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Exam (elaborations)

Diagnostic Skills Exam OSCE (DSE OSCE) – 2024

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Diagnostic Skills Exam OSCE (DSE OSCE) – 2024 Pre-Medication Requirements - Pre-medication is required for patients with: - Prosthetic heart valves or prosthetic material used for cardiac valve repair. - History of infective endocarditis. - Cyanotic heart disease. - Valve regurgitation associat...

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  • August 30, 2024
  • 48
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Diagnostic Skills Exm OSCE – 2024
  • Diagnostic Skills Exm OSCE – 2024
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Diagnostic Skills Exam OSCE (DSE OSCE) – 2024


Pre-Medication Requirements

- Pre-medication is required for patients with:

- Prosthetic heart valves or prosthetic material used for cardiac valve repair.

- History of infective endocarditis.

- Cyanotic heart disease.

- Valve regurgitation associated with heart conditions (even if repaired or transplanted).



Clinical Scenarios and Responses



- Pregnant Woman with Rheumatic Fever and Heart Murmur:

- Pre-medication required? ✔️ No.



- Pregnant Patient Afraid of Needles:

- Best position? ✔️ Place her in Trendelenburg position (to prevent supine hypotension).



- 6-Month Pregnant with Bleeding Gums and Mobile Teeth:

- Treatment? ✔️ Conservative debridement.



- Diastema Between 8 and 9 with Mobility:

- Cause? ✔️ Chronic periodontal disease (increased incidence during pregnancy).



- Permanent Dentition Tetracycline Staining:

- Occurred when? ✔️ 0 to 5 years old.



- Pentobarbital (Nembutal) and Secobarbital (Seconal):

, - Type of drugs? ✔️ Barbiturates (used before dental appointments).



- Treatment of Allergic Reaction to Barbiturates:

- Treatment? ✔️ Benadryl (Diphenhydramine).



- Information to Gather About Steroid Use:

- Most important? ✔️ Duration and dosage.



- Medication Dosage Calculation for a Child:

- Most important factor? ✔️ Weight.



- Concern with Down Syndrome (Trisomy 21):

- Key issue? ✔️ Congenital heart defects (also consider periodontal disease).



- Patient Recently Had a Stroke:

- Key concern? ✔️ Are they on anticoagulants?



- Difference between Anaphylaxis and Syncope:

- Sign of anaphylaxis? ✔️ Wheezing and bronchoconstriction.



- Negative ELISA Test Interpretation:

- Indicates? ✔️ The patient has no antibodies to HIV-1 present.



- 14-Year-Old with Inflamed Gingiva:

- Likely diagnosis? ✔️ Leukemia.



- Arm Rash Likely Due to:

- Drug? ✔️ Penicillin allergy.

,- Cyclosporine Side Effects:

- Known for? ✔️ Gingival hyperplasia.



- Drugs Causing Gingival Hyperplasia:

- Include? ✔️ Nifedipine, Cyclosporine, Phenytoin (Dilantin).



- Cauliflower Lesion on Tongue:

- Diagnosis? ✔️ Papilloma.



- Multiple Odontomas:

- Associated with? ✔️ Gardner’s syndrome (colorectal polyposis).



- Mucocele Treatment:

- Best option? ✔️ Excise it and adjacent gland to prevent recurrence.



Jaundice and Hepatitis



- Patient Presents with Jaundice:

- Likely condition? ✔️ Hepatitis A.

- Proper management? ✔️ Tell the patient to come back for treatment in 1 week.



Additional Conditions



- Ectodermal Dysplasia Symptoms:

- Exhibits: No hair and missing teeth.



- Pernicious Anemia:

, - Caused by? ✔️ Autoimmune destruction of the parietal cells in the stomach.



- Function of Intrinsic Factor:

- Purpose? ✔️ Required to absorb vitamin B12 from food.



- Hemolytic Anemia:

- Definition? ✔️ A condition in which red blood cells are destroyed and removed from the
bloodstream before their normal lifespan is over.



- Hereditary Telangiectasia Association:

- Associated with? ✔️ Iron deficiency.



- Patient Discontent with Appearance of Canine/Premolar:

- Likely diagnosis? ✔️ Hypoplasia.



- Facial Erosion on Teeth:

- Due to? ✔️ Acidic beverages.



- Amelogenesis Imperfecta vs. Dentinogenesis Imperfecta:

- Key features of Dentinogenesis imperfecta include bulbous crowns, cervical constriction, thin roots,
and early obliteration of root canals and pulp chambers.



Once thought to be associated with BLUE SCLERA and multiple bone fractures



a. hemolytic anemia

b. grave's disease

c. pernicious anemia

d. dentinogenesis imperfecta

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