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