Dental Hygiene OSCE
Normal Blood Pressure - ANSless than 120/80
Elevated Blood Pressure - ANS120-129/<80
Stage 1 Hypertension - ANS130-139/80-89
Stage 11 Hypertension - ANS140+/90+
Hypertensive Crisis - ANS180+/120+
Normal HbA1c - ANSLower than 5.7% (4%-5.6%)
Hyperglycemia - ANSBlood sugar higher than 130 mg/dl fasting or higher than 180 mg/dl after a
meal.
Hypoglycemia - ANSBlood sugar lower than 70 mg/dl
What is insulin shock? - ANSExtreme hypoglycemia
What appointment modification can be made for diabetics? - ANSSchedule AM appointments
after the patient has had a meal.
What are signs of hypoglycemia? - ANSMild-moderate: dizziness, moodiness, headaches,
hunger, shakiness, sweating, confusion, rapid heartbeat.
Extreme: fainting, unconsciousness, seizures, coma.
Caused by skipping meals, use of insulin or diabetes medication, unusual physical activity, or
excessive alcohol consumption.
Management of hypoglycemia - ANSGlucose tablet, juice, candy or food with sugar.
What are signs of hyperglycemia? - ANSNausea, confusion, thirst, shortness of breath, fruity
(ketone) breath, fatigue, frequent urination.
Management of hyperglycemia - ANSRemind patient to take medication
What is a normal body temperature? - ANSAdult: 97-99 degrees (ideal is 98.6 degrees)
What is a normal pulse rate? - ANSAdult: 60-100 BPM
Child: 80-100 BPM
Infant: 100-160 BPM
, *Taken at lateral or ventral aspect of the wrist or brachial Avery (depression at the
bend/antecubital fossa) at the elbow
Normal Respiration Rates - ANSAdults: 12-20 BPM
Child: 18-22 BPM
*Allow patient to rest 5 minutes before recording
What is Bradypnea? - ANSSlow respiratory rate
What is Tachypnea? - ANSRapid respiratory rate.
What is Oraquix? - ANSAn Amide made of Lidocaine & Prilocaine. Applied in the sulcus and
takes approx 30 second to take effect. 15-20 Duration. Maximum of 5 carpules.
Basic Life Support - ANSAlways check vitals before emergency call
-No Response: call emergency and get AED
-No Breath: tilt head, 10-12 rescue breaths per min.
-No Pulse: Compressions+breaths. 100-120 compressions per minute 2 inches deep.
Mild Allergy Management - ANS-Administer Benadryl (aka diphenhydramine-antibistanine)
-Keep supine
-Oxygen as needed
Anaphylaxis Management - ANS-Epinephrine: .2-.5 for adults, .01 for kids
2-3 times as needed @ 10-15 minute intervals
-Call emergency is recovery isn't quick
-Supplemental oxygen
What are signs of an allergic reaction? - ANSHives, hypotension/dilated blood vessels, swelling,
and shock in severe cases.
What drugs cause prolonged gingival bleeding? - ANSWarfarin, Plavix, Coumadin, Clopidogrel,
NSAIDS
What is COPD? - ANSA lung disease that blocks airflow. Patients may have candidiasis &
xerostomia from inhaler (recommended that they rinse with water after use).
Contraindications: Ultrasonic or air polishers. No nitrous. Do not sit supine (pt may need oxygen
supplement).
What are 3 common drugs that cause gingival enlargement? - ANS-Cyclosporine
(sandimmune-anti organ rejection)
-Calcium Channel Blockers including Nifedipine-procardia or Amlodipine (anti-hypertensives)
-Phenytoin or Dilantin (anti-seizure)
Normal Blood Pressure - ANSless than 120/80
Elevated Blood Pressure - ANS120-129/<80
Stage 1 Hypertension - ANS130-139/80-89
Stage 11 Hypertension - ANS140+/90+
Hypertensive Crisis - ANS180+/120+
Normal HbA1c - ANSLower than 5.7% (4%-5.6%)
Hyperglycemia - ANSBlood sugar higher than 130 mg/dl fasting or higher than 180 mg/dl after a
meal.
Hypoglycemia - ANSBlood sugar lower than 70 mg/dl
What is insulin shock? - ANSExtreme hypoglycemia
What appointment modification can be made for diabetics? - ANSSchedule AM appointments
after the patient has had a meal.
What are signs of hypoglycemia? - ANSMild-moderate: dizziness, moodiness, headaches,
hunger, shakiness, sweating, confusion, rapid heartbeat.
Extreme: fainting, unconsciousness, seizures, coma.
Caused by skipping meals, use of insulin or diabetes medication, unusual physical activity, or
excessive alcohol consumption.
Management of hypoglycemia - ANSGlucose tablet, juice, candy or food with sugar.
What are signs of hyperglycemia? - ANSNausea, confusion, thirst, shortness of breath, fruity
(ketone) breath, fatigue, frequent urination.
Management of hyperglycemia - ANSRemind patient to take medication
What is a normal body temperature? - ANSAdult: 97-99 degrees (ideal is 98.6 degrees)
What is a normal pulse rate? - ANSAdult: 60-100 BPM
Child: 80-100 BPM
Infant: 100-160 BPM
, *Taken at lateral or ventral aspect of the wrist or brachial Avery (depression at the
bend/antecubital fossa) at the elbow
Normal Respiration Rates - ANSAdults: 12-20 BPM
Child: 18-22 BPM
*Allow patient to rest 5 minutes before recording
What is Bradypnea? - ANSSlow respiratory rate
What is Tachypnea? - ANSRapid respiratory rate.
What is Oraquix? - ANSAn Amide made of Lidocaine & Prilocaine. Applied in the sulcus and
takes approx 30 second to take effect. 15-20 Duration. Maximum of 5 carpules.
Basic Life Support - ANSAlways check vitals before emergency call
-No Response: call emergency and get AED
-No Breath: tilt head, 10-12 rescue breaths per min.
-No Pulse: Compressions+breaths. 100-120 compressions per minute 2 inches deep.
Mild Allergy Management - ANS-Administer Benadryl (aka diphenhydramine-antibistanine)
-Keep supine
-Oxygen as needed
Anaphylaxis Management - ANS-Epinephrine: .2-.5 for adults, .01 for kids
2-3 times as needed @ 10-15 minute intervals
-Call emergency is recovery isn't quick
-Supplemental oxygen
What are signs of an allergic reaction? - ANSHives, hypotension/dilated blood vessels, swelling,
and shock in severe cases.
What drugs cause prolonged gingival bleeding? - ANSWarfarin, Plavix, Coumadin, Clopidogrel,
NSAIDS
What is COPD? - ANSA lung disease that blocks airflow. Patients may have candidiasis &
xerostomia from inhaler (recommended that they rinse with water after use).
Contraindications: Ultrasonic or air polishers. No nitrous. Do not sit supine (pt may need oxygen
supplement).
What are 3 common drugs that cause gingival enlargement? - ANS-Cyclosporine
(sandimmune-anti organ rejection)
-Calcium Channel Blockers including Nifedipine-procardia or Amlodipine (anti-hypertensives)
-Phenytoin or Dilantin (anti-seizure)
