DSE OSCE 2026 Exam
Questions with 100% Correct
Answers | Latest Update
What are the ADA recommendations for when pre-med is required
(on 2024 exam) - ANSWER ✔✔- prosthetic cardiac valves, including
transcatheter-implanted prostheses and homografts
- prosthetic material used for cardiac valve repair, such as annuloplasty
rings and chords
- a history of infective endocarditis
- a cardiac transplanta with valve regurgitation due to a structurally
abnormal valve
- the following congenital (present from birth) heart disease
,--unrepaired cyanotic congenital heart disease, including palliative
shunts and conduits
--any repaired congenital heart defect with residual shunts or valvular
regurgitation at the site of or adjacent to the site of a prosthetic patch or
a prosthetic device
**ADA website**
https://www.ada.org/en/member-center/oral-health-topics/antibiotic-
prophylaxis
41-yo woman, pregnant; prev rheumatic fever with heart murmur (no
valvular abnormality); allergy to penicillin. Positive history of infective
endocarditis. Does she need to pre med?
- yes
- no
(on 2024 exam) - ANSWER ✔✔yes
- REVIEW HEALTH HISTORY - on my exam, this patient had a previous
history of infective endocarditis. Pre-med IS indicated
- many of the OSCE quizlets say no....
,Pre-med options for pregnant woman w/hx of infective endocarditis and
penicillin allergy
- amoxicillin
- cephalexin
- clarithromycin
- ciproflaxacin
(on 2024 exam) - ANSWER ✔✔*clarithromycin*
I may not be correct, the correct option may be cephalexin. however I
chose clarithromycin due to penicillin allergy, cross reaction with
cephalosporins, and since clindamycin/erythromycin/azthromycin were
not options. Ciproflaxacin is contraindicated in pregnancy. article for
reference https://www.parents.com/pregnancy/my-body/is-it-
safe/antibiotics-and-pregnancy/
What procedure can a dentist perform without consulting MD if a patient
is currently taking bisphosphonates?
- endo therapy
- prophy and scaling
- extraction
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, - occlusal restoration - ANSWER ✔✔*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:
http://www.centreoms.com/admin/storage/news/ADA%20Recommendati
ons%20for%20Treatment%20of%20Patients%20on%20Bisphosphon.pd
f
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 in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup
(on 2024 exam) - ANSWER ✔✔place her in Trendelburg position.
Questions with 100% Correct
Answers | Latest Update
What are the ADA recommendations for when pre-med is required
(on 2024 exam) - ANSWER ✔✔- prosthetic cardiac valves, including
transcatheter-implanted prostheses and homografts
- prosthetic material used for cardiac valve repair, such as annuloplasty
rings and chords
- a history of infective endocarditis
- a cardiac transplanta with valve regurgitation due to a structurally
abnormal valve
- the following congenital (present from birth) heart disease
,--unrepaired cyanotic congenital heart disease, including palliative
shunts and conduits
--any repaired congenital heart defect with residual shunts or valvular
regurgitation at the site of or adjacent to the site of a prosthetic patch or
a prosthetic device
**ADA website**
https://www.ada.org/en/member-center/oral-health-topics/antibiotic-
prophylaxis
41-yo woman, pregnant; prev rheumatic fever with heart murmur (no
valvular abnormality); allergy to penicillin. Positive history of infective
endocarditis. Does she need to pre med?
- yes
- no
(on 2024 exam) - ANSWER ✔✔yes
- REVIEW HEALTH HISTORY - on my exam, this patient had a previous
history of infective endocarditis. Pre-med IS indicated
- many of the OSCE quizlets say no....
,Pre-med options for pregnant woman w/hx of infective endocarditis and
penicillin allergy
- amoxicillin
- cephalexin
- clarithromycin
- ciproflaxacin
(on 2024 exam) - ANSWER ✔✔*clarithromycin*
I may not be correct, the correct option may be cephalexin. however I
chose clarithromycin due to penicillin allergy, cross reaction with
cephalosporins, and since clindamycin/erythromycin/azthromycin were
not options. Ciproflaxacin is contraindicated in pregnancy. article for
reference https://www.parents.com/pregnancy/my-body/is-it-
safe/antibiotics-and-pregnancy/
What procedure can a dentist perform without consulting MD if a patient
is currently taking bisphosphonates?
- endo therapy
- prophy and scaling
- extraction
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, - occlusal restoration - ANSWER ✔✔*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:
http://www.centreoms.com/admin/storage/news/ADA%20Recommendati
ons%20for%20Treatment%20of%20Patients%20on%20Bisphosphon.pd
f
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 in Trendelenburg
- make patient sit up straight
- tell them to suck it up buttercup
(on 2024 exam) - ANSWER ✔✔place her in Trendelburg position.
