Dental OSCE questions and answers well illustrated.

Dental OSCE questions and answers well illustrated. Immunosuppresant drug used in Transplant Patients that causes Gingival Hyperplasia - correct answers.Cyclosporine How is Perio disease related to diabetes? - correct answers.Glucose levels are increased. Cause for cement failure? - correct ased SOLUBILITY of the cement Before trimming teeth on a stone cast for an immediate denture, you must first... - correct a line 3 mm above the free gingival margin. ** Which analgesic(s) is safe for a Patient with kidney disease? - correct answers.Tylenol (acetaminophen) ONLY. NOT NSAIDS OR ASPIRIN ** For Patients on dialysis, where do you take their blood pressure? - correct answers.On the arm opposite of the shunt. How do you prevent syncope? - correct answers.Trendlenburg position. (feet higher than head) How do you treat syncope if breathing? How do you treat syncope if not breathing? - correct answers.Place the patient in the trendlenburg position. (flat/feet higher than head) If breathing? Use crushed ammonia under nose and pure oxygen. Not breathing? start BLS. Treatment of a child with Fibrous Dysplasia? - correct kids, prolong surgical intervention as long as possible. some lesions will stabilize & some lesions will grown. Only surgically remove if esthetics are a concern. *Note: Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous) tissue develops in place of normal bone. This can weaken the affected bone & cause deformations or fractures. *Radiographic appearance: orange peel if late stage. ** Treatment of barbiturate allergic reaction. - correct istamine (synergic reaction to barbituate) ** look at this. **Can you treat a patient who had Hepatitis A, one year ago? - correct . they can be treated "1 week after having jaundice" -- the exam referred to it as jaundice. At what intervals are intermediate dentures evaluated? - correct answers.24- hrs. 72- hrs. 1 week 1 month Every 3 months **How long to keep a dressing on after periodontal treatment? - correct answers.Pack is kept in for 1 week after surgery. TX for Primary herpetic gingivostomatitis? - correct answers.Palliative only - you only treat for fever and pain. Eagles Syndrome symptoms - correct answers.Pain while swallowing, turning head, or mouth opening. may include dysphagia, dysphonia, otalgia, headaches, dizziness. * The elongation of styloid process// mineralization of the stylohyoid ligament. ** Epinepherine//vasoconstrictors are contraindicated in patients with ____________. They would exacerbate the symptoms. - correct thyroid - My exam asked which anesthetic to use on someone with hyperthyroid patients. ** ** "Opalescent hue" - correct nogenesis imperfecta -- my exam showed a pic of eyes (blue sclera) and stated this patient had brittle bones. this exam intertwines osteogenesis imperfecta with DI, I think. OI was not an option. Radiographic findings of Dentinogenesis Imperfecta. - correct answers.Bulbous crowns. Obliterated canals & Pulp chambers. Cervical Constrictions amelogenesis imperfecta heredity - correct ant/recessive/x-linked. ** hypomaturation amelogenesis imperfecta manifests clinically as.... showed an image but it wasn't quite textbook - correct answers."Snowcapped" Pattern. Showed an image. this is due to the matrix not forming well. crystals are weird. hypoPLASTIC amelogenesis imperfecta manifests clinically as... - correct answers.a generalized/localized pitted pattern on enamel typically. can be smooth/pitted/or rough. can be AD, AR, X-linked. Best TX for tetracycline stain - correct answers.Veneers. ** Facial reduction for a PFM crown? - correct answers.1.5 mm. (( 1.0-1.5 mm)) * This is the same for lingual reduction* ** If a Traumatic ulcer is formed after extraction. What is the treatment? - correct answers.Observe// Re-evaluate (2 weeks) ***Patient with tenderness anterior to ear lobe? - correct answers.Inflammed Stenson's duct (Parotid duct). *** asked about this MANY TIMES ***After SRP, a patient notices more spaces between teeth. why? - correct ased swelling of the gingiva. Radiograph with herringbone effect. Why? - correct was placed backwards. "a reverse exposure of x-ray film" film that requires least amount of radiation? - correct answers.e-speed. d-slowest-"dumb" e & f = fastest. How much epi can be given to a patient with BP of 160/110? - correct answers.None. Don't treat this patient. Refer to physician. *** Patient with history of slow-growing mandible for 10 years, this is indicative of... - correct answers.Hyper Pituitarism. ** Patient with history of weight gain, deepening voice, dry skin - correct hyroidism hashimoto's- autoimmunethyroiditis. exophthalmos is a sign of - correct answers.Bulging eyes. Graves disease -- hypERthyroidism. Patient with diffuse pigmentation on the FOM & Ventral of tongue - correct on's disease hypOadrenalism TX of Addison's (or of adrenal crisis)? - correct answers.Corticosteroid replacement therapy. 3 uses of Corticosteroids? - correct answers.1. Anti-inflammatory: for allergic rxns like swelling, redness, arthritis, asthma, 2. Autoimmune 3. Adrenal crisis. also -- SLE or lichen plans. ** recurrent ulcers that heal with scarring** - correct apthous ulcers -- if SCARRING is mentioned *** Treatment of major apthous ulcers - correct costeroids. *when in doubt always choose corticosteroids* Supernumerary teeth disease: if clavicles are present? if clavicles not present? - correct answers.Gardners- with clavicles. Cleidocranial dysplasia - without clavicles. Best type of denture teeth to oppose natural dentition? - correct ic. 14 y.o. with inflamed gingiva - correct mia -- but will determine this from the CBC #'s they give. Ideal amount of undercut required for a circumferential clasp - correct answers.0.01 inch. Treatment of an extra-oral abscess which is non-odontogenic in origin? - correct compress ** showed an image and asked the tx of ranula? - correct cal removal (excision) tx of mucocele - correct cal removal Patients with no hair or teeth - correct ermal dysplasia ** (showed image) tx for geographic tongue - correct . if pain exists - corticosteroids Be able to identify varicose in tongues. Is this normal? - correct answers.This is a normal sign of aging and they're normally seen on the ventral and lateral surfaces of the tongue *** Patient has a short crown. Which cement is best? - correct answers.Resin cement *** ** How often is an autoclave checked? - correct answers.1x/week ** Reason sealants fail - correct mination *** my exam asked about composite failure and asked In the form of "micro leakage" tx of candidiasis - correct answers.Nystatin