CDCA OSCE questions and answers 2023
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____
hyperthyroidism
signs/symtoms of skinny, weight loss
Graves disease
weight gain, dry hair, lower voice, feels cold
hypothyroidism
Acute adrenal insufficnec...
acute adrenal insufficnecy is also known as disease a patien
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bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ - answer hyperthyroidism
signs/symtoms of skinny, weight loss - answer Graves disease
weight gain, dry hair, lower voice, feels cold - answer hypothyroidism
Acute adrenal insufficnecy is also known as ____disease. A patient on steroids might have an attack if not supplmeneted by ___ the steroid dose before dental treatment due
to thier inability to produce extra ___ in response to stress - answer addisons disease doubling the dose of steroids cortisol in response to stress
patient with reduced or missing teeth on a pan - answer ectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis? - answer cleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON WOOL appearance of bone - answer Pagets disease
hypercementosis will follow the ____ on a PAX - answer PDL
Cleft lip is defection fusion of the ____ and _____ - answer medial nasal process maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA - answer cleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) - answer Pierre robin syndrome
looks like white and brown spots on the teeth - answer hypocalcified teeth
___ cannot be reversed
but microabrainsion and aching can improve aesthetics, but cannot reverse the condition - answer fluorosis
flurosis can be caued by a patient living in a region wher the fluoride content in the water is ____ppm. Normal is ____ppm - answer 4ppm
normal is 0.7ppm patient has no enamel on the teeth on bitewing or panx - answer amelognesis imperfecta
can see OBLITERATED pulp chambers on radiogrpahs and teeth have a TRANSLUCENT or opalescent hue (greyish or blue)
also known as osteogenisis imperfect
associated with collagenn maturation problem, non systemic - answer dentogenisis imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression - answer syphillis
___ also known as twinning is due to incomplete formation of two teeth, common on incisors, seen in maxillary laterals - answer gemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors? - answer taurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months with fever) Treatment is ___ with ____ and analgesics - answer acute herpactic gingivostomatitis pallative care with lidocaine rinses and analgesics
long standing and heal with a scar, can see on the lip and palate, pemphoid can also heal with a scar - answer major apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside
the mucocel is ____ (mucus) - answer injured salivary gland
treat with excision
saliva,mucous
A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and 1:100,000 (____) of EPI vasoconstrictor - answer 1.8ml
36mg
0.018mg of EP t/f: according to cdc regulations, you are not required to wash hands before and after removing gloves ? - answer true
Sodium hypochlorite should be changed ___ - answer daily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using biological indicators ___ - answer spore test
Tx for tetracycline staining? - answer best to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH - answer xerostomia
____: can cause rampant caries in todder/infant - answer baby bottle syndrome
a patient on steriods will need ___ - answer supplemenation
a MI can produce ___ symptoms while ___ does not - answer GI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI - answer false
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion - answer all except indigestion and upset stomach angina
patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and third tablet and still nothing happens. Patient is most likley have a ____ - answer Myocaridal infarction
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with see __ _and ___ occur - answer chest discomfort(not pain) epigrastrium area, usually preciptated by stress and exertion
nasua and vomitting if a patient is sitting in dental chair with hands on heart, first thing you do is give the patient _____ - answer 0.4mg of nitroglycerine tablet
if patient is having a myocradial infarction/chest pain, andminster anti anginal drugs such as _____.
when to not give this to the patient as can cause severe drop in blood pressure - answer
0.4mg nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used? - answer morphine, oxygen, nitroglycerine, asprin
angina treatment
Norpace/disopyramide - answer Antiarrhythmic/antianginal agent
Valium (diazepam) has metabolies for long duration and binds to ___ receptors to cause inhibtory effects . will have ___ channel opening
It is a ___ used for anxiety, siezures ,and insomina - answer GABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - answer TRAMETERNE AND SPIRONLACTONE NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient require medicaiton? - answer No, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe - answer Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress dose) - answer true- due to anti rejection medications
analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY FAULURE -
answer PROPROXEPHINE
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