DSE OSCE QUESTIONS WITH CORRECT ANSWERS 2025

DSE OSCE QUESTIONS WITH CORRECT
ANSWERS 2025
WhatBareBtheBADABrecommendationsBforBwhenBpre-medBisBrequiredB-BCORRECTBANSWERB--
BprostheticBcardiacBvalves,BincludingBtranscatheter-implantedBprosthesesBandBhomografts



-BprostheticBmaterialBusedBforBcardiacBvalveBrepair,BsuchBasBannuloplastyBringsBandBchords

-BaBhistoryBofBinfectiveBendocarditis

-BaBcardiacBtransplantaBwithBvalveBregurgitationBdueBtoBaBstructurallyBabnormalBvalve

-BtheBfollowingBcongenitalB(presentBfromBbirth)BheartBdisease

--unrepairedBcyanoticBcongenitalBheartBdisease,BincludingBpalliativeBshuntsBandBconduits

--
anyBrepairedBcongenitalBheartBdefectBwithBresidualBshuntsBorBvalvularBregurgitationBatBtheBsiteBofB
orBadjacentBtoBtheBsiteBofBaBprostheticBpatchBorBaBprostheticBdevice

**ADABwebsite**

https://www.ada.org/en/member-center/oral-health-topics/antibiotic-prophylaxis



41-
yoBwoman,Bpregnant;BprevBrheumaticBfeverBwithBheartBmurmurB(noBvalvularBabnormality);Ballerg
yBtoBpenicillin.BPositiveBhistoryBofBinfectiveBendocarditis.BDoesBsheBneedBtoBpreBmed?

-Byes

-BnoB-BCORRECTBANSWERB-yes

-BREVIEWBHEALTHBHISTORYB-
BonBmyBexam,BthisBpatientBhadBaBpreviousBhistoryBofBinfectiveBendocarditis.BPre-medBISBindicated



-BmanyBofBtheBOSCEBquizletsBsayBno....



Pre-medBoptionsBforBpregnantBwomanBw/hxBofBinfectiveBendocarditisBandBpenicillinBallergy

-Bamoxicillin

-Bcephalexin

,-Bclarithromycin

-BciproflaxacinB-BCORRECTBANSWERB-*clarithromycin*B

IBmayBnotBbeBcorrect,BtheBcorrectBoptionBmayBbeBcephalexin.BhoweverBIBchoseBclarithromycinBdueB
toBpenicillinBallergy,BcrossBreactionBwithBcephalosporins,BandBsinceBclindamycin/erythromycin/azt
hromycinBwereBnotBoptions.BCiproflaxacinBisBcontraindicatedBinBpregnancy.BarticleBforBreferenceBh
ttps://www.parents.com/pregnancy/my-body/is-it-safe/antibiotics-and-pregnancy/



WhatBprocedureBcanBaBdentistBperformBwithoutBconsultingBMDBifBaBpatientBisBcurrentlyBtakingBbis
phosphonates?

-BendoBtherapy

-BprophyBandBscaling

-Bextraction

-BocclusalBrestorationB-BCORRECTBANSWERB-*occlusalBrestoration*

althoughBtheBmainBHELLBNOBisBextraction,BcompletingBendoBtherapyBincreasesBriskBifBtheBapexBisBc
ompromised/damagedBduringBtherapy.BIBteeteredBonBprophyBandBscaling,BbutBsinceBitBdidBnotBspe
cifyBsupragingival,BdecidedBthatBtheBriskBofBscalingBcanBnegativelyBaffectBtheBperiosteumBofBaBbisph
osphanateBpatient.BADABrecommendations:

http://www.centreoms.com/admin/storage/news/ADA%20Recommendations%20for%20Treat
ment%20of%20Patients%20on%20Bisphosphon.pdf



PregnantBpersonBafraidBofBneedlesB-
BstressBmanagementBbyBputtingBpatientBinBwhatBpositionBwhenBinByourBchairB(BEFOREBtheyBevenBg


etBtoBtheBpointBofBpassingBout)?

-BsupplyBoxygen

-BplaceBinBTrendelenburg

-BmakeBpatientBsitBupBstraight

-BtellBthemBtoBsuckBitBupBbuttercupB-BCORRECTBANSWERB-placeBherBinBTrendelburgBposition.

