DSE OSCE FINAL EXAM 2026 ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔A patient was diagnosed with Hepatitis A, presentation of jaundice. How soon can
you treat?
- 1 day
- 1 week
- 1 month
- 1 year - ✔✔1 week
✔✔Patient presents with jaundice. Name three possible causes? - ✔✔cirrhosis
Hep A
Hep 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 - ✔✔remember that pernicious anemia is 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 - ✔✔destruction of
RBCs (think about it. hemo (RBC) lytic (destroy))
✔✔Hereditary Hemorrhagic Telangiectasia is associated with:
- B12 deficiency
- Pernicious anemia
- Iron deficiency
- hypertension - ✔✔Iron deficiency
"Iron deficiency anemia"
✔✔Pt presents, upset with look of with canine and premolar area; spotted (pick up
stains), pits and grooves on outer surface of teeth. Likely diagnosis
- hypoplasia
- hyperplasia
- abfraction
- erosion - ✔✔hypoplasia; consider that fact it is localized, likely not related to systemic
disease
✔✔Several spots with yellowish concave areas in cervical 1/3rd of anterior teeth. Likely
cause?
- erosion
- abfraction
- hypoplasia
- hyperplasia - ✔✔Facial erosion due to acidic beverages
✔✔Diagnose amelogenesis imperfecta radiographically - ✔✔- smaller than normal teeth
- yellow or brown discoloration
- teeth prone to damage, breakage
- sensitive teeth
- open bite malocclusion
- minimal to no enamel visible radiographically
✔✔Diagnose dentinogenesis imperfecta radiographically - ✔✔- bulbous crowns
- cervical constriction
- thin roots
- early obliteration of root canals and pulp chambers
✔✔Once thought to be associated with BLUE SCLERA and multiple bone fractures
- hemolytic anemia
- grave's disease
- pernicious anemia
- dentinogenesis imperfecta - ✔✔dentinogenesis imperfecta
- question stem refers to a picture of blue sclera
✔✔All of the following are symptoms of hyperthyroidism except:
, - fatigue
- exopthalamus
- tachycardia
- tremor of extremities - ✔✔fatigue is NOT a symptom
symptoms include:
nervousness, anxiety and irritability.
hyperactivity - you may find it hard to stay still and have a lot of nervous energy.
mood swings.
difficulty sleeping.
feeling tired all the time.
sensitivity to heat.
muscle weakness.
diarrhoea.
✔✔Large space (diastema) between #11 and #12. What do you do?
- place implant
- removable partial denture
- fixed partial denture (bridge)
- do nothing - ✔✔let it be, let it be! let be, let it be... seriously, if it ain't broke, don't fix it.
✔✔The greatest disadvantage of resin bonded bridges?
- staining
- debonding
- fracture
- less tooth reduction - ✔✔debonding
✔✔What is gutta percha made of?
- barium salts
- zinc oxide
- silicate dioxide
- graliam prema - ✔✔zinc oxide
✔✔Drug that increase the concentration of lidocaine in the blood?
- Prozac
- Asprin
- Propanalol - ✔✔Propanalol
-
https://journals.sagepub.com/doi/abs/10.1177/074880689801500302?journalCode=acs
a
✔✔What is an advantage of a Maryland bridge?
- staining
- debonding
- fracture
- less tooth reduction - ✔✔less tooth reduction
ANSWERS GRADED A+
✔✔A patient was diagnosed with Hepatitis A, presentation of jaundice. How soon can
you treat?
- 1 day
- 1 week
- 1 month
- 1 year - ✔✔1 week
✔✔Patient presents with jaundice. Name three possible causes? - ✔✔cirrhosis
Hep A
Hep 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 - ✔✔remember that pernicious anemia is 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 - ✔✔destruction of
RBCs (think about it. hemo (RBC) lytic (destroy))
✔✔Hereditary Hemorrhagic Telangiectasia is associated with:
- B12 deficiency
- Pernicious anemia
- Iron deficiency
- hypertension - ✔✔Iron deficiency
"Iron deficiency anemia"
✔✔Pt presents, upset with look of with canine and premolar area; spotted (pick up
stains), pits and grooves on outer surface of teeth. Likely diagnosis
- hypoplasia
- hyperplasia
- abfraction
- erosion - ✔✔hypoplasia; consider that fact it is localized, likely not related to systemic
disease
✔✔Several spots with yellowish concave areas in cervical 1/3rd of anterior teeth. Likely
cause?
- erosion
- abfraction
- hypoplasia
- hyperplasia - ✔✔Facial erosion due to acidic beverages
✔✔Diagnose amelogenesis imperfecta radiographically - ✔✔- smaller than normal teeth
- yellow or brown discoloration
- teeth prone to damage, breakage
- sensitive teeth
- open bite malocclusion
- minimal to no enamel visible radiographically
✔✔Diagnose dentinogenesis imperfecta radiographically - ✔✔- bulbous crowns
- cervical constriction
- thin roots
- early obliteration of root canals and pulp chambers
✔✔Once thought to be associated with BLUE SCLERA and multiple bone fractures
- hemolytic anemia
- grave's disease
- pernicious anemia
- dentinogenesis imperfecta - ✔✔dentinogenesis imperfecta
- question stem refers to a picture of blue sclera
✔✔All of the following are symptoms of hyperthyroidism except:
, - fatigue
- exopthalamus
- tachycardia
- tremor of extremities - ✔✔fatigue is NOT a symptom
symptoms include:
nervousness, anxiety and irritability.
hyperactivity - you may find it hard to stay still and have a lot of nervous energy.
mood swings.
difficulty sleeping.
feeling tired all the time.
sensitivity to heat.
muscle weakness.
diarrhoea.
✔✔Large space (diastema) between #11 and #12. What do you do?
- place implant
- removable partial denture
- fixed partial denture (bridge)
- do nothing - ✔✔let it be, let it be! let be, let it be... seriously, if it ain't broke, don't fix it.
✔✔The greatest disadvantage of resin bonded bridges?
- staining
- debonding
- fracture
- less tooth reduction - ✔✔debonding
✔✔What is gutta percha made of?
- barium salts
- zinc oxide
- silicate dioxide
- graliam prema - ✔✔zinc oxide
✔✔Drug that increase the concentration of lidocaine in the blood?
- Prozac
- Asprin
- Propanalol - ✔✔Propanalol
-
https://journals.sagepub.com/doi/abs/10.1177/074880689801500302?journalCode=acs
a
✔✔What is an advantage of a Maryland bridge?
- staining
- debonding
- fracture
- less tooth reduction - ✔✔less tooth reduction
