DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
Pre-Med required for? - (answer) - 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]
5 month old preggers with rheumatic fever and heart murmer: pre med?
a. yes
b. no
(remembered) - (answer) b
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) - (answer) 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.
,DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
6 months pregnant had bleeding gums and mobile teeth? How should they be treated?
(remembered) - (answer) 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 immune system to produce
prostaglandins, which can trigger uterine contraction leading to early labor, premature birth, and a small
baby.
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) - (answer) 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.
Permanent dentition with tetracycline staining, when did this happen?
(remembered) - (answer) Patient ingested tetracycline when they were between 0 and 5 years old
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs? - (answer) barbiturates - Both pentobarbital (Nembutal) and secobarbital
(Seconal) are used primarily on the evening before the dental appointment.
Barbiturates - how should an allergic reaction be treated?
,DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
(remembered) - (answer) 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.
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) - (answer) 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 2 years in the history because it can take 2
weeks to 2 years for the adrenal glands to bounce back to normal function.
Patients _____ is the most important thing for calculating medication dosage for a child.
a. age
b. weight
c. gender
d. height
(remembered) - (answer) b
, DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
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 HEALTH PROBLEM; they have a lower
prevalence of dental caries though.
Consider prescribing Chlorhexidine or other antimicrobial agents for daily use.
- When treating, consider patient's cardiac status and need for premedication (medical consult may be
indicated).
(remebered) - (answer)
Patient just had a stroke. What do you need to worry about?
(remembered) - (answer) 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.
DETAILED ANSWERS
Pre-Med required for? - (answer) - 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]
5 month old preggers with rheumatic fever and heart murmer: pre med?
a. yes
b. no
(remembered) - (answer) b
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) - (answer) 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.
,DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
6 months pregnant had bleeding gums and mobile teeth? How should they be treated?
(remembered) - (answer) 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 immune system to produce
prostaglandins, which can trigger uterine contraction leading to early labor, premature birth, and a small
baby.
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) - (answer) 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.
Permanent dentition with tetracycline staining, when did this happen?
(remembered) - (answer) Patient ingested tetracycline when they were between 0 and 5 years old
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs? - (answer) barbiturates - Both pentobarbital (Nembutal) and secobarbital
(Seconal) are used primarily on the evening before the dental appointment.
Barbiturates - how should an allergic reaction be treated?
,DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
(remembered) - (answer) 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.
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) - (answer) 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 2 years in the history because it can take 2
weeks to 2 years for the adrenal glands to bounce back to normal function.
Patients _____ is the most important thing for calculating medication dosage for a child.
a. age
b. weight
c. gender
d. height
(remembered) - (answer) b
, DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT
DETAILED ANSWERS
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 HEALTH PROBLEM; they have a lower
prevalence of dental caries though.
Consider prescribing Chlorhexidine or other antimicrobial agents for daily use.
- When treating, consider patient's cardiac status and need for premedication (medical consult may be
indicated).
(remebered) - (answer)
Patient just had a stroke. What do you need to worry about?
(remembered) - (answer) 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.
