ADEX OSCE study Guide 2024/2025.

Cause for cement failure - correct answer increased solubility Before trimming teeth on stone cast for immediate, do what? - correct answer Mark a 3 mm line above the free gingival margin Child with fibrous dysplasia, what do you do next - correct answer Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible Panorex - correct answer gasting rings When are immediate dentures evaluated? - correct answer 24 hours, (72 hours?) 1 week, 1 month, every 3 months Symptoms of eagles syndrome - correct answer lots of general symptoms like facial pain, dysphagia, headaches, but mainly radiographic evidence of an elongated or mineralized styloid process/ligament Xray with herring bone effect. What's wrong? - correct answer film placed backwards What film requires least amount of radiation? - correct answer E speed Patient with history of weight gain, deepening voice, dry skin - correct answer hypothyroidism Clinical picture of a 14 yo with inflammed gingiva - correct answer leukemia Patient with no hair and no teeth, what do they likely have? - correct answer ectodermal dysplasia How often should and autoclave be checked - correct answer once a week. 121 degrees at 15-20 psi for 20 min, check for b. Stearothermophillus Tx of lichen planus - correct answer corticosteroids If patient becomes unconscious, what do you check first? - correct answer breathing CPR - placement of palm and fingers - correct answer palm on lower sternum, fingers on xiphoid process Sickle cell anemia - correct answer increased fatigue, increase in bone marrow space. decreased trabeculation The following reduce radiation dose - correct answer rectangular collimation, E speed, higher kV or constant beam, lead apron, quality assurance program Static before processing can result in - correct answer dark spots or lines on an xray When are relines of immediate dentures typically done by laboratory? - correct answer 6-10 months When is an alternate cast technique done? - correct answer after processing a denture What causes loss of lamina dura - correct answer hyperpituitarism, hyperparathyroidism, osteomalacia, paget's disease of bone, fibrous dysplasia Petechiae of soft palate can be caused by - correct answer infectious mono Test for heparin vs warfarin - correct answer heparin tests PTT, warfarin tests PT and INR Identify anemia based on lab values - correct answer Hb 12.5 Treatment of bells palsy - correct answer histamine and vasodilators may shorten duration. Systemic corticosteroids and hyperbaric oxygen therapy can also help. surgical decompression. Topical ocular antibiotics and artificial tears to prevent corneal ulceration. Recovery usually occurs in 6 months Treatment of dry socket - correct answer eugenol impregnated pellet. do NOT curette Fusion vs gemination - correct answer fusion: two buds, gemination: one root Expired or aged film will appear - correct answer too light Histo of fibroma - correct answer nodular mass of CT covered by squamous epithelium You are having difficulty selecting shade for a PFM - correct answer decrease gray and decrease hue Clinical picture of PFM with enamel hyperplasia. What could this be caused by - correct answer trauma or infection of primary tooth Most accurate impression material - correct answer reversible hydrocolloid Reason for cement failure - correct answer solubility identify hereditary telangiectasia - correct answer AD, diagnosed bc of freq nosebleeds. The papules BLANCH. Multiple red papules everywhere Identify black hairy tongue. - correct answer a black appearance of the dorsal surface of the tongue caused by elongated filiform papillae and an accumulation of dark pigments, microbes, and food debris. (usually smokers, abx therapy, radiation therapy, generally poor OH) How do you treat black hairy tongue? - correct answer benign condition, eliminate predisposing factors, encourage improved OH with tongue scraper Identify: horizontal striations on tongue - correct answer oral hairy leukoplakia, contact stomatitis What does reticular lichen planus look like in the mouth? - correct answer buccal lesions look like interlacing striae, but on the tongue you'll see smooth white plaques Identify midline mandibular fracture. - correct answer notice step between 24 and 25 Maximum amount of unsupported porcelain when making PFM - correct answer 2mm Turner tooth - correct answer hypoplasia of perm tooth Usually just affects one tooth due to local trauma/ infection of the developing tooth bud from the primary tooth What is the sequence of treatment for relining complete dentures that show wear - correct answer build up posterior occlusion, then reline When can non-rigid connectors be used in FPDs? - correct answer short spans, where preps aren't parallel When are semi-rigid precision attachments used? - correct answer when definite parallelism between abutments is not attainable with conventional clasps What emergency may you expect from a patient taking prednisone? - correct answer shock Minimum amount of time following extractions that you have to wait before making impressions for final dentures - correct answer text says 3-4 weeks What is the sequence of selective grinding? - correct answer centric occlusion working balancing protrusive When can chairside relines and tissue conditioners be done? - correct answer any time What's recommended time after teeth have been extracted for a lab reline? - correct answer 3 months long term rxn to wearing ill fitting dentures- papillary hyperplasia or epulis - correct answer epulis MoA for tiramterene - correct answer conserves potassium Norpace - correct answer anti-arrythmatic Why do you use monoplane teeth for patients on a lower partial? - correct answer when there is a small overbite and a wide overjet In hypercementosis, the PDL is intact (T/F) - correct answer true Radiographic appearance of sinusitis - correct answer sinus is more opaque Patient asks how much time from initial appointment to making impressions for final denture (immediate) - correct answer 3 months What happens if immediate dentures do not seat completely at insertion appointment? - correct answer wait 24 hours Patient complains of difficulty when making S and V sounds. What's the problem? - correct answer maxillary incisors placed too far superiorly PA with lack of density. How do you correct the error? - correct answer increase mA How do you treat syncope? - correct answer Trendelenburg position. If breathing present, crush ammonia ampuls under nose and admin oxygen. If not breathing, start BLS