Dental OSCE Exam

Dental OSCE Exam Immunosuppresant drug used in Transplant Patients that causes Gingival Hyperplasia - Cyclosporine How is Perio disease related to diabetes? - Glucose levels are increased. Cause for cement failure? - increased SOLUBILITY of the cement Before trimming teeth on a stone cast for an immediate denture, you must first... - mark a line 3 mm above the free gingival margin. ** Which analgesic(s) is safe for a Patient with kidney disease? - Tylenol (acetaminophen) ONLY. NOT NSAIDS OR ASPIRIN ** For Patients on dialysis, where do you take their blood pressure? - On the arm opposite of the shunt. How do you prevent syncope? - Trendlenburg position. (feet higher than head) How do you treat syncope if breathing? How do you treat syncope if not breathing? - 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? - for 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. - antihistamine (synergic reaction to barbituate) ** look at this. **** What is the sequence of tx for relining complete dentures that show wear? - build up posterior occlusion and then reline. Tx of HIV patients. - no invasive procedures, unless CD4 and platelets are in a good range. TX of lingual tonsils - salt water rinses. TX of angioedema? - antihistamines *** TX of ASYMPTOMATIC LICHEN PLANUS - None. Corticosteroids if symptomatic 2 very swollen tonsils (normal color) likely due to - VIRAL infection. TX of traumatic bone cyst - surgical exploration w/ curettage. tell are vital. cyst is scalloped around root apices. Who regulates eyewear protection for dentists? ***Who says to change gloves in between patients? - OSHA CDC*** best results for guided tissue regeneration - class 2 furcation What is a liver clot & how do you treat it? *I was asked about TX*** - ~ after period surgery these types of clots form, they rep the incomplete fibrin clotting & manifests as slowly developing, red-brown clot. Tx: remove the clot, irrigate, pressure, re-evaluate.*** I was asked about treatment. punched out RL in skull - Multiple myeloma When to use non-rigid connectors in FPDs - short spans, when preps are not parallel. when are semi-precision attachments used - When definite parallelism between abutments is not attainable w/conventional clasps Ibuprofen-using patient wakes up with a red patch, what test do you order? - platelet count **** Immature white blood cells **** - Leukemia What emergency may you expect of a Patient taking Prednisone? **** - Shock. Continues...