Top Mark Questions and Correct Verified Answers
Diagnostic Skills Exam OSCE (DSE
OSCE) Questions and Correct Verified
Answers
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
Top Mark !!!
, Top Mark Questions and Correct Verified Answers
(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.
6 months pregnant had bleeding gums and mobile teeth? How should they be treated?
(remembered)
Top Mark !!!
, Top Mark Questions and Correct Verified Answers
✓ 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
Top Mark !!!
, Top Mark Questions and Correct Verified Answers
• 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?
(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?
Top Mark !!!
Diagnostic Skills Exam OSCE (DSE
OSCE) Questions and Correct Verified
Answers
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
Top Mark !!!
, Top Mark Questions and Correct Verified Answers
(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.
6 months pregnant had bleeding gums and mobile teeth? How should they be treated?
(remembered)
Top Mark !!!
, Top Mark Questions and Correct Verified Answers
✓ 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
Top Mark !!!
, Top Mark Questions and Correct Verified Answers
• 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?
(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?
Top Mark !!!
