trigger uter-
- conservative debridement
ine contraction leading to early labor, premature birth, and
- immediate endo
a small baby.
Pregnant lady with a diastema in between #8 and #9 with
chronic perio
deep probing depth and class 1 mobility on 8 and 9. What
- increased incidence of periodontal disease during preg-
is the reason for diastema?
nancy => must emphasize good oral hygiene, and remove
- chronic periodontitis
all their plaque so it doesn't lead to premature birth / low
- distal drift
birth weight
- normal during pregnancy
Permanent staining as a result of tetracyline; did this hap-
pen?
age 0-5 years
- During development (as fetus)
- remember that PERMANENT dentition does not begin
- 0-5yrs
calcification until birth
- 5-10 yrs
- 10-15 yrs
Pentobarbital (Nembutal) and Secobarbital (Seconal) are
what type of drugs?
- benzodiazepines barbituates
- NSAIDS - used primarily evening BEFORE appointment
- barbituates
- atypical antipsychotic
A patient has an allergic reaction to a barbiturate, how do
you treat?
- epinephrine benadryl (diphenhydramine)
- diphenhydramine
- send to ER
*dose and duration*
A patient is on a steroidal medication. What information
- "The rule of twos": Ask whether the patient is currently
do you need to obtain before treating them?
on steroids or has been on corticosteroids for 2 weeks or
, - dose and pharmacy that filled the RX longer within the past 2 years. You must go back 2 years
- duration of prescription in the history because it can take 2 weeks to 2 years for
- both dose and duration the adrenal glands to bounce back to normal function.
What is the most important factor when calculation med-
ication dosage for a child
- age
weight
- weight
- gender
- height
A patient is confirmed to have trisomy 21. What are you
congenital heart defects
initially concerned about?
Consider cardiac status and posibility of pre-medication:
- congenital heart defect
- atrioventricular septal defect, patent ductus arteriosus,
- Cushings
Tetralogy of Fallot
- cerebrovascular accident
Are they on anticoagulants
A patient has recently had a stroke. What is your first - Stroke patients could be on blood thinners, such as
concern? aspirin, dipyradamole (Persan- tine), clopidogrol (Plavix),
- when was their last cleaning or Coumadin, postrecovery. Prior to major surgery, always
- are they on anticoagulants consult with the patient's physician to determine whether
- current blood pressure and when the blood thinners can be stopped and subse-
quently restarted.
Bronchoconstriction
- Anaphyalxis: intense itching, hives, flushing over the
What is the main symptom that ditterentiates anaphylaxis
face and chest. Rhinitis, conjunctivitis, nausea, vomiting,
from syncope?
abdominal cramps, and perspiration. Palpitation, tachy-
- bronchoconstriction
cardia, sub- sternal tightness, coughing, wheezing, and
- clammy skin and pallor
dyspnea. BP drops rapidly and loss of consciousness or
- nausea, vomiting
cardiac arrest can occur in severe cases.
-Syncope: fight or flight response. Anxiety, tachycardia,
, perspiration, light-headedness, and blurred vision are
commonly experienced.
The Enzyme Linked Immune Absorbent Assay (ELISA) Test
- a negative response for a person who had needle stick
*the patient does not have HIV antibodies*
means what?
- consider that false negatives are a thing, life happens.
- the patient definitely has an HIV infection
We cannot definitively say they do not have HIV,but we can
- the patient has antibodies to HIV-1 present
say that no Ab were detected.
- the patient definitely does not have an HIV infection
- the patient has no antibodies to HIV-1 present.
14 year old presents with inflamed gingiva. Bloodwork
indicates abnormal RBC, WBC, and platelets. Diagnosis? leukemia
- normal 14 year old -high WBC, lymphadenopathy, painful gingiva. Don't for-
- hypothyroidism get that WBC can be elevated OR decreased in leukemia!
- leukemia Gingival hypertrophy is a common sign/symptom
- anemia
Stem indicates patient has recently taken medications,
which one likely caused the rash present on their arm?
- Acetamiophen Penicillin allergy
- Barbituates - hives is a common response to penicillin allergies
- Penicillin
- diphenhydramine
"CDC"
Calcium channel blockers (amlodipine, nifedipine)
Name the drugs that induce gingival hyperplasia
Dilantin (anticonvulsants)
Cyclosporines
Drugs that may have increased chance of periodontal
destruction
Amlodipine (Ca Channel Blocker)
- "-statin"
- "-olol"
