Exam (elaborations)
Prometrics CSCE_OSCE Random Set
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Prometrics CSCE_OSCE Random Set
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Prometrics CSCE/OSCE Random SetWhat are the most common locations for candidiasis? - ANS-Tongue, inner lip, buccal
mucosa
Name 2 reasons the film might appear too dark? - ANS-1. Too much development time;
2. Too hot (temperature)
Name 3 reasons the film might appear too light? - ANS-1. Not enough development
time;
2. Too cold (temperature);
3. Exhausted developing solution
Image appears to have "cracked" surface. Why? - ANS-Due to sudden temperature
change between developer and fixer
Darker areas on the radiograph may occur due to... - ANS-...developer
touching/splashing the image before processing
Lighter areas on the radiograph may occur due to... - ANS-...fixer touching/splashing the
image before processing
Name 2 reasons an image may have yellow/brown stains on it - ANS-1. Exhausted
solutions;
2. Insufficient washing
An image has a straight WHITE border. Why? - ANS-Due to incomplete immersion into
the developer solution
An image has a straight DARK border. Why? - ANS-Due to incomplete immersion into
the fixer solution
A film has outline of another film on it. Why? - ANS-Two films stuck together
An image has round white spots all over. What are they? - ANS-Air bubbles (trapped
during processing)
An image has thin, dark, branchlike lines. What is it and what are the 2 reasons that can
cause that? - ANS-Static lines due to:
,1. low humidity
2. opening the packet too fast
The film appears fogged. What are 2 possible explanations? - ANS-1. Light exposure
(improper safe-light or light leak)
2. Outdated film
Name normal rates of respiration for adult and child? - ANS-A: 12-20
C: 18-22
Name normal rate for pulse in adult, child, infant? - ANS-A: 60-100
C: 80-120
I: 100-160
What blood pressure is considered normal? - ANS-120/80 and below
What blood pressure is considered elevated?
And what should you do? - ANS-129/80
(121-129 AND 80)
Advise patient about it, and continue with the appointment.
What blood pressure is considered Stage I hypertension?
And what should you do? - ANS-139/89 and below
(130-139 AND/OR 81-89)
Re-take BP after 5 min;
Advise patient about it;
Continue with the appointment;
Monitor BP throughout the appointment.
What blood pressure is considered Stage II hypertension?
And what should you do? - ANS-Anything over 140/90
(140 AND/OR 90)
Re-check in 5 min;
Advise patient about it;
Continue with the appointment;
Monitor BP throughout the appointment;
Refer patient to the physician.
What blood pressure is considered "crisis"?
, And what should you do? - ANS-180/120 (if either number at or over this limit, it's a
crisis)
Re-check in 5 min;
CANCEL the appointment;
IMMEDIATELY send the patient to the doctor/ER.
What's considered a normal body temperature? - ANS-97-99 degrees
What is the standard medicine/dose/time frame used for pre-med? - ANS-Amoxicillin 2
g, 1 hr prior
(Per ADA 30-60 min before, or 2 hrs after procedure)
If patient requires pre-med, but is allergic to penicillin, what 3 medicines and in what
doses could be given instead? - ANS-Clindamycin 600 mg
(if child calculate dose at 20 mg/kg of body weight)
Azitro-mycin 500 mg
Clarithro-mycin 500 mg
Name 6 heart conditions that require prophylactic antibiotic (pre-med) according to
American Heart Association? - ANS-1. Cardiac (heart) transplant;
2. Cyanotic Congenital Heart Disease (only IF unrepaired or partially repaired, including
shunts and conduit);
3. Any cardiac defects repaired with prosthetics (first six months);
4. Residual cardiac defects;
5. Artificial heart valves;
6. History of infective endocarditis
Name 6 heart conditions that do NOT require prophylactic antibiotic (pre-med)? -
ANS-1. Artificial joints (UNLESS, the patient is immunocompromised for some other
reason);
2. MVP (Mitial Valve Prolapse)
3. RHD (Rheumatic Heart Disease);
4. BVD (Bicuspid Valve Disease);
5. CAS (Calcified Aortic Stenosis);
6. CHC Congenital Heart Conditions:
- Venticular septal defect;
- Atrial septal defect;
- Hyper-trophic cardio-myopathy.
Name 7 classes of medications that can cause xerostomia? - ANS-1. Anti-hypertensive
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