Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
1. Pre-Med required for? - 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 gener-
al 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 ve-
nous catheter access, and frequent endomyocardial biopsies]
2. 5 month old preggers with b
rheumatic fever and heart
murmer: pre med?
a. yes
b. no
(remembered)
3. Pregnant person afraid of place her in trundelburg position.
needles - stress manage-
ment by putting patient in - supine hypotension in 3rd trimester usually occurs (bc compres-
what position when in your sion Inf vena cava) => must prevent this in dental chair bc it can
chair (BEFORE they even cause patient to pass out.
get to the point of passing - Best preventative treatment for supine hypotension is to turn the
out)? 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
(remembered) position with the knees flexed.
, Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
4. 6 months pregnant had conservative debridement is what other person answered.
bleeding gums and mobile
teeth? How should they be - pregnancy gingivitis: It is SO important to do ScRP (and stress
treated? good oral hygeine) to prevent plaque growth. The plaque can enter
blood stream and stimuate patient's immune system to produce
(remembered) prostaglandins, which can trigger uterine contraction leading to
early labor, premature birth, and a small baby.
5. Pregnant lady with a di- chronic perio
astema in between #8
and #9 with deep probing - increased incidence of periodontal disease during pregnancy =>
depth and class 1 mobility must emphasize good oral hygiene, and remove all their plaque so
on 8 and 9. What is the rea- it doesn't lead to premature birth / small baby.
son for diastema?
(remembered)
6. Permanent dentition with Patient ingested tetracycline when they were between 0 and 5 years
tetracycline staining, when old
did this happen?
(remembered)
7. • Pentobarbital (Nembu- barbiturates - Both pentobarbital (Nembutal) and secobarbital
tal) (Seconal) are used primarily on the evening before the dental
• Secobarbital (Seconal) appointment.
are what kind of drugs?
8. Barbiturates - how should Benadryl -> if its a mild-moderate allergy.
an allergic reaction be
treated?
, Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
- When a patient experiences a milder form of anaphylactic reac-
tion, the drug or prepara- tion that caused a reaction is discontin-
(remembered)
ued and the patient is given diphenhydramine (Benadryl), 25-50
mg/tablet PO q6h for 48-72 hr.
9. Steroids - whats most im- duration and dosage.
portant information you
need to get from your pa- - "The rule of twos": Ask whether the patient is currently on steroids
tient when you find out or has been on corticosteroids for 2 weeks or longer within the past
they are on steroids.. be- 2 years. You must go back 2 years in the history because it can take
fore even thinking about 2 weeks to 2 years for the adrenal glands to bounce back to normal
treating them? function.
(remembered)
10. Patients _____ is the most b
important thing for calcu-
lating medication dosage
for a child.
a. age
b. weight
c. gender
d. height
(remembered)
11. Biggest concern with down
syndrome?
he thought Congenital
, Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
Heart Defects.
- Trisomy 21 are at in-
creased risk of cardiac de-
fects, true.
- early onset periodontal
disease IS MOST SIGNIFI-
CANT ORAL HEALTH PROB-
LEM; they have a lower
prevalence of dental caries
though.
Consider prescribing
Chlorhexidine or other an-
timicrobial agents for daily
use.
- When treating, consid-
er patient's cardiac status
and need for premedica-
tion (medical consult may
be indicated).
(remebered)
12. Patient just had a stroke. if they are on anti-coagulants (blood thinners).
What do you need to worry
about?
- Stroke patients could be on blood thinners, such as aspirin,
(remembered) dipyradamole (Persan- tine), clopidogrol (Plavix), or Coumadin,
postrecovery. Prior to major surgery, always consult with the pa-
tient's physician to determine whether and when the blood thin-
ners can be stopped and subsequently restarted.
Study online at https://quizlet.com/_6vpnqg
1. Pre-Med required for? - 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 gener-
al 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 ve-
nous catheter access, and frequent endomyocardial biopsies]
2. 5 month old preggers with b
rheumatic fever and heart
murmer: pre med?
a. yes
b. no
(remembered)
3. Pregnant person afraid of place her in trundelburg position.
needles - stress manage-
ment by putting patient in - supine hypotension in 3rd trimester usually occurs (bc compres-
what position when in your sion Inf vena cava) => must prevent this in dental chair bc it can
chair (BEFORE they even cause patient to pass out.
get to the point of passing - Best preventative treatment for supine hypotension is to turn the
out)? 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
(remembered) position with the knees flexed.
, Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
4. 6 months pregnant had conservative debridement is what other person answered.
bleeding gums and mobile
teeth? How should they be - pregnancy gingivitis: It is SO important to do ScRP (and stress
treated? good oral hygeine) to prevent plaque growth. The plaque can enter
blood stream and stimuate patient's immune system to produce
(remembered) prostaglandins, which can trigger uterine contraction leading to
early labor, premature birth, and a small baby.
5. Pregnant lady with a di- chronic perio
astema in between #8
and #9 with deep probing - increased incidence of periodontal disease during pregnancy =>
depth and class 1 mobility must emphasize good oral hygiene, and remove all their plaque so
on 8 and 9. What is the rea- it doesn't lead to premature birth / small baby.
son for diastema?
(remembered)
6. Permanent dentition with Patient ingested tetracycline when they were between 0 and 5 years
tetracycline staining, when old
did this happen?
(remembered)
7. • Pentobarbital (Nembu- barbiturates - Both pentobarbital (Nembutal) and secobarbital
tal) (Seconal) are used primarily on the evening before the dental
• Secobarbital (Seconal) appointment.
are what kind of drugs?
8. Barbiturates - how should Benadryl -> if its a mild-moderate allergy.
an allergic reaction be
treated?
, Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
- When a patient experiences a milder form of anaphylactic reac-
tion, the drug or prepara- tion that caused a reaction is discontin-
(remembered)
ued and the patient is given diphenhydramine (Benadryl), 25-50
mg/tablet PO q6h for 48-72 hr.
9. Steroids - whats most im- duration and dosage.
portant information you
need to get from your pa- - "The rule of twos": Ask whether the patient is currently on steroids
tient when you find out or has been on corticosteroids for 2 weeks or longer within the past
they are on steroids.. be- 2 years. You must go back 2 years in the history because it can take
fore even thinking about 2 weeks to 2 years for the adrenal glands to bounce back to normal
treating them? function.
(remembered)
10. Patients _____ is the most b
important thing for calcu-
lating medication dosage
for a child.
a. age
b. weight
c. gender
d. height
(remembered)
11. Biggest concern with down
syndrome?
he thought Congenital
, Diagnostic Skills Exam OSCE (DSE OSCE) - 2019
Study online at https://quizlet.com/_6vpnqg
Heart Defects.
- Trisomy 21 are at in-
creased risk of cardiac de-
fects, true.
- early onset periodontal
disease IS MOST SIGNIFI-
CANT ORAL HEALTH PROB-
LEM; they have a lower
prevalence of dental caries
though.
Consider prescribing
Chlorhexidine or other an-
timicrobial agents for daily
use.
- When treating, consid-
er patient's cardiac status
and need for premedica-
tion (medical consult may
be indicated).
(remebered)
12. Patient just had a stroke. if they are on anti-coagulants (blood thinners).
What do you need to worry
about?
- Stroke patients could be on blood thinners, such as aspirin,
(remembered) dipyradamole (Persan- tine), clopidogrol (Plavix), or Coumadin,
postrecovery. Prior to major surgery, always consult with the pa-
tient's physician to determine whether and when the blood thin-
ners can be stopped and subsequently restarted.
