CDCA OSCE VERIFIED A+
Endocrine Disorders
- Exophthalmos, Weight Loss, Graves Disease: ✔️ All due to hyperthyroidism.
- Signs/Symptoms of Weight Loss: ✔️ Associated with Graves disease.
- Weight Gain, Dry Hair, Lower Voice, Feels Cold: ✔️ Indicative of hypothyroidism.
- Acute Adrenal Insufficiency: ✔️ Also known as Addison's disease.
- Steroid Dose Adjustment: Requirement for doubling the steroid dose before dental treatment due to
inability to produce extra cortisol in response to stress.
Dental Conditions
- Reduced or Missing Teeth on Pan: ✔️ Indicative of ectodermal dysplasia.
- Supernumerary Teeth Diagnosis: ✔️ Likely cleidocranial dysplasia.
- Paget’s Disease Symptoms: ✔️ Can cause hypercementosis, skull and jaw enlargement with cotton
wool appearance.
- Cleft Lip Fusion Defects: ✔️ Failure of fusion between medial nasal and maxillary processes.
- Cleft Palate Result: ✔️ Caused by failure of palatal shelves to fuse, also associated with bifid uvula.
- Pierre Robin Syndrome: ✔️ Cleft palate, mandibular micrognathia, and glossoptosis leading to airway
obstruction.
,- Hypocalcified Teeth Appearance: ✔️ Looks like white and brown spots on teeth.
- Fluorosis: ✔️ Cannot be reversed; microabrasion may improve aesthetics but not reverse the
condition.
- Cause of Fluorosis: ✔️ Living in a region with fluoride content higher than 4 ppm (normal is 0.7 ppm).
- No Enamel on Teeth (Bitewing/Pan): ✔️ Indicative of amelogenesis imperfecta.
- Osteogenesis Imperfecta: ✔️ Also known as dentinogenesis imperfecta; characterized by obliterated
pulp chambers and translucent or opalescent hue.
- Mulberry Molars and Screwdriver-Shaped Incisors: ✔️ Associated with syphilis.
- Gemination: ✔️ Incomplete formation of two teeth, common on incisors, typically seen in maxillary
laterals.
- Taurodontism: ✔️ Characterized by bull-shaped crowns with shortened roots.
Oral Pathology
- Tzanck Test: ✔️ Used to diagnose acute herpetic gingivostomatitis; treated with palliative care
including lidocaine rinses and analgesics.
- Major Apthous Ulcers: ✔️ Long-lasting ulcers that may heal with scars; can occur on lip and palate.
- Mucocele on Lower Lip: ✔️ Due to injured salivary gland, treated with excision; contents include
saliva/mucous.
Pharmacology and Medications
,- Lidocaine Cartridge: ✔️ Contains 1.8 ml of 2% lidocaine (36 mg) and 1:100,000 (0.018 mg) of
epinephrine vasoconstrictor.
- CDC Regulations on Hand Hygiene: ✔️ True, handwashing is not required before and after removing
gloves.
- Sodium Hypochlorite Change Frequency: ✔️ Should be changed daily.
- Autoclave Testing Method: ✔️ Use a spore test for biological indicators.
- Tetracycline Staining Treatment: ✔️ Best to leave alone.
- Xerostomia's Effect: ✔️ Can cause rampant decay due to lack of saliva buffering acidic pH.
- Baby Bottle Syndrome: ✔️ Can cause rampant caries in infants/toddlers.
Cardiovascular Awareness
- Supplementation for Patients on Steroids: ✔️ Required to avoid adrenal insufficiency during dental
procedures.
- Symptoms of Myocardial Infarction (MI): ✔️ Can produce GI symptoms, while syncope does not.
- Retracting Cord with Epi: ✔️ False; do not use for patients with recent MI.
Angina and Myocardial Infarction
- Common Symptoms of MI: ✔️ Chest pain, pounding heartbeat, left arm pain, jaw pain; generally all
except indigestion and upset stomach.
, - Nitroglycerin Use: ✔️ If a patient takes nitroglycerin with no effect after 5 minutes, they likely have a
myocardial infarction.
- Angina Pectoris Symptoms: ✔️ Chest discomfort, usually precipitated by exertion, along with nausea
and vomiting.
- First Response to Chest Pain in Dental Chair: ✔️ Administer 0.4 mg of nitroglycerin tablet.
- MONA Protocol: ✔️ Stands for Morphine, Oxygen, Nitroglycerin, Aspirin; used for angina treatment.
Pharmacological Agents
- Norpace/Disopyramide: ✔️ Antiarrhythmic and antianginal agent.
- Valium (Diazepam) Mechanism: ✔️ Binds to GABA receptors, leading to chloride channel opening.
- Potassium-Sparing Diuretics: ✔️ Triamterene and Spironolactone; not used for impaired renal
function.
- Stent and Dialysis Patients: ✔️ No additional medication required.
- Prescribing for Kidney Disease: ✔️ Can prescribe Tylenol (acetaminophen); do not prescribe NSAIDs
like aspirin, Advil, or naproxen.
- Post-Kidney Transplant Antibiotics: ✔️ True; patient may require antibiotic stress dose.
