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OSCE (DSE OSCE)- Diagnostic Skills Exam| Questions with 100% Correct Verified Answers
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OSCE (DSE OSCE)- Diagnostic Skills Exam|Questions with 100% Correct Verified
Answers
What is the difference in anaphylaxis vs syncope?
(remembered)
anaphylaxis has wheezing and
bronchoconstriction.
- anaphyalxis: intense itching, hives, flushing over the face and chest. Rhinitis, conjunctivitis,
nausea, vomiting, abdominal cramps, and perspiration. Palpitation, tachycardia, sub-
sternal tightness, coughing, wheezing, and dyspnea. BP drops rapidly and loss of
consciousness or cardiac arrest can occur in severe cases.
- syncope: fright and flight response. Anxiety, tachycardia, perspiration, light-headedness,
and blurred vision are commonly experienced.
The Enzyme Linked Immune Absorbent Assay (ELISA) Test - a negative response for a
person who had needle stick means what?
a. the patient definitely has an HIV infection
b. the patient has antibodies to HIV-1 present
c. the patient definitely does not have an HIV infection
d. the patient has no antibodies to HIV-1 present.
,(remembered)
patient had no Abs present was answer.
- The ELISA Test is "reactive" when it detects antibodies to HIV-1. Once positive, the blood
is tested again to confirm that indeed the ELISA Test is positive.
- Western Blot Test is more specific test. It determines size of antigens in the test kit binding
to the antibodies. Blood showing a positive ELISA is subjected to the Western Blot Test. Thus,
the Western Blot Test is a confirmatory testing for HIV infection. A positive Western Blot Test
confirms that the patient has the HIV infection.
14 y.o. patient with inflamed gingiva. Given normal ranges and then the patient's
abnormal numbers for RBC, WBC, and platelets. What is wrong?
(remembered)
Leukemia because high WBC, sore lymph nodes, and painful
gums
- note: WBC can be high or low for leukemia.
- Gingival hypertrophy is common with leukemia.
Arm rash - what drug caused it?
(remembered)
penicillin allergy is answer
Cyclosporine - side effect you need to know?
gingival hyperplasia
(cyclosporine is an Immunodepressant used in transplant patients. )
What drug causes gingival hyperplasia?
(remembered)
Nifedipine,
Cyclosporine,
Phenytoin (Dilantin)
,- It is best to schedule
hygiene recall every 3-4 months to control the hyperplasia.
cauliflower lesion on tongue is?
(remembered)
papilloma
multiple odontomas
a. gardner syndrome
b. gorlin syndrome
(remembered)
a (Gardner's Syndrome (colorectal polyposis))
colorectal polyposis
a. gardner syndrome
b. gorlin syndrome
a
Mucocele treatment?
a. Prescribe corticosteroids
b. Excise it and adjacent gland should be excised to prevent
recurrence c. Must be biopsied for definitive diagnosis d. Anti-fungal
medications
(remembered)
b "Excise with salivary gland remnants"
- May be self-limiting or require local excision.
- on lower lip from trauma. history of increasing and decreasing in size.
Mucocele - on lower lip from trauma.
Patient presents with Jaundice. Answer the following questions:
(1) Which of the following do you think they probably
have? a. Cirrhosis
, b. Hepatitis A
c. Hepatitis C
(2) They currently are jaundiced. What is the proper thing to do?
a. Start with the examination and complete a thorough diagnostic assessment.
b. Tell the patient to immediately go to the emergency room.
c. Tell the patient to come back for treatment in 1 week, and you cannot treat them now.
(remembered)
(1) B - Jaundice is common in HepA (in B its like 60% of them, and in C its really rare)
(2) c - this was on remembered questions. You can treat hepA patients after 1 week. called it
jaundice.
Ectodermal Dysplasia - was given symptoms of no hair and missing teeth
(remembered)
Perncious Anemia:
a. Is associated with an autoimmune destruction of the parietal cells in the stomach.
b. Is caused by acute or chronic blood loss.
c. Both A and B
a - parietal cells make intrinsic facor, which is required to absorb vitamin B12 from food.
what does intrinsic factor do?
(remembered)
required to absorb vitamin B12 from food
Pernicious anemia - whats it caused by?
a. Decrease in intrinsic factor, which is required to absorb vitamin B12 from food.
b. Chronic use of aspirin, NSAIDs, or corticosteroids.
c. A variant of hemoglobin A called hemoglobin
S d. Destruction of red blood cells
(remembered)
a
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