Dental Hygiene OSCE Exam 60
Questions with Complete Solutions
(Already Graded A+)
Normal Blood Pressure - Correct Answer less than 120/80
Elevated Blood Pressure - Correct Answer 120-129/<80
Stage 1 Hypertension - Correct Answer 130-139/80-89
Stage 11 Hypertension - Correct Answer 140+/90+
Hypertensive Crisis - Correct Answer 180+/120+
Normal HbA1c - Correct Answer Lower than 5.7% (4%-5.6%)
Hyperglycemia - Correct Answer Blood sugar higher than 130 mg/dl fasting or higher than 180 mg/dl after a meal.
Hypoglycemia - Correct Answer Blood sugar lower than 70 mg/dl
What is insulin shock? - Correct Answer Extreme hypoglycemia
What appointment modification can be made for diabetics? - Correct Answer Schedule AM appointments after the patient has had a meal.
What are signs of hypoglycemia? - Correct Answer Mild-moderate: dizziness, moodiness, headaches, hunger, shakiness, sweating, confusion, rapid heartbeat. Extreme: fainting, unconsciousness, seizures, coma. Caused by skipping meals, use of insulin or diabetes medication, unusual physical activity, or excessive alcohol consumption.
Management of hypoglycemia - Correct Answer Glucose tablet, juice, candy or food with sugar.
What are signs of hyperglycemia? - Correct Answer Nausea, confusion, thirst, shortness of breath, fruity (ketone) breath, fatigue, frequent urination.
Management of hyperglycemia - Correct Answer Remind patient to take medication
What is a normal body temperature? - Correct Answer Adult: 97-99 degrees (ideal is 98.6 degrees)
What is a normal pulse rate? - Correct Answer Adult: 60-100 BPM Child: 80-100 BPM
Infant: 100-160 BPM
*Taken at lateral or ventral aspect of the wrist or brachial Avery (depression at the bend/antecubital fossa) at the elbow
Normal Respiration Rates - Correct Answer Adults: 12-20 BPM
Child: 18-22 BPM
*Allow patient to rest 5 minutes before recording
What is Bradypnea? - Correct Answer Slow respiratory rate
What is Tachypnea? - Correct Answer Rapid respiratory rate.
What is Oraquix? - Correct Answer An Amide made of Lidocaine & Prilocaine. Applied in the sulcus and takes approx 30 second to take effect. 15-20 Duration. Maximum of 5 carpules.
Basic Life Support - Correct Answer Always check vitals before emergency call
-No Response: call emergency and get AED
-No Breath: tilt head, 10-12 rescue breaths per min.
-No Pulse: Compressions+breaths. 100-120 compressions per minute 2 inches deep.
Mild Allergy Management - Correct Answer -Administer Benadryl (aka diphenhydramine-antibistanine)
-Keep supine
-Oxygen as needed
Anaphylaxis Management - Correct Answer -Epinephrine: .2-.5 for adults, .01 for kids
2-3 times as needed @ 10-15 minute intervals
-Call emergency is recovery isn't quick
-Supplemental oxygen
What are signs of an allergic reaction? - Correct Answer Hives, hypotension/dilated blood vessels, swelling, and shock in severe cases.
What drugs cause prolonged gingival bleeding? - Correct Answer Warfarin, Plavix, Coumadin, Clopidogrel, NSAIDS
What is COPD? - Correct Answer A lung disease that blocks airflow. Patients may have candidiasis & xerostomia from inhaler (recommended that they rinse with water after use). Contraindications: Ultrasonic or air polishers. No nitrous. Do not sit supine (pt may need
oxygen supplement).
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