Analgesics and Antihistamines
Endocrine Disorders
- Exophthalmos, Weight Loss, Graves Disease: ✔️ All due to hyperthyroidism.
- Signs/Symptoms of Weight Loss: ✔️ Associated with Graves disease.
- Weight Gain, Dry Hair, Lower Voice, Feels Cold: ✔️ Indicative of hypothyroidism.
- Acute Adrenal Insufficiency: ✔️ Also known as Addison's disease.
- Steroid Dose Adjustment: Requirement for doubling the steroid dose before dental treatment due to
inability to produce extra cortisol in response to stress.
Dental Conditions
- Reduced or Missing Teeth on Pan: ✔️ Indicative of ectodermal dysplasia.
- Supernumerary Teeth Diagnosis: ✔️ Likely cleidocranial dysplasia.
- Paget’s Disease Symptoms: ✔️ Can cause hypercementosis, skull and jaw enlargement with cotton
wool appearance.
- Cleft Lip Fusion Defects: ✔️ Failure of fusion between medial nasal and maxillary processes.
- Cleft Palate Result: ✔️ Caused by failure of palatal shelves to fuse, also associated with bifid uvula.
- Pierre Robin Syndrome: ✔️ Cleft palate, mandibular micrognathia, and glossoptosis leading to airway
obstruction.
,- Hypocalcified Teeth Appearance: ✔️ Looks like white and brown spots on teeth.
- Fluorosis: ✔️ Cannot be reversed; microabrasion may improve aesthetics but not reverse the
condition.
- Cause of Fluorosis: ✔️ Living in a region with fluoride content higher than 4 ppm (normal is 0.7 ppm).
- No Enamel on Teeth (Bitewing/Pan): ✔️ Indicative of amelogenesis imperfecta.
- Osteogenesis Imperfecta: ✔️ Also known as dentinogenesis imperfecta; characterized by obliterated
pulp chambers and translucent or opalescent hue.
- Mulberry Molars and Screwdriver-Shaped Incisors: ✔️ Associated with syphilis.
- Gemination: ✔️ Incomplete formation of two teeth, common on incisors, typically seen in maxillary
laterals.
- Taurodontism: ✔️ Characterized by bull-shaped crowns with shortened roots.
Oral Pathology
- Tzanck Test: ✔️ Used to diagnose acute herpetic gingivostomatitis; treated with palliative care
including lidocaine rinses and analgesics.
- Major Apthous Ulcers: ✔️ Long-lasting ulcers that may heal with scars; can occur on lip and palate.
- Mucocele on Lower Lip: ✔️ Due to injured salivary gland, treated with excision; contents include
saliva/mucous.
Pharmacology and Medications
,- Lidocaine Cartridge: ✔️ Contains 1.8 ml of 2% lidocaine (36 mg) and 1:100,000 (0.018 mg) of
epinephrine vasoconstrictor.
- CDC Regulations on Hand Hygiene: ✔️ True, handwashing is not required before and after removing
gloves.
- Sodium Hypochlorite Change Frequency: ✔️ Should be changed daily.
- Autoclave Testing Method: ✔️ Use a spore test for biological indicators.
- Tetracycline Staining Treatment: ✔️ Best to leave alone.
- Xerostomia's Effect: ✔️ Can cause rampant decay due to lack of saliva buffering acidic pH.
- Baby Bottle Syndrome: ✔️ Can cause rampant caries in infants/toddlers.
Cardiovascular Awareness
- Supplementation for Patients on Steroids: ✔️ Required to avoid adrenal insufficiency during dental
procedures.
- Symptoms of Myocardial Infarction (MI): ✔️ Can produce GI symptoms, while syncope does not.
- Retracting Cord with Epi: ✔️ False; do not use for patients with recent MI.
Angina and Myocardial Infarction
- Common Symptoms of MI: ✔️ Chest pain, pounding heartbeat, left arm pain, jaw pain; generally all
except indigestion and upset stomach.
, - Nitroglycerin Use: ✔️ If a patient takes nitroglycerin with no effect after 5 minutes, they likely have a
myocardial infarction.
- Angina Pectoris Symptoms: ✔️ Chest discomfort, usually precipitated by exertion, along with nausea
and vomiting.
- First Response to Chest Pain in Dental Chair: ✔️ Administer 0.4 mg of nitroglycerin tablet.
- MONA Protocol: ✔️ Stands for Morphine, Oxygen, Nitroglycerin, Aspirin; used for angina treatment.
Pharmacological Agents
- Norpace/Disopyramide: ✔️ Antiarrhythmic and antianginal agent.
- Valium (Diazepam) Mechanism: ✔️ Binds to GABA receptors, leading to chloride channel opening.
- Potassium-Sparing Diuretics: ✔️ Triamterene and Spironolactone; not used for impaired renal
function.
- Stent and Dialysis Patients: ✔️ No additional medication required.
- Prescribing for Kidney Disease: ✔️ Can prescribe Tylenol (acetaminophen); do not prescribe NSAIDs
like aspirin, Advil, or naproxen.
- Post-Kidney Transplant Antibiotics: ✔️ True; patient may require antibiotic stress dose.
Analgesics and Antihistamines