-
BsupineBhypotensionBinB3rdBtrimesterBusuallyBoccursB(bcBcompressionBInfBvenaBcava)B=>BmustBprev


entBthisBinBdentalBchairBbcBitBcanBcauseBpatientBtoBpassBout.

,-
BBestBpreventativeBtreatmentBforBsupineBhypotensionBisBtoBturnBtheBpatient,BpreferablyBtoBtheBleftB


side,BtoBdisplaceBtheButerusBawayBfromBtheBinferiorBvenaBcava.BTheBpatientBcanBalsoBbeBplacedBinBa
BsittingBpositionBwithBtheBkneesBflexed.




6BmonthsBpregnantBhadBbleedingBgumsBandBmobileBteeth,BhowBshouldBtheyBbeBtreated?

-BimmediateBextractions

-BdoBnotBtreatBuntilBbabyBisBborn

-BconservativeBdebridement

-BimmediateBendoB-BCORRECTBANSWERB-conservativeBdebridement

.-
BpregnancyBgingivitis:BimportantBtoBdoBScRPB(andBstressBgoodBoralBhygiene)BtoBpreventBplaqueBgro


wth.BTheBplaqueBcanBenterBbloodBstreamBandBstimulateBpatient'sBimmuneBsystemBtoBproduceBpro
staglandins,BwhichBcanBtriggerButerineBcontractionBleadingBtoBearlyBlabor,BprematureBbirth,BandBaB
smallBbaby.



PregnantBladyBwithBaBdiastemaBinBbetweenB#8BandB#9BwithBdeepBprobingBdepthBandBclassB1Bmobili
tyBonB8BandB9.BWhatBisBtheBreasonBforBdiastema?

-BchronicBperiodontitis

-BdistalBdrift

-BnormalBduringBpregnancyB-BCORRECTBANSWERB-chronicBperio

-
BincreasedBincidenceBofBperiodontalBdiseaseBduringBpregnancyB=>BmustBemphasizeBgoodBoralBhygi


ene,BandBremoveBallBtheirBplaqueBsoBitBdoesn'tBleadBtoBprematureBbirthB/BlowBbirthBweight



PermanentBstainingBasBaBresultBofBtetracyline;BdidBthisBhappen?B

-BDuringBdevelopmentB(asBfetus)

-B0-5yrs

-B5-10Byrs

, -B10-15ByrsB-BCORRECTBANSWERB-ageB0-5Byears

-BrememberBthatBPERMANENTBdentitionBdoesBnotBbeginBcalcificationBuntilBbirth



PentobarbitalB(Nembutal)BandBSecobarbitalB(Seconal)BareBwhatBtypeBofBdrugs?

-Bbenzodiazepines

-BNSAIDS

-Bbarbituates

-BatypicalBantipsychoticB-BCORRECTBANSWERB-barbituates

-BusedBprimarilyBeveningBBEFOREBappointment



ABpatientBhasBanBallergicBreactionBtoBaBbarbiturate,BhowBdoByouBtreat?

-Bepinephrine

-Bdiphenhydramine

-BsendBtoBERB-BCORRECTBANSWERB-benadrylB(diphenhydramine)

-
BAndBdiscontinuationBofBtheBdrug.BObviouslyBifBthereBareBconcernsBwithBairway,BtreatmentBmayBdif


fer...BbutBthisBwasBnotBindicatedBinBtheBquestionBstem.BHowever,BIBdidBnotBhaveBanswerBchoicesBth
atBreflectedBthisBscenarioBnorBwasBitBaddressedBinBtheBquestionBstem



ABpatientBisBonBaBsteroidalBmedication.BWhatBinformationBdoByouBneedBtoBobtainBbeforeBtreatingBt
hem?B

-BdoseBandBpharmacyBthatBfilledBtheBRX

-BdurationBofBprescription

-BbothBdoseBandBdurationB-BCORRECTBANSWERB-*doseBandBduration*

-
B"TheBruleBofBtwos":BAskBwhetherBtheBpatientBisBcurrentlyBonBsteroidsBorBhasBbeenBonBcorticosteroi


dsBforB2BweeksBorBlongerBwithinBtheBpastB2Byears.BYouBmustBgoBbackB2ByearsBinBtheBhistoryBbecause
BitBcanBtakeB2BweeksBtoB2ByearsBforBtheBadrenalBglandsBtoBbounceBbackBtoBnormalBfunction.