DSE CDCA OSCE Exam Questions and
Answers 100% Solved
Adjunctive methods such as vital staining with toludine blue and cystobrush techniques are
helaful in accelerating the biopys and orselecting the most appropriate spot to perform the
biopsy ✔✔no further testing
tissue biopsy
Pregnant girl: age
30 something high
blood pressure
Hx : rhemuatic heart disease and 6 months pregnant
- has lots of perio
1. How to premidicate acording to AHA 2007?
2. Perio dx?
3. two months later patient is now 8 months pregnant, she shows back up with a crazy perio
abcess. How to tx? ✔✔1. no premedication required
2. moderate CHRONIC perio... not pregenacy gingivitis (gross lots of perio in many locations_
3. perio abscess is different from an endo abcess. this would be elective treatment that should
be put off until after baby is born
it is best to avoid elective dental proceudres during the trimester and last half of
trimester ✔✔first and last half of third trimester
Guy from California who wore braces:
,- had two sets of radiographs (the before and after ortho treatment"
,- had previous rheumatoid heart disease
- missing toot h#7 and #10
1. What is the big difference between the before and after radiographs?
2. What do you think he went in for ortho tx for?
3. Tooth with worst crown to root ratio is
what cant we tell for mthe information in this case that we are given? ✔✔1. root resorption
2. close space and align teeth
3. tooth #9
4. the faciolingual measurement of the ridge
Obese 41 yo caucasion female: has high blood pressure, phlebitis, takes coumadin, awful perio.
1. Which of her health problems is likely exacerbated by her weight?
2. What medications if she took would make her perio worse ? ✔✔1. the phlebitis (thrombous
that will make veins around body protrude ), or the patients high blood pressure
2. nifedpinde, premarin (estrogen)
Saleman who needs immediate denture
- bad perio, wants all his teeth extracted
, 1. What type of tray is needed for impression for immediate denture? ✔✔1. indivualized tray
with border molding (not individulized tray with tissue stops)
patient with kidney disease.
During the course of the tratment the patient gets a kidney transplant.
1. patient need premedicaiton?
2. What meds do you give him for pain? What cannot be used? ✔✔1. yes due to
immunosupresison
2. acetaminophen , no NSAIDs
Sturge-Weber syndrome affects what nerve ? ✔✔Skin and meningeal angiomatous lesions.
Port-wine nevus: skin angioma in ophthalmic division of trigeminal nerve. Pial angiomas may
result in chronic ischemia, gliosis, and gyral cortical calcifications. Enlargement of deep and
subependymal veins may mimic arteriovenous malformations.
Bechet's syndrome ✔✔Behcet's syndrome is classically characterized as a triad of symptoms
that include recurring crops of mouth ulcers (aphthous ulcers), genital ulcers, uveitis. Also EN
cutaneous lesions.
Behcet's syndrome is also sometimes referred to as Behcet's disease. Idiopathic.
Peutz-Jeghers syndrome
tx; is genetic counseling and monitor patient ✔✔Hamartomatous (benign) polyps throughout
GI tract and mucocutaneous hyperpigmentation (freckle-like spots) on lips, oral mucosa, and
genital skin; autosomal dominant disorder
Plummer-Vinson syndrome ✔✔Iron deficiency anemia, cheilosis, esophageal webbing and
glossitis
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