DSE OSCE UPDATED 2026 EXAM SCRIPT QUESTIONS AND
ANSWERS GRADED A+
✔✔Pentobarbital (Nembutal) and Secobarbital (Seconal) are what type of drugs?
- benzodiazepines
- NSAIDS
- barbituates
- atypical antipsychotic - ✔✔barbituates
- used primarily evening BEFORE appointment
✔✔A patient has an allergic reaction to a barbiturate, how do you treat?
- epinephrine
- diphenhydramine
- send to ER - ✔✔benadryl (diphenhydramine)
- And discontinuation of the drug. Obviously if there are concerns with airway, treatment
may differ... but this was not indicated in the question stem. However, I did not have
answer choices that reflected this scenario nor was it addressed in the question stem
✔✔A patient is on a steroidal medication. What information do you need to obtain
before treating them?
- dose and pharmacy that filled the RX
- duration of prescription
- both dose and duration - ✔✔*dose and duration*
- "The rule of twos": Ask whether the patient is currently on steroids or has been on
corticosteroids for 2 weeks or longer within the past 2 years. You must go back 2 years
in the history because it can take 2 weeks to 2 years for the adrenal glands to bounce
back to normal function.
✔✔What is the most important factor when calculation medication dosage for a child
- age
- weight
- gender
- height - ✔✔weight
✔✔A patient is confirmed to have trisomy 21. What are you initially concerned about?
- congenital heart defect
- Cushings
- cerebrovascular accident - ✔✔congenital heart defects; however, early onset
periodontal disease is a significant oral health issue, but this was not an answer for
those who have had this question. Consider cardiac status and posibility of pre-
medication
- atrioventricular septal defect, patent ductus arteriosus, Tetralogy of Fallot
✔✔A patient has recently had a stroke. What is your first concern?
- when was their last cleaning
,- are they on anticoagulants
- current blood pressure - ✔✔Are they on anticoagulants
- Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan-
tine), clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always
consult with the patient's physician to determine whether and when the blood thinners
can be stopped and subsequently restarted.- . Following a CVA that required significant
hospitalization, routine dental treatment must be delayed by 6 months.- Routine dental
treatment should be delayed by 3 months if the post-CVA recovery was uneventful and
the patient was admitted overnight just for observation.- Avoid epinephrine containing
LAs during the first 6 months of dental treatment. Subsequent use of epinephrine
depends on the patient's prognosis. Epinephrine containing LAs can be used starting 1
year after the stroke, when the patient demonstrates progressive improvement of the
CVA and absence of TIAs.
✔✔What is the main symptom that differentiates anaphylaxis from syncope?
- bronchoconstriction
- clammy skin and pallor
- nausea, vomiting - ✔✔Anaphylaxis is accompanied by wheezing, bronchoconstriction
- anaphyalxis: intense itching, hives, flushing over the face and chest. Rhinitis,
conjunctivitis, nausea, vomiting, abdominal cramps, and perspiration. Palpitation,
tachycardia, sub- sternal tightness, coughing, wheezing, and dyspnea. BP drops rapidly
and loss of consciousness or cardiac arrest can occur in severe cases.- syncope: fright
and flight response. Anxiety, tachycardia, perspiration, light-headedness, and blurred
vision are commonly experienced.
✔✔The Enzyme Linked Immune Absorbent Assay (ELISA) Test - a negative response
for a person who had needle stick means what?
- the patient definitely has an HIV infection
- the patient has antibodies to HIV-1 present
- the patient definitely does not have an HIV infection
- the patient has no antibodies to HIV-1 present. - ✔✔*the patient does not have HIV
antibodies*
- consider that false negatives are a thing, life happens. We cannot definitively say they
do not have HIV,but we can say that no Ab were detected.
✔✔14 year old presents with inflamed gingiva. Bloodwork indicates abnormal RBC,
WBC, and platelets. Diagnosis?
