DSE OSCE – ( Latest Update)Correct 100%

41-yo woman, pregnant; prev rheumatic fever with heart murmur (no valvular abnormality); allergy to penicillin. Positive history of infective endocarditis. Does she need to pre med? - yes - no - ANSWERSyes - on my exam, this patient had a previous history of infective endocarditis. Pre-med IS indicated Pre-med options for pregnant woman w/hx of infective endocarditis and penicillin allergy - amoxicillin - cephalexin - clarithromycin - ciproflaxacin - ANSWERS*clarithromycin* I may not be correct, the correct option may be cephalexin. however I chose clarithromycin due to penicillin allergy, cross reaction with cephalosporins, and since clindamycin/erythromycin/azthromycin were not options. Ciproflaxacin is contraindicated in pregnancy. article for reference What procedure can a dentist perform without consulting MD if a patient is currently taking bisphosphonates? - endo therapy - prophy and scaling - extraction - occlusal restoration - ANSWERS*occlusal restoration* although the main HELL NO is extraction, completing endo therapy increases risk if the apex is compromised/damaged during therapy. I teetered on prophy and scaling, but since it did not specify supragingival, decided that the risk of scaling can negatively affect the periosteum of a bisphosphanate patient. ADA recommendations: 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)? - supply oxygen - place in Trendelenburg - make patient sit up straight - tell them to suck it up buttercup - ANSWERSplace her in Trendelburg position 6 months pregnant had bleeding gums and mobile teeth, how should they be treated? - immediate extractions - do not treat until baby is born - conservative debridement - immediate endo - ANSWERSconservative debridement .- pregnancy gingivitis: important to do ScRP (and stress good oral hygiene) to prevent plaque growth. The plaque can enter blood stream and stimulate 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? - chronic periodontitis - distal drift - normal during pregnancy - ANSWERSchronic 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 / low birth weight Permanent staining as a result of tetracyline; did this happen? - During development (as fetus) - 0-5yrs - 5-10 yrs - 10-15 yrs - ANSWERSage 0-5 years - remember that PERMANENT dentition does not begin calcification until birth Pentobarbital (Nembutal) and Secobarbital (Seconal) are what type of drugs? - benzodiazepines - NSAIDS