CDCA OSCE EXAM 2026 CLINICAL
COMPETENCY MODULE SOLVED ITEMS AND
RESPONSE KEY
◉ t/f: If a patient has a kidney transplant, the patient may require
antibiotic(stress dose). Answer: true- due to anti rejection
medications
◉ analgesic for mild to moderate pain: NOT USED IF PATIENT HAS
KIDNEY FAULURE. Answer: PROPROXEPHINE
◉ antihistmine to prevent motion sickness and as a sedative for
insomina when benzodiapenines are contacindicated. Can be used to
treat allergic reactions
common side effects are tardive dysinesia, xerostomia. Answer:
promethazine
◉ bronchiodilater inhaler that relaxes muscles. Used for asthma.
Answer: albuterol
◉ t/f: should administer nitrous oxide to an asthmatic. Answer: false
,◉ angioedema of the upper lip has been dianosed as an allergic
reaction with no other signs of allergy. The most apporpriate
treatment is ?. Answer: oral administration of antihistmine
(benedryl)
◉ a 60 year old female taking naproxene, one asprin dialy who is
allergic to penicillin is most likely taking the naproxene for ___. Do
not make a a precision attachment for her due to her lack of ___ as a
result of the arthritis. Answer: arthritis
lack of dexterity
◉ patient has malaise, lethargy, itching, may have an allergic
reaction. Give ____. Answer: benedryl
◉ the major difference between syncope and severe analphylatic
shock is there can be ____ in anaphylatic shock. Answer: diffuculity in
breathing
◉ patient undergoing anaphylatic shock. TX includes (4). Answer:
place patient in supine position
administer oxygen manually
monitor vitals
,give 0.3-0.5ml of EPI SC or IM
◉ the first thing to do if a patient experiences syndrome (fainting or
hypotension) in the dental chair is to place patient in _____ position.
Answer: place patient in trendelenburg position (supine) with feet
higher than head by 15-30 degrees to increase cerebral perfusion
pressure
◉ When is trendelenburg position contraindicated and instead
would use just horizontal position?. Answer: hypovolumic shock
(loss of blood volume)
◉ medical history of patient taking penicillin and has an allegic
reaction on the lower lip. Tx? (2). Answer: apply topical steriods or
swithc antibiotics
◉ anaphylactic shock tx? (2). Answer: Epi 1:1000, 0.5 ml SQ, repeat
every 10-20 min PRN
or steroid
◉ dentist has needlestick , have ht patient do an ____ test to detect
_____
, then do ___ to confirm ELISA. Answer: elisa test to convern HIV
antibiodies
Western blot
◉ AIDS patient treatment include ___ precautions, try to avoid
invasive procedures and _____ treatment. Answer: univerisal
precautions
try to avoid invasive procedures
no treatment
◉ A patient taking Isonizid, Rifampin or Pyaziminade has ___.
Answer: tuberculosis
◉ if you patient is having a seizure , first acition is to protect ___ and
__ _form injurying themselves ,clear the area and _____ against the
dental chair. Answer: yourself and patient from injury
clear the are and hold hands against dental chair
◉ ____ or ____is the test to evaluate blood coagulation (clotting) time
and to monitor response o oral anticoagualant therapy like
COUMARIN and liver disease. Answer: Prothrobmin test (PT)
INR
COMPETENCY MODULE SOLVED ITEMS AND
RESPONSE KEY
◉ t/f: If a patient has a kidney transplant, the patient may require
antibiotic(stress dose). Answer: true- due to anti rejection
medications
◉ analgesic for mild to moderate pain: NOT USED IF PATIENT HAS
KIDNEY FAULURE. Answer: PROPROXEPHINE
◉ antihistmine to prevent motion sickness and as a sedative for
insomina when benzodiapenines are contacindicated. Can be used to
treat allergic reactions
common side effects are tardive dysinesia, xerostomia. Answer:
promethazine
◉ bronchiodilater inhaler that relaxes muscles. Used for asthma.
Answer: albuterol
◉ t/f: should administer nitrous oxide to an asthmatic. Answer: false
,◉ angioedema of the upper lip has been dianosed as an allergic
reaction with no other signs of allergy. The most apporpriate
treatment is ?. Answer: oral administration of antihistmine
(benedryl)
◉ a 60 year old female taking naproxene, one asprin dialy who is
allergic to penicillin is most likely taking the naproxene for ___. Do
not make a a precision attachment for her due to her lack of ___ as a
result of the arthritis. Answer: arthritis
lack of dexterity
◉ patient has malaise, lethargy, itching, may have an allergic
reaction. Give ____. Answer: benedryl
◉ the major difference between syncope and severe analphylatic
shock is there can be ____ in anaphylatic shock. Answer: diffuculity in
breathing
◉ patient undergoing anaphylatic shock. TX includes (4). Answer:
place patient in supine position
administer oxygen manually
monitor vitals
,give 0.3-0.5ml of EPI SC or IM
◉ the first thing to do if a patient experiences syndrome (fainting or
hypotension) in the dental chair is to place patient in _____ position.
Answer: place patient in trendelenburg position (supine) with feet
higher than head by 15-30 degrees to increase cerebral perfusion
pressure
◉ When is trendelenburg position contraindicated and instead
would use just horizontal position?. Answer: hypovolumic shock
(loss of blood volume)
◉ medical history of patient taking penicillin and has an allegic
reaction on the lower lip. Tx? (2). Answer: apply topical steriods or
swithc antibiotics
◉ anaphylactic shock tx? (2). Answer: Epi 1:1000, 0.5 ml SQ, repeat
every 10-20 min PRN
or steroid
◉ dentist has needlestick , have ht patient do an ____ test to detect
_____
, then do ___ to confirm ELISA. Answer: elisa test to convern HIV
antibiodies
Western blot
◉ AIDS patient treatment include ___ precautions, try to avoid
invasive procedures and _____ treatment. Answer: univerisal
precautions
try to avoid invasive procedures
no treatment
◉ A patient taking Isonizid, Rifampin or Pyaziminade has ___.
Answer: tuberculosis
◉ if you patient is having a seizure , first acition is to protect ___ and
__ _form injurying themselves ,clear the area and _____ against the
dental chair. Answer: yourself and patient from injury
clear the are and hold hands against dental chair
◉ ____ or ____is the test to evaluate blood coagulation (clotting) time
and to monitor response o oral anticoagualant therapy like
COUMARIN and liver disease. Answer: Prothrobmin test (PT)
INR
