DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) – 2019
QUESTIONS AND ANSWERS LATEST UPDATE (2024/2025) ALL
ANSWERS 100% CORRECT, GRADED A+ EXCELLENT PASS.
Patient just had a stroke. What do you need to worry about?
(remembered) - CORRECT ANSWERS 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 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.
What is the difference in anaphylaxis vs syncope?
(remembered) - CORRECT ANSWERS 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-headedness, and
blurred vision are commonly experienced.
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,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) - CORRECT ANSWERS 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.
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) - CORRECT ANSWERS 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.
Arm rash - what drug caused it?
(remembered) - CORRECT ANSWERS penicillin allergy is answer
Cyclosporine - side effect you need to know? - CORRECT ANSWERS gingival hyperplasia
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,(cyclosporine is an Immunodepressant used in transplant patients. )
What drug causes gingival hyperplasia?
(remembered) - CORRECT ANSWERS Nifedipine,
Cyclosporine,
Phenytoin (Dilantin)
- It is best to schedule
hygiene recall every 3-4 months to control the hyperplasia.
cauliflower lesion on tongue is?
(remembered) - CORRECT ANSWERS papilloma
multiple odontomas
a. gardner syndrome
b. gorlin syndrome
(remembered) - CORRECT ANSWERS a (Gardner's Syndrome (colorectal polyposis))
colorectal polyposis
a. gardner syndrome
b. gorlin syndrome - CORRECT ANSWERS a
Mucocele treatment?
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, a. Prescribe corticosteroids
b. Excise it and adjacent gland should be excised to prevent recurrence
c. Must be biopsied for definitive diagnosis
d. Anti-fungal medications
(remembered) - CORRECT ANSWERS b "Excise with salivary gland remnants"
- May be self-limiting or require local excision.
- on lower lip from trauma. history of increasing and decreasing in size.
Mucocele - on lower lip from trauma. - CORRECT ANSWERS
Patient *presents* with Jaundice. Answer the following questions:
(1) Which of the following do you think they probably have?
a. Cirrhosis
b. Hepatitis A
c. Hepatitis C
(2) They currently are jaundiced. What is the proper thing to do?
a. Start with the examination and complete a thorough diagnostic assessment.
b. Tell the patient to immediately go to the emergency room.
c. Tell the patient to come back for treatment in 1 week, and you cannot treat them now.
(remembered) - CORRECT ANSWERS (1) B - Jaundice is common in HepA (in B its like 60% of them,
and in C its really rare)
(2) c - this was on remembered questions. You can treat hepA patients after 1 week. called it
jaundice.
Ask for any Exams or Study materials from
()
QUESTIONS AND ANSWERS LATEST UPDATE (2024/2025) ALL
ANSWERS 100% CORRECT, GRADED A+ EXCELLENT PASS.
Patient just had a stroke. What do you need to worry about?
(remembered) - CORRECT ANSWERS 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 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.
What is the difference in anaphylaxis vs syncope?
(remembered) - CORRECT ANSWERS 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-headedness, and
blurred vision are commonly experienced.
Ask for any Exams or Study materials from
()
,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) - CORRECT ANSWERS 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.
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) - CORRECT ANSWERS 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.
Arm rash - what drug caused it?
(remembered) - CORRECT ANSWERS penicillin allergy is answer
Cyclosporine - side effect you need to know? - CORRECT ANSWERS gingival hyperplasia
Ask for any Exams or Study materials from
()
,(cyclosporine is an Immunodepressant used in transplant patients. )
What drug causes gingival hyperplasia?
(remembered) - CORRECT ANSWERS Nifedipine,
Cyclosporine,
Phenytoin (Dilantin)
- It is best to schedule
hygiene recall every 3-4 months to control the hyperplasia.
cauliflower lesion on tongue is?
(remembered) - CORRECT ANSWERS papilloma
multiple odontomas
a. gardner syndrome
b. gorlin syndrome
(remembered) - CORRECT ANSWERS a (Gardner's Syndrome (colorectal polyposis))
colorectal polyposis
a. gardner syndrome
b. gorlin syndrome - CORRECT ANSWERS a
Mucocele treatment?
Ask for any Exams or Study materials from
()
, a. Prescribe corticosteroids
b. Excise it and adjacent gland should be excised to prevent recurrence
c. Must be biopsied for definitive diagnosis
d. Anti-fungal medications
(remembered) - CORRECT ANSWERS b "Excise with salivary gland remnants"
- May be self-limiting or require local excision.
- on lower lip from trauma. history of increasing and decreasing in size.
Mucocele - on lower lip from trauma. - CORRECT ANSWERS
Patient *presents* with Jaundice. Answer the following questions:
(1) Which of the following do you think they probably have?
a. Cirrhosis
b. Hepatitis A
c. Hepatitis C
(2) They currently are jaundiced. What is the proper thing to do?
a. Start with the examination and complete a thorough diagnostic assessment.
b. Tell the patient to immediately go to the emergency room.
c. Tell the patient to come back for treatment in 1 week, and you cannot treat them now.
(remembered) - CORRECT ANSWERS (1) B - Jaundice is common in HepA (in B its like 60% of them,
and in C its really rare)
(2) c - this was on remembered questions. You can treat hepA patients after 1 week. called it
jaundice.
Ask for any Exams or Study materials from
()
