CDCA OSCE EXAM | CERTIFIED QUESTIONS
WITH CORRECT ANSWERS
Name of pathology: Patient returns 48-72 hours after extraction with pain and
fetid odor?
TX: (3)? -correct-answer-fibrinolytic alveolar osteotitis (dry socket or local osteitis)
tx is to irrigate extraction site and treat with iodonform gauze and eugenol.
Patient presents with a blood clot after extraction (post surgical sequela) Most
likely a ___ clot.
Tx:? (3) -correct-answer-liver clot
remove with curette, apply pressure, and reassess
if a PERMENANT tooth is avulsed,
1. scrub clean?
2. place in milk of hanks balanced salt solution? -correct-answer-do not scrub
clean, will kill cells
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yes place in milk of hanks balanced salt solution
t/f; traumatic ulcer can occur after tooth extraction? ill fitting dentures -correct-
answer-true and true
t/f? prophy teeth after extraction to reduce plaque and bacteria? -correct-answer-
false before extraction allow better healing of tissue during post surgery healing
If a patient takes asprin after reviewing thier medical history, they may have
excessive ____ after extraction -correct-answer-excessive bleeding
A patient taking coumadin requires a tooth extraction. What test are needed? -
correct-answer-PTT and INR
Normal PT/INR -correct-answer-PT: 10-13s (greater than or equal to 2.5)
INR: <1.2 (less than or equal to 3.5)
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After SRP, you would typically find reduciton in inflammation and ___-___mm
probing depth (pocket reduction) -correct-answer-1-2mm
A 6-7mm pocket with continued BOP depsite good oral hygiene and root planning
would result from ______ or ____ -correct-answer-retained subginval bacteria or
calculus
The best way to detemrine if a ptients periodontal condition is stable is if there is
______. -correct-answer-no increase in pocket depth
What are the two most significant factors that influence the course of periodontal
disease ? -correct-answer-furcation involvement and pocket depth
Best (inital and most effective ) treatment of ANUg is ? -correct-answer-SRP
(debridement)
t/f: ANUG can cause foul(bad breath) -correct-answer-true
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name type of treatment: treatment is SRP and place gingival graft and is V shaped
? -correct-answer-Stillmans cleft
The common goal of flap surgery is toe access ___ for ___ to allow pocket
elimination -correct-answer-access roots for debridement to allow pocket
elimination
healing of what type of epithelum occurs after raising a flap? -correct-answer-long
junctional epithelium
The normal width of kertatinized gingiva in the mandibular anterior region is ? -
correct-answer-3-4mm
Drugs like Naproxene, penicllin, and Asprin ________pocket depth. Tetracyclines
(arestin) _____ pocket depth in conjunction with SRP -correct-answer-do not
increase pocket depth
can increase pocket depth in conjunction with srp