Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
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 general 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 venous catheter access, and
frequent endomyocardial biopsies]
5 month old preggers with rheumatic fever and heart murmer: pre med?
a. yes
b. no
(remembered) - -b
Pregnant person afraid of needles - stress management by putting patient in what position
when in your chair (BEFORE they even get to the point of passing out)?
(remembered) - -place her in trundelburg position.
- supine hypotension in 3rd trimester usually occurs (bc compression Inf vena cava) =>
must prevent this in dental chair bc it can cause patient to pass out.
- Best preventative treatment for supine hypotension is to turn the 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 position with the knees flexed.
, Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
6 months pregnant had bleeding gums and mobile teeth? How should they be treated?
(remembered) - -conservative debridement is what other person answered.
- pregnancy gingivitis: It is SO important to do ScRP (and stress good oral hygeine) to
prevent plaque growth. The plaque can enter blood stream and stimuate patient's immune
system to produce prostaglandins, which can trigger uterine contraction leading to early
labor, premature birth, and a small baby.
Pregnant lady with a diastema in between #8 and #9 with deep probing depth and class 1
mobility on 8 and 9. What is the reason for diastema?
(remembered) - -chronic perio
- increased incidence of periodontal disease during pregnancy => must emphasize good
oral hygiene, and remove all their plaque so it doesn't lead to premature birth / small baby.
Permanent dentition with tetracycline staining, when did this happen?
(remembered) - -Patient ingested tetracycline when they were between 0 and 5 years
old
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs? - -barbiturates - Both pentobarbital (Nembutal) and
secobarbital (Seconal) are used primarily on the evening before the dental appointment.
Barbiturates - how should an allergic reaction be treated?
, Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
(remembered) - -Benadryl -> if its a mild-moderate allergy.
- When a patient experiences a milder form of anaphylactic reaction, the drug or prepara-
tion that caused a reaction is discontinued and the patient is given diphenhydramine
(Benadryl), 25-50 mg/tablet PO q6h for 48-72 hr.
Steroids - whats most important information you need to get from your patient when you
find out they are on steroids.. before even thinking about treating them?
(remembered) - -duration and dosage.
- "The rule of twos": Ask whether the patient is currently on steroids or has been on
corticosteroids for 2 weeks or longer within the past 2 years. You must go back 2 years in
the history because it can take 2 weeks to 2 years for the adrenal glands to bounce back to
normal function.
Patients _____ is the most important thing for calculating medication dosage for a child.
a. age
b. weight
c. gender
d. height
(remembered) - -b
Biggest concern with down syndrome?
, Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
he thought Congenital Heart Defects.
- Trisomy 21 are at increased risk of cardiac defects, true.
- early onset periodontal disease IS MOST SIGNIFICANT ORAL HEALTH PROBLEM; they
have a lower prevalence of dental caries though.
Consider prescribing Chlorhexidine or other antimicrobial agents for daily use.
- When treating, consider patient's cardiac status and need for premedication (medical
consult may be indicated).
(remebered) - -
Patient just had a stroke. What do you need to worry about?
(remembered) - -if they are on anti-coagulants (blood thinners).
- Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan- tine),
clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always consult with
the patient's physician to determine whether and when the blood thinners can be stopped
and subsequently restarted.
- . Following a CVA that required significant hospitalization, routine dental treatment must
be delayed by 6 months.
- Routine dental treatment should be delayed by 3 months if the post-CVA recovery was
uneventful and the patient was admitted overnight just for observation.
- Avoid epinephrine containing LAs during the first 6 months of dental treatment.
Subsequent use of epinephrine depends on the patient's prognosis. Epinephrine
and Answers 2024/2025
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 general 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 venous catheter access, and
frequent endomyocardial biopsies]
5 month old preggers with rheumatic fever and heart murmer: pre med?
a. yes
b. no
(remembered) - -b
Pregnant person afraid of needles - stress management by putting patient in what position
when in your chair (BEFORE they even get to the point of passing out)?
(remembered) - -place her in trundelburg position.
- supine hypotension in 3rd trimester usually occurs (bc compression Inf vena cava) =>
must prevent this in dental chair bc it can cause patient to pass out.
- Best preventative treatment for supine hypotension is to turn the 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 position with the knees flexed.
, Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
6 months pregnant had bleeding gums and mobile teeth? How should they be treated?
(remembered) - -conservative debridement is what other person answered.
- pregnancy gingivitis: It is SO important to do ScRP (and stress good oral hygeine) to
prevent plaque growth. The plaque can enter blood stream and stimuate patient's immune
system to produce prostaglandins, which can trigger uterine contraction leading to early
labor, premature birth, and a small baby.
Pregnant lady with a diastema in between #8 and #9 with deep probing depth and class 1
mobility on 8 and 9. What is the reason for diastema?
(remembered) - -chronic perio
- increased incidence of periodontal disease during pregnancy => must emphasize good
oral hygiene, and remove all their plaque so it doesn't lead to premature birth / small baby.
Permanent dentition with tetracycline staining, when did this happen?
(remembered) - -Patient ingested tetracycline when they were between 0 and 5 years
old
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what kind of drugs? - -barbiturates - Both pentobarbital (Nembutal) and
secobarbital (Seconal) are used primarily on the evening before the dental appointment.
Barbiturates - how should an allergic reaction be treated?
, Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
(remembered) - -Benadryl -> if its a mild-moderate allergy.
- When a patient experiences a milder form of anaphylactic reaction, the drug or prepara-
tion that caused a reaction is discontinued and the patient is given diphenhydramine
(Benadryl), 25-50 mg/tablet PO q6h for 48-72 hr.
Steroids - whats most important information you need to get from your patient when you
find out they are on steroids.. before even thinking about treating them?
(remembered) - -duration and dosage.
- "The rule of twos": Ask whether the patient is currently on steroids or has been on
corticosteroids for 2 weeks or longer within the past 2 years. You must go back 2 years in
the history because it can take 2 weeks to 2 years for the adrenal glands to bounce back to
normal function.
Patients _____ is the most important thing for calculating medication dosage for a child.
a. age
b. weight
c. gender
d. height
(remembered) - -b
Biggest concern with down syndrome?
, Diagnostic Skills Exam OSCE (DSE OSCE) – Questions
and Answers 2024/2025
he thought Congenital Heart Defects.
- Trisomy 21 are at increased risk of cardiac defects, true.
- early onset periodontal disease IS MOST SIGNIFICANT ORAL HEALTH PROBLEM; they
have a lower prevalence of dental caries though.
Consider prescribing Chlorhexidine or other antimicrobial agents for daily use.
- When treating, consider patient's cardiac status and need for premedication (medical
consult may be indicated).
(remebered) - -
Patient just had a stroke. What do you need to worry about?
(remembered) - -if they are on anti-coagulants (blood thinners).
- Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan- tine),
clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always consult with
the patient's physician to determine whether and when the blood thinners can be stopped
and subsequently restarted.
- . Following a CVA that required significant hospitalization, routine dental treatment must
be delayed by 6 months.
- Routine dental treatment should be delayed by 3 months if the post-CVA recovery was
uneventful and the patient was admitted overnight just for observation.
- Avoid epinephrine containing LAs during the first 6 months of dental treatment.
Subsequent use of epinephrine depends on the patient's prognosis. Epinephrine
