Dental Hygiene OSCE Exam Questions and Answers (Graded A)
Normal Blood Pressure - Answer- less than 120/80
Elevated Blood Pressure - Answer- 120-129/<80
Stage 1 Hypertension - Answer- 130-139/80-89
Stage 11 Hypertension - Answer- 140+/90+
Hypertensive Crisis - Answer- 180+/120+
Normal HbA1c - Answer- Lower than 5.7% (4%-5.6%)
Hyperglycemia - Answer- Blood sugar higher than 130 mg/dl fasting or higher than 180 mg/dl after a meal.
Hypoglycemia - Answer- Blood sugar lower than 70 mg/dl
What is insulin shock? - Answer- Extreme hypoglycemia
What appointment modification can be made for diabetics? - Answer- Schedule AM appointments after the patient has had a meal.
What are signs of hypoglycemia? - 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 - Answer- Glucose tablet, juice, candy or food with sugar.
What are signs of hyperglycemia? - Answer- Nausea, confusion, thirst, shortness of breath, fruity (ketone) breath, fatigue, frequent urination.
Management of hyperglycemia - Answer- Remind patient to take medication
What is a normal body temperature? - Answer- Adult: 97-99 degrees (ideal is 98.6 degrees)
What is a normal pulse rate? - 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 - Answer- Adults: 12-20 BPM
Child: 18-22 BPM
*Allow patient to rest 5 minutes before recording
What is Bradypnea? - Answer- Slow respiratory rate
What is Tachypnea? - Answer- Rapid respiratory rate.
What is Oraquix? - 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 - 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 - Answer- -Administer Benadryl (aka diphenhydramine-
antibistanine)
-Keep supine
-Oxygen as needed
Anaphylaxis Management - 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? - Answer- Hives, hypotension/dilated blood vessels, swelling, and shock in severe cases.
What drugs cause prolonged gingival bleeding? - Answer- Warfarin, Plavix, Coumadin, Clopidogrel, NSAIDS
What is COPD? - 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).
What are 3 common drugs that cause gingival enlargement? - Answer- -Cyclosporine (sandimmune-anti organ rejection)
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