Dental OSCE 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS
AGRADE
Immunosuppresant drug used in Transplant Patients that causes Gingival
HyperplasiaANSWER>>Cyclosporine
How is Perio disease related toANSWER>>Glucose
diabetes? levels are
increased.
Cause for cementANSWER>>increased
failure? SOLUBILITY of the
cement
Before trimming teeth on a stone cast for an immediate denture, you must
first...ANSWER>> mark a line 3 mm above the free
gingival margin.
** Which analgesic(s) is safe for a Patient withANSWER>> Tylenol
kidney disease?
(acetaminophen) ONLY.
NOT NSAIDS OR ASPIRIN
** For Patients on dialysis, where do you take their blood pressure? ANSWER>> On the
arm opposite of the shunt.
How do you prevent syncope?ANSWER>> Trendlenburg position.
(feet higher than head)
How do you treat syncope if breathing?
How do you treat syncope if not breathing?ANSWER>> 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?ANSWER>> 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.ANSWER>> antihistamine (synergic
reaction to barbituate) ** look at this.
**Can you treat a patient who had Hepatitis A, one year ago? ANSWER>> yes. they can
be treated "1 week after having jaundice" -- the exam referred to it as jaundice.
At what intervals are intermediate dentures evaluated?ANSWER>> 24- hrs.
72- hrs.
1 week
1 month
Every 3 months
**How long to keep a dressing on after periodontal treatment? ANSWER>> Pack is kept
in for 1 week after surgery.
TX for Primary herpetic gingivostomatitis?ANSWER>> Palliative only - you only treat for
fever and pain.
Eagles Syndrome symptomsANSWER>> Pain while swallowing, turning head, or mouth
opening.
may include dysphagia, dysphonia, otalgia, headaches, dizziness.
,* The elongation of styloid process// mineralization of the stylohyoid ligament.
** Epinepherine//vasoconstrictors are contraindicated in patients with ____________.
They would exacerbate the symptoms.ANSWER>> hyperthyroid - My exam asked
which anesthetic to use on someone with hyperthyroid patients. **
** "Opalescent hue"ANSWER>> dentinogenesis imperfecta -- my exam showed a pic of
eyes (blue sclera) and stated this patient had brittle bones. this exam intertwines
osteogenesis imperfecta with DI, I think. OI was not an option.
Radiographic findings of Dentinogenesis Imperfecta.ANSWER>> Bulbous crowns.
Obliterated canals & Pulp chambers. Cervical Constrictions amelogenesis
imperfecta heredityANSWER>> dominant/recessive/x-linked.
** hypomaturation amelogenesis imperfecta manifests clinically as....
showed an image but it wasn't quite textbookANSWER>> "Snowcapped" Pattern.
Showed an image.
this is due to the matrix not forming well. crystals are weird.
hypoPLASTIC amelogenesis imperfecta manifests clinically as... ANSWER>>
a generalized/localized pitted pattern on enamel typically.
can be smooth/pitted/or rough.
can be AD, AR, X-linked.
Best TX for tetracyclineANSWER>> Veneers.
stain
** Facial reduction for a PFMANSWER>> 1.5
crown? mm.
(( 1.0-1.5 mm))
* This is the same for lingual reduction*
** If a Traumatic ulcer is formed after extraction. What is the treatment? ANSWER>>
, Observe// Re-evaluate (2 weeks)
***Patient with tenderness anterior to ear lobe?ANSWER>> Inflammed Stenson's duct
(Parotid duct). *** asked about this MANY TIMES
***After SRP, a patient notices more spaces between teeth. why? ANSWER>>
decreased swelling of the gingiva.
Radiograph with herringbone effect. Why?ANSWER>> film was placed backwards.
"a reverse exposure of x-ray film" film that requires least amount
of radiation?ANSWER>> e-speed.
d-slowest-"dumb" e
& f = fastest.
How much epi can be given to a patient with BP of 160/110? ANSWER>> None. Don't
treat this patient. Refer to physician.
*** Patient with history of slow-growing mandible for 10 years, this is indicative
of...ANSWER>>Hyper
Pituitarism.
** Patient with history ofANSWER>>
weight gain, deepening
voice, dry skin
hypothyroidism
hashimoto's- autoimmunethyroiditis. exophthalmos
is a sign ofANSWER>> Bulging eyes.
Graves disease -- hypERthyroidism.
Patient with diffuse pigmentation on the FOM & Ventral of tongue ANSWER>> addison's
disease
hypOadrenalism
3 uses of Corticosteroids?ANSWER>> 1. Anti-inflammatory: for allergic rxns like
TX of Addison's (or of adrenal crisis)?ANSWER>> Corticosteroid replacement therapy.
swelling, redness, arthritis, asthma,
CORRECT DETAILED ANSWERS
AGRADE
Immunosuppresant drug used in Transplant Patients that causes Gingival
HyperplasiaANSWER>>Cyclosporine
How is Perio disease related toANSWER>>Glucose
diabetes? levels are
increased.
