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Diagnostic Skills Exam OSCE (DSE OSCE) Questions And 100% Correct Answers
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Diagnostic Skills Exam OSCE (DSE OSCE) QuestionsAnd 100% Correct Answers
pre-med required for?
Prosthetic heart valves, or prosthetic material used for cardiac valve repair
History of infective endocarditis
Cyonotic heart disease
Valve regurgitation with heart thingys (even if was repaired or transplant already)
According to limited data, infective endocarditis appears to be more common among
heart transplant recipients compared with the general population; the risk for infective
endocarditis is highest in the first 6 months after transplant due to 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
/recalled)
b
Pregnant person afraid of needles - how do you alleviate the anxiety by positioning
patient in what when seated in your chair (BEFORE they even pass out)?
(recall)
trundelburg position.
- in 3rd trimester, supine hypotension typically occurs (bc compression Inf vena cava)
=> should avoid this in dental chair b/c may lead to patient fainting.
,- The best preventive treatment for supine hypotension is turning the patient (preferably
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)
conservative debridement is what other person answered.
Pregnancy gingivitis: doing ScRP is SO important (and stressing good oral hygiene) to
prevent plaque growth. The plaque can enter the blood stream and stimulate a patient's
immune system to produce prostaglandins which can trigger uterine contraction
leading to early labor/premature birth/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 cause of diastema?
(recalled)
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.
We have an expert-written solution to this problem!
permanent dentition with tetracycline staining, when did this happen?
(recalled)
Patient ingested tetracycline when they were between 0-5 years old
We have an expert-written solution to this problem!
• Pentobarbital (Nembutal)
• Secobarbital (Seconal)
are what type of medications?
,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?
(recalled)
Benadryl -> if its a mild-moderate allergy.
When a patient experiences a mild version of an anaphylactic reaction, the medication
or preparation that precipitated a response is stopped and the patient is treated with
diphenhydramine (Benadryl), 25-50 mg/tablet PO q6h for 48-72 hr.
Steroids - what's most important information you need to get from your patient when you
find out they are on steroids. before even thinking about treating them?
Duration and dosage.
REMEMBER.
The rule of twos": Ask if the patient is currently on steroids, or has taken corticosteroids
for 2 weeks or more in the last 2 years. You need to history back 2 years because it can
take 2 weeks to 2 years for the adrenal glands to bounce back to normal functioning.
Patients _____ is what is most important for calculating a medication dose for a child.
a. age
b. weight
c. gender
d. height
, (recalled)
b
Most concern with Down Syndrome?
he said 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.
(Recall)
Patient just had a stroke. What do you need to worry about?
(recall)
if they are on anti-coagulants (blood thinners).
Stroke patients may be on blood thinners, including aspirin, dipyradamole (Persan-
tine), clopidogrol (Plavix), or Coumadin, after recovery. Always consult the patient's
physician before major surgery as to whether and when the blood thinners can be
stopped and then restarted.
- Routine dental treatment must be postponed for 6 months after a CVA that required
significant hospitalization.
- If the post-CVA course of improvement was unremarkable and the patient had been
admitted overnight only for observation, routine dental treatment need not be
postponed for more than 3 months.
Avoid epinephrine containing LAs during the first 6 months of dental treatment.
Subsequent use of epinephrine depends on the patient's prognosis. Epinephrine
containing LAs can be used starting 1 year after the stroke, when the patient
demonstrates progressive improvement of the CVA and absence of TIAs.
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