CDCA OSCE COMPREHENSIVE QUESTIONS
AND ANSWERS
◉ 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
Why does #3 have poor occlusion?
,Answer: Mesial drifting of premolars
◉ If the surgical stents fit the gums, but an immediate denture won't
fit the gums, what should we do?
Answer: Relieve the denture until it sits
◉ *Shows picture of tongue with multiple white lesions*
Pt presents with the noted lesions and complains about having sore
gums, sore tongue, and a fever of 101 degrees F. What is the most
likely diagnosis?
Answer: Primary herpetic gingivostomatisis
◉ What is the treatment for primary herpetic gingivostomatitis?
Answer: Palliative care
- Herpes is a virus and as such we need to help the body run its
course
- Antivirals may only shorten symptoms by 24 hours at best
◉ Patient presents with purple lesions on the palate and stated that
they have had similar lesions on their body too. What is the likely
diagnosis?
, 1) HIV (Kaposi Sarcoma)
2) Sturge Weber
3) Erythema Multiforme
Answer: HIV (via Kaposi's Sarcoma)
◉ What disease will effect wearing a complete denture the most?
Answer: Sjogren Syndrome (xerostomia)
- Need saliva for an effective palatal seal, otherwise will not be stable
◉ What is a traumatic lesion that heals with a scar?
Answer: Major aphthous ulcer
◉ *Shows picture of an arrow pointing at soft tissue mass on floor of
mouth*
What is this soft tissue swelling?
Answer: Opening of Wharton's Duct
◉ Pt presents with lichen planus on tongue that is asymptomatic.
What is the ideal treatment?
Answer: Ideal treatment = None since asymptomatic
AND ANSWERS
◉ 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
Why does #3 have poor occlusion?
,Answer: Mesial drifting of premolars
◉ If the surgical stents fit the gums, but an immediate denture won't
fit the gums, what should we do?
Answer: Relieve the denture until it sits
◉ *Shows picture of tongue with multiple white lesions*
Pt presents with the noted lesions and complains about having sore
gums, sore tongue, and a fever of 101 degrees F. What is the most
likely diagnosis?
Answer: Primary herpetic gingivostomatisis
◉ What is the treatment for primary herpetic gingivostomatitis?
Answer: Palliative care
- Herpes is a virus and as such we need to help the body run its
course
- Antivirals may only shorten symptoms by 24 hours at best
◉ Patient presents with purple lesions on the palate and stated that
they have had similar lesions on their body too. What is the likely
diagnosis?
, 1) HIV (Kaposi Sarcoma)
2) Sturge Weber
3) Erythema Multiforme
Answer: HIV (via Kaposi's Sarcoma)
◉ What disease will effect wearing a complete denture the most?
Answer: Sjogren Syndrome (xerostomia)
- Need saliva for an effective palatal seal, otherwise will not be stable
◉ What is a traumatic lesion that heals with a scar?
Answer: Major aphthous ulcer
◉ *Shows picture of an arrow pointing at soft tissue mass on floor of
mouth*
What is this soft tissue swelling?
Answer: Opening of Wharton's Duct
◉ Pt presents with lichen planus on tongue that is asymptomatic.
What is the ideal treatment?
Answer: Ideal treatment = None since asymptomatic
