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DSE OSCE - 2024

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DSE OSCE - 2024 Clinical Scenarios and Answers 1. 41-Year-Old Pregnant Woman with History of Infective Endocarditis: - Need for pre-med? ️ Yes. - Pre-med options for penicillin allergy: - Amoxicillin - Not applicable. - Cephalexin - Possible depending on the patient's allergy specifics. - Cl...

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Información del documento

  • 30 de agosto de 2024
  • 35
  • 2024/2025
  • Examen
  • Preguntas y respuestas

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  • dse osce 2024

Escuela, estudio y materia

  • DSE OSCE - 2024
  • DSE OSCE - 2024

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DSE OSCE - 2024
Clinical Scenarios and Answers



1. 41-Year-Old Pregnant Woman with History of Infective Endocarditis:

- Need for pre-med? ✔️ Yes.

- Pre-med options for penicillin allergy:

- Amoxicillin - Not applicable.

- Cephalexin - Possible depending on the patient's allergy specifics.

- Clarithromycin - Correct choice due to allergy to penicillin.

- Ciprofloxacin - Contraindicated in pregnancy.



2. Procedure Without Consulting MD for Bisphosphonate Patient:

- Correct Procedure: ✔️ Occlusal restoration.



3. Pregnant Patient Afraid of Needles Stress Management:

- Best Position: ✔️ Place in Trendelenburg position.



4. 6 Months Pregnant with Bleeding Gums and Mobile Teeth:

- Treatment Approach: ✔️ Conservative debridement.



5. Pregnant Patient with Diastema Between #8 and #9:

- Cause of Diastema: ✔️ Chronic periodontitis.



6. Permanent Staining from Tetracycline:

- Age of Staining: ✔️ 0-5 years.



7. Pentobarbital (Nembutal) and Secobarbital (Seconal):

- Type of Drugs: ✔️ Barbiturates.

,8. Allergic Reaction to Barbiturate:

- Treatment: ✔️ Diphenhydramine (Benadryl).



9. Patient on Steroidal Medication:

- Information to Obtain: ✔️ Both dose and duration.



10. Most Important Factor for Child's Medication Dosage:

- Criteria: ✔️ Weight.



11. Trisomy 21 Patient Concerns:

- Initial Concern: ✔️ Congenital heart defects.



12. Recent Stroke Patient Initial Concern:

- Key Issue: ✔️ Are they on anticoagulants?



13. Differentiating Anaphylaxis from Syncope:

- Main Symptom: ✔️ Bronchoconstriction.



14. ELISA Test Negative for Needle Stick Incident:

- Interpretation: ✔️ Patient has no antibodies to HIV-1 present.



15. 14-Year-Old with Abnormal Bloodwork:

- Likely Diagnosis: ✔️ Leukemia.



16. Medication Likely Causing Rash:

- Answer: ✔️ Penicillin allergy.

,17. Drugs Inducing Gingival Hyperplasia:

- List: ✔️

- Calcium channel blockers (e.g., Amlodipine, Nifedipine)

- Dilantin (Phenytoin)

- Cyclosporines



18. Drugs Increasing Periodontal Destruction:

- Drug Type: ✔️ Amlodipine (Calcium channel blocker).



19. White Lesion on Tongue Due to Trauma:

- Diagnosis: ✔️ Fibroma (history of trauma).



20. Multiple Odontomas History:

- Suspected Syndrome: ✔️ Gardner's syndrome.



21. Mucocele Treatment:

- Correct Approach: ✔️ Excision with removal of local glands.



22. Shallow Ulcerated Lip Lesion in Farmer:

- Likely Diagnosis: ✔️ Squamous cell carcinoma.



23. Treatment Timing for Hepatitis A:

- Wait Duration: ✔️ 1 week.



24. Causes of Jaundice:

- Possible Causes: ✔️

- Liver Cirrhosis

- Hepatitis A

, - Hepatitis C



Pt presents with missing teeth and no hair. What is the likely medical condition?
- Gardner's disease
- Ectodermal dysplasia
- Trisomy 21
- Paget's syndrome

Ectodermal dysplasia




Pernicious anemia is associated with:
- autoimmune destruction of parietal cells in stomach
- acute, chronic blood loss
- both

autoimmune destruction of parietal cells in stomach

- pernicious anemia = associated with intrinsic factor from parietal cells, which is required to absorb B12
from food

What does intrinsic factor do?
- allows iron to bind to hemoglobin
- prevents destruction on RBCs
- required for absorption of vit B12 from food

Required for the absorption of vitamin B12 from food

Another version Pernicious anemia is caused by:
- Decrease in intrinsic factor (required for absorption of B12)
- Chronic use of aspirin, NSAIDs, corticosteroids
- A variant of hemoglobin A (called hemoglobin S)
- Destruction of RBCs

decrease in intrinsic factor

- Schilling's test to evaluate B12 absorption; most commonly used to eval pts w/pernicious anemia

What is hemolytic anemia?
- autoimmune destruction of parietal cells in stomach
- genetic defect, includes variant of hemoglobin A (called hemoglobin S)
- RBCs destroyed, removed from bloodstream before normal lifespan is over
- Folic acid is deficient, patient presents w/neurologic symptoms

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