Diagnostic Skills Exam OSCE (DSE OSCE) – Questions and Answers Latest 2024/2025 | Graded A+

Diagnostic Skills Exam OSCE (DSE OSCE) – Questions and Answers Latest 2024/2025 | Graded A+. Pre-Med required for?: - Prosthetic heart valves, or prosthetic material used for cardiac valve repair. - Hx of infective endocarditis - cyonotic heart disease - valve regurgitation w. heart thingys (even if has transplant or was repaired already) [According to limited data, infective endocarditis appears to be more common in heart transplant recipients than in the general population; the risk of infective endocarditis is highest in the first 6 months after transplant because of endothelial disruption, high-intensity immunosuppressive therapy, frequent central venous catheter access, and frequent endomyocardial biopsies] 2. 5 month old preggers with rheumatic fever and heart murmer: pre med? Diagnostic Skills Exam OSCE (DSE OSCE) – Questions and Answers Latest 2024/2025 | Graded A+ 2 / 34 a. yes b. no (remembered): b 3. 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)? (remembered): place her in trundelburg position. - supine hypotension in 3rd trimester usually occurs (bc compression Inf vena cava) = must prevent this in dental chair bc it can cause patient to pass out. - Best preventative treatment for supine hypotension is to turn the patient, prefera-bly to the left side, to displace the uterus away from the inferior vena cava. The patient can also be placed in a sitting position with the knees flexed. 4. 6 months pregnant had bleeding gums and mobile teeth? How should they be treated? 3 / 34 (remembered): conservative debridement is what other person answered. - pregnancy gingivitis: It is SO important to do ScRP (and stress good oral hygeine) to prevent plaque growth. The plaque can enter blood stream and stimuate patient's 4 / 34 immune system to produce prostaglandins, which can trigger uterine contraction leading to early labor, premature birth, and a small baby. 5. Pregnant lady with a diastema in between #8 and #9 with deep probing depth and class 1 mobility on 8 and 9. What is the reason for diastema? (remembered): chronic perio - increased incidence of periodontal disease during pregnancy = must emphasize good oral hygiene, and remove all their plaque so it doesn't lead to premature birth / small baby. 6. Permanent dentition with tetracycline staining, when did this happen? (remembered): Patient ingested tetracycline when they were between 0 and 5 years old 7. • Pentobarbital (Nembutal) • Secobarbital (Seconal) are what kind of drugs?: barbiturates - Both pentobarbital (Nembutal) and seco- 5 / 34 barbital (Seconal) are used primarily on the evening before the dental appointment. 8. Barbiturates - how should an allergic reaction be treated? (remembered): Benadryl - if its a mild-moderate allergy. - When a patient experiences a milder form of anaphylactic reaction, the drug or prepara- tion that caused a reaction is discontinued and the patient is given diphenhydramine (Benadryl), 25-50 mg/tablet PO q6h for 48-72 hr. 9. Steroids - whats most important information you need to get from your patient when you find out they are on steroids.. before even thinking about treating them? (remembered): duration and dosage. - "The rule of twos": Ask whether the patient is currently on steroids or has been on corticosteroids for 2 weeks or longer within the past 2 years. You must go back 6 / 34 HEALTH gh. nts for daily 2 years in the history because it can take 2 weeks to 2 years for the adrenal glands to bounce back to normal function. 10. Patients is the most important thing for calculating medication dosage for a child. a. age b. weight c. gender d. height (remembered): b 11. Biggest concern with down syndrome? he thought Congenital Heart Defects. - Trisomy 21 are at increased risk of cardiac defects, true. - early onset periodontal disease IS MOST SIGNIFICANT ORAL PROBLEM; they have a lower prevalence of dental caries thou 7 / 34 Consider prescribing Chlorhexidine or other antimicrobial age use. - When treating, consider patient's cardiac status and need for premedication (medical consult may be indicated). (remebered): 12. Patient just had a stroke. What do you need to worry about? (remembered): if they are on anti-coagulants (blood thinners). - Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan- tine), clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always consult with the patient's physician to determine whether and when the blood thinners can be stopped and subsequently restarted. - . Following a CVA that required significant hospitalization, routine dental treatment 8 / 34 must be delayed by 6 months. - Routine dental treatment should be delayed by 3 months if the post-CVA recovery was uneventful and the patient was admitted overnight just for observation. - Avoid epinephrine containing LAs during the first 6 months of dental treatment. Subsequent use of epinephrine depends on the patient's prognosis. Epinephrine containing LAs can be used starting 1 year after the stroke, when the patient demonstrates progressive improvement of the CVA and absence of TIAs. 13. What is the difference in anaphylaxis vs syncope? (remembered): anaphylaxis has wheezing and bronchoconstriction. - anaphyalxis: intense itching, hives, flushing over the face and chest. Rhinitis, conjunctivitis, nausea, vomiting, abdominal cramps, and perspiration. Palpitation, tachycardia, sub- sternal tightness, coughing, wheezing, and dyspnea. BP drops rapidly and loss of consciousness or cardiac arrest can occur in severe cases. - syncope: fright and flight response. Anxiety, tachycardia, perspiration, light-head- 9 / 34 edness, and blurred vision are commonly experienced. 14. The Enzyme Linked Immune Absorbent Assay (ELISA) Test - a negative response for a person who had needle stick means what? a. the patient definitely has an HIV infection b. the patient has antibodies to HIV-1 present c. the patient definitely does not have an HIV infection d. the patient has no antibodies to HIV-1 present. (remembered): patient had no Abs present was answer. - The ELISA Test is "reactive" when it detects antibodies to HIV-1. Once positive, the blood is tested again to confirm that indeed the ELISA Test is positive. - Western Blot Test is more specific test. It determines size of antigens in the test kit binding to the antibodies. Blood showing a positive ELISA is subjected to the Western Blot Test. Thus, the Western Blot Test is a confirmatory testing for HIV infection. A positive Western Blot Test confirms that the patient has the HIV infection. Thank you, EMAIL ME @ For help with Assignments/Essay/Projects/Test Banks/practice Exams and any other classwork. 10 / 34 15. 14 y.o. patient with inflamed gingiva. Given normal ranges and then the patient's abnormal numbers for RBC, WBC, and platelets. What is wrong? (remembered): Leukemia because high WBC, sore lymph nodes, and painful gums - note: WBC can be high or low for leukemia. - Gingival hypertrophy is common with leukemia. 16. Arm rash - what drug caused it? (remembered): penicillin allergy is answer 17. Cyclosporine - side effect you need to know?: gingival hyperplasia (cyclosporine is an Immunodepressant used in transplant patients. ) 18. What drug causes gingival hyperplasia? (remembered): Nifedipine, Cyclosporine, 11 / 34 Phenytoin (Dilantin)