DSE OSCE EXAM COMPLETE STUDY GUIDE
WITH SOLVED QUESTIONS
◉ You take a bitewing of a patient with amalgam restoration. Pt
stated that they have pain with hots and colds only. What is likely the
issue?
Answer: Deep amalgam restoration
- Amalgam is good conductor of hot/cold temperatures, and with
less dentin to insulate pulpal chamber, patients will exhibit pulpal
irritation
◉ How long should we leave periodontal packs (dressings) in for?
Answer: 1 week if non-resorbable
◉ Denture patient presents with epulis. What treatments should be
completed before fabricating a new denture?
1) Excision of hyperplastic tissue
2) Apply tissue conditioner
3) Leave lesion alone
4) Prescribe antibiotics
Answer: Surgical excision of hyperplastic tissue
,◉ What is the main reason we use periodontal flaps for during
surgery?
Answer: Access for instrumentation
◉ Denture patient presents with large maxillary tori that are
causing issues with current denture. What should you do prior to
fabricating a new one?
Answer: Remove the tori
◉ What is the main property of major connectors in partial
dentures?
Answer: Rigidity
◉ According to OSHA, how often should autoclaves be checked?
Answer: Weekly
◉ Patient who had a needle stick takes HIV ELISA test and comes
back as negative. What does that mean?
Answer: Patient has no HIV antibodies present
- ELISA tests for antibodies for HIV
◉ Ortho case involving significant upper and lower diastemas
,What was the most important thing that they did in the maxillary
arch?
Answer: Aligned the teeth for future restorative procedures
◉ What is the ideal analgesic (pain relief) you would prescribe a
patient with kidney disease?
Answer: Acetaminophen (Tylenol)
- NSAIDs inhibit prostaglandins and reduce renal blood flow -->
Kidney damage --> Exacerbation of kidney disease
◉ *Shows picture of a surveyor*
What are we looking at?
Answer: Space for guide plane
◉ What is the major complication of phlebitis?
Answer: Pulmonary emboli or DVT
- Phlebitis is inflammation of veins which can build up clots within
bloodstream that eventually end up in legs or lungs and cut off
circulation
◉ Pt presents to your clinic complaining of new spaces present after
SRP. Why is there now spaces around gums?
, Answer: Reduction in edema
- No more plaque and bacterial challenge allows gingiva to reduce
inflammation
◉ What is the main cause of a 1-2 mm reduction in probing after
completing SRP?
Answer: Long junctional epithelium
- No longer have edema and allows reattachment of fibers
◉ If patient presents to clinic with a shunt on left arm due to late-
stage renal disease, how can we take BP?
Answer: Take BP on right arm
◉ *Shows picture of gingivitis behind #10 and #11*
What is wrong with the gingiva in the picture?
Answer: Edema
◉ Old patient presents with:
- Missing #31 and #32
- Diastema between #29 and #30
- Poor occlusion with #3
WITH SOLVED QUESTIONS
◉ You take a bitewing of a patient with amalgam restoration. Pt
stated that they have pain with hots and colds only. What is likely the
issue?
Answer: Deep amalgam restoration
- Amalgam is good conductor of hot/cold temperatures, and with
less dentin to insulate pulpal chamber, patients will exhibit pulpal
irritation
◉ How long should we leave periodontal packs (dressings) in for?
Answer: 1 week if non-resorbable
◉ Denture patient presents with epulis. What treatments should be
completed before fabricating a new denture?
1) Excision of hyperplastic tissue
2) Apply tissue conditioner
3) Leave lesion alone
4) Prescribe antibiotics
Answer: Surgical excision of hyperplastic tissue
,◉ What is the main reason we use periodontal flaps for during
surgery?
Answer: Access for instrumentation
◉ Denture patient presents with large maxillary tori that are
causing issues with current denture. What should you do prior to
fabricating a new one?
Answer: Remove the tori
◉ What is the main property of major connectors in partial
dentures?
Answer: Rigidity
◉ According to OSHA, how often should autoclaves be checked?
Answer: Weekly
◉ Patient who had a needle stick takes HIV ELISA test and comes
back as negative. What does that mean?
Answer: Patient has no HIV antibodies present
- ELISA tests for antibodies for HIV
◉ Ortho case involving significant upper and lower diastemas
,What was the most important thing that they did in the maxillary
arch?
Answer: Aligned the teeth for future restorative procedures
◉ What is the ideal analgesic (pain relief) you would prescribe a
patient with kidney disease?
Answer: Acetaminophen (Tylenol)
- NSAIDs inhibit prostaglandins and reduce renal blood flow -->
Kidney damage --> Exacerbation of kidney disease
◉ *Shows picture of a surveyor*
What are we looking at?
Answer: Space for guide plane
◉ What is the major complication of phlebitis?
Answer: Pulmonary emboli or DVT
- Phlebitis is inflammation of veins which can build up clots within
bloodstream that eventually end up in legs or lungs and cut off
circulation
◉ Pt presents to your clinic complaining of new spaces present after
SRP. Why is there now spaces around gums?
, Answer: Reduction in edema
- No more plaque and bacterial challenge allows gingiva to reduce
inflammation
◉ What is the main cause of a 1-2 mm reduction in probing after
completing SRP?
Answer: Long junctional epithelium
- No longer have edema and allows reattachment of fibers
◉ If patient presents to clinic with a shunt on left arm due to late-
stage renal disease, how can we take BP?
Answer: Take BP on right arm
◉ *Shows picture of gingivitis behind #10 and #11*
What is wrong with the gingiva in the picture?
Answer: Edema
◉ Old patient presents with:
- Missing #31 and #32
- Diastema between #29 and #30
- Poor occlusion with #3
