11/2/24, 10:41 AM DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2024-2025 ACTUAL EXAM 170 QUESTIONS AND CORRECT DETAILED ANS…
DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE)
2024-2025 ACTUAL EXAM 170 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Terms in this set (170)
- Prosthetic heart valves, or prosthetic material used
for cardiac valve repair.
- Hx of infective endocarditis
- cyonotic heart disease
- valve regurgitation w. heart thingys (even if has
transplant or was repaired already)
Pre-Med required for?
[According to limited data, infective endocarditis
appears to be more common in heart transplant
recipients than in the general population; the risk of
infective endocarditis is highest in the first 6 months
after transplant because of endothelial disruption,
high-intensity immunosuppressive therapy, frequent
central venous catheter access, and frequent
endomyocardial biopsies]
5 month old preggers with b
rheumatic fever and heart
murmer: pre med?
,11/2/24, 10:41 AM DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2024-2025 ACTUAL EXAM 170 QUESTIONS AND CORRECT DETAILED ANS…
place her in trundelburg position.
Pregnant person afraid of
needles - stress
- supine hypotension in 3rd trimester usually occurs
management by putting
(bc compression Inf vena cava) => must prevent this in
patient in what position
dental chair bc it can cause patient to pass out.
when in your chair
- Best preventative treatment for supine hypotension
(BEFORE they even get to
is to turn the patient, prefera-bly to the left side, to
the point of passing out)?
displace the uterus away from the inferior vena cava.
The patient can also be placed in a sitting position
(remembered)
with the knees flexed.
conservative debridement is what other person
answered.
6 months pregnant had
bleeding gums and - pregnancy gingivitis: It is SO important to do ScRP
mobile teeth? How should (and stress good oral hygeine) to prevent plaque
they be treated? growth. The plaque can enter blood stream and
stimuate patient's immune system to produce
(remembered) prostaglandins, which can trigger uterine contraction
leading to early labor, premature birth, and a small
baby.
Pregnant lady with a chronic perio
diastema in between #8
and #9 with deep probing - increased incidence of periodontal disease during
depth and class 1 mobility pregnancy => must emphasize good oral hygiene, and
on 8 and 9. What is the remove all their plaque so it doesn't lead to
reason for diastema? premature birth / small baby.
(remembered)
Permanent dentition with Patient ingested tetracycline when they were between
tetracycline staining, when 0 and 5 years old
did this happen?
,11/2/24, 10:41 AM DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2024-2025 ACTUAL EXAM 170 QUESTIONS AND CORRECT DETAILED ANS…
• Pentobarbital (Nembutal) barbiturates - Both pentobarbital (Nembutal) and
• Secobarbital (Seconal) secobarbital (Seconal) are used primarily on the
evening before the dental appointment.
are what kind of drugs?
Benadryl -> if its a mild-moderate allergy.
Barbiturates - how should
an allergic reaction be
treated? - When a patient experiences a milder form of
anaphylactic reaction, the drug or prepara- tion that
caused a reaction is discontinued and the patient is
(remembered) given diphenhydramine (Benadryl), 25-50 mg/tablet
PO q6h for 48-72 hr.
Steroids - whats most duration and dosage.
important information you
need to get from your - "The rule of twos": Ask whether the patient is
patient when you find out currently on steroids or has been on corticosteroids
they are on steroids.. for 2 weeks or longer within the past 2 years. You must
before even thinking go back 2 years in the history because it can take 2
about treating them? weeks to 2 years for the adrenal glands to bounce
back to normal function.
(remembered)
Patients _____ is the most b
important thing for
calculating medication
dosage for a child.
, 11/2/24, 10:41 AM DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2024-2025 ACTUAL EXAM 170 QUESTIONS AND CORRECT DETAILED ANS…
Biggest concern with
down syndrome?
he thought Congenital
Heart Defects.
- Trisomy 21 are at
increased risk of cardiac
defects, true.
- early onset periodontal
disease IS MOST
SIGNIFICANT ORAL
HEALTH PROBLEM; they
have a lower prevalence
of dental caries though.
Consider prescribing
Chlorhexidine or other
antimicrobial agents for
daily use.
- When treating, consider
patient's cardiac status
and need for
premedication (medical
consult may be indicated).
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