Cause for cementANSWER>>increased
failure? SOLUBILITY of the
cement
Before trimming teeth on a stone cast for an immediate denture, you must
first...ANSWER>> mark a line 3 mm above the free
gingival margin.
** Which analgesic(s) is safe for a Patient withANSWER>> Tylenol
kidney disease?
(acetaminophen) ONLY.
NOT NSAIDS OR ASPIRIN
** For Patients on dialysis, where do you take their blood pressure? ANSWER>> On the
arm opposite of the shunt.
How do you prevent syncope?ANSWER>> Trendlenburg position.
(feet higher than head)
How do you treat syncope if breathing?
How do you treat syncope if not breathing?ANSWER>> 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?ANSWER>> 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.ANSWER>> antihistamine (synergic
reaction to barbituate) ** look at this.
**Can you treat a patient who had Hepatitis A, one year ago? ANSWER>> yes. they can
be treated "1 week after having jaundice" -- the exam referred to it as jaundice.
At what intervals are intermediate dentures evaluated?ANSWER>> 24- hrs.
72- hrs.
1 week
1 month
Every 3 months
**How long to keep a dressing on after periodontal treatment? ANSWER>> Pack is kept
in for 1 week after surgery.
TX for Primary herpetic gingivostomatitis?ANSWER>> Palliative only - you only treat for
fever and pain.
Eagles Syndrome symptomsANSWER>> Pain while swallowing, turning head, or mouth
opening.
may include dysphagia, dysphonia, otalgia, headaches, dizziness.
,* The elongation of styloid process// mineralization of the stylohyoid ligament.
** Epinepherine//vasoconstrictors are contraindicated in patients with ____________.
They would exacerbate the symptoms.ANSWER>> hyperthyroid - My exam asked
which anesthetic to use on someone with hyperthyroid patients. **
** "Opalescent hue"ANSWER>> dentinogenesis imperfecta -- my exam showed a pic of
eyes (blue sclera) and stated this patient had brittle bones. this exam intertwines
osteogenesis imperfecta with DI, I think. OI was not an option.
Radiographic findings of Dentinogenesis Imperfecta.ANSWER>> Bulbous crowns.
Obliterated canals & Pulp chambers. Cervical Constrictions amelogenesis
imperfecta heredityANSWER>> dominant/recessive/x-linked.
** hypomaturation amelogenesis imperfecta manifests clinically as....
showed an image but it wasn't quite textbookANSWER>> "Snowcapped" Pattern.
Showed an image.
this is due to the matrix not forming well. crystals are weird.
hypoPLASTIC amelogenesis imperfecta manifests clinically as... ANSWER>>
a generalized/localized pitted pattern on enamel typically.
can be smooth/pitted/or rough.
can be AD, AR, X-linked.
Best TX for tetracyclineANSWER>> Veneers.
stain
** Facial reduction for a PFMANSWER>> 1.5
crown? mm.
(( 1.0-1.5 mm))
* This is the same for lingual reduction*
** If a Traumatic ulcer is formed after extraction. What is the treatment? ANSWER>>
, Observe// Re-evaluate (2 weeks)
***Patient with tenderness anterior to ear lobe?ANSWER>> Inflammed Stenson's duct
(Parotid duct). *** asked about this MANY TIMES
***After SRP, a patient notices more spaces between teeth. why? ANSWER>>
decreased swelling of the gingiva.
Radiograph with herringbone effect. Why?ANSWER>> film was placed backwards.
"a reverse exposure of x-ray film" film that requires least amount
of radiation?ANSWER>> e-speed.
d-slowest-"dumb" e
& f = fastest.
How much epi can be given to a patient with BP of 160/110? ANSWER>> None. Don't
treat this patient. Refer to physician.
*** Patient with history of slow-growing mandible for 10 years, this is indicative
of...ANSWER>>Hyper
Pituitarism.
** Patient with history ofANSWER>>
weight gain, deepening
voice, dry skin
hypothyroidism
hashimoto's- autoimmunethyroiditis. exophthalmos
is a sign ofANSWER>> Bulging eyes.
Graves disease -- hypERthyroidism.
Patient with diffuse pigmentation on the FOM & Ventral of tongue ANSWER>> addison's
disease
hypOadrenalism
3 uses of Corticosteroids?ANSWER>> 1. Anti-inflammatory: for allergic rxns like
TX of Addison's (or of adrenal crisis)?ANSWER>> Corticosteroid replacement therapy.
swelling, redness, arthritis, asthma,