- normal 14 year old
- hypothyroidism
- leukemia
- anemia - ✔✔leukemia --> high WBC, lymphadenopathy, painful gingiva. Don't forget
that WBC can be elevated OR decreased in leukemia! Gingival hypertrophy is a
common sign/symptom
, ✔✔Stem indicates patient has recently taken medications, which one likely caused the
rash present on their arm?
- Acetamiophen
- Barbituates
- Penicillin
- diphenhydramine - ✔✔Penicillin allergy
- hives is a common response to penicillin allergies
✔✔Name the drugs that induce hyperplasia - ✔✔calcium channel blockers,
cyclosporines, anticonvulsants, immunosuppressants
- nifedipine, amlodipine, phenytoin, sodium valproate, phenobarbitone, ethosuximide
✔✔Drugs that may have increased chance of periodontal destruction
- "-statin"
- "-olol"
- "-ipril"
- Amlodipine - ✔✔I put Amlodipine (gingival hyperplasia,
- statins have actually been shown to improve periodontal treatment outcomes due to
the osteoblastic activity induced
https://www.intechopen.com/books/oral-diseases/adverse-effects-of-medications-on-
periodontal-tissues
✔✔Pt presents with white lesion, lateral anterior tongue. History of trauma (continuously
biting it, ect). Resembled a papillary lesion.
- papilloma
- fibroma
- squamous cell carcinoma - ✔✔Use your best judgement. History of trauma leads to
fibroma diagnosis; but medical history may lead to papilloma. If described as
"cauliflower" assume papilloma!
✔✔Pt has a history of multiple odontomas. What syndrome is suspected?
- Addison's disease
- ectodermal dysplasia
- Gardner's syndrome
- Cushing's syndrome - ✔✔Gardner's Syndrome
- colorectal polyposis
✔✔What is the treatment for a mucocele?
- corticosteroids
- excision with local glands
- biopsy
- antifungal medication - ✔✔cut. it. out. seriously, exorcise the demon (mucocele)!
✔✔Identify:
ANSWERS GRADED A+
✔✔Pentobarbital (Nembutal) and Secobarbital (Seconal) are what type of drugs?
- benzodiazepines
- NSAIDS
- barbituates
- atypical antipsychotic - ✔✔barbituates
- used primarily evening BEFORE appointment
✔✔A patient has an allergic reaction to a barbiturate, how do you treat?
- epinephrine
- diphenhydramine
- send to ER - ✔✔benadryl (diphenhydramine)
- And discontinuation of the drug. Obviously if there are concerns with airway, treatment
may differ... but this was not indicated in the question stem. However, I did not have
answer choices that reflected this scenario nor was it addressed in the question stem
✔✔A patient is on a steroidal medication. What information do you need to obtain
before treating them?
- dose and pharmacy that filled the RX
- duration of prescription
- both dose and duration - ✔✔*dose and duration*
- "The rule of twos": Ask whether the patient is currently on steroids or has been on
corticosteroids for 2 weeks or longer within the past 2 years. You must go back 2 years
in the history because it can take 2 weeks to 2 years for the adrenal glands to bounce
back to normal function.
✔✔What is the most important factor when calculation medication dosage for a child
- age
- weight
- gender
- height - ✔✔weight
✔✔A patient is confirmed to have trisomy 21. What are you initially concerned about?
- congenital heart defect
- Cushings
- cerebrovascular accident - ✔✔congenital heart defects; however, early onset
periodontal disease is a significant oral health issue, but this was not an answer for
those who have had this question. Consider cardiac status and posibility of pre-
medication
- atrioventricular septal defect, patent ductus arteriosus, Tetralogy of Fallot
✔✔A patient has recently had a stroke. What is your first concern?
- when was their last cleaning
,- are they on anticoagulants
- current blood pressure - ✔✔Are they on anticoagulants
- Stroke patients could be on blood thinners, such as aspirin, dipyradamole (Persan-
tine), clopidogrol (Plavix), or Coumadin, postrecovery. Prior to major surgery, always
consult with the patient's physician to determine whether and when the blood thinners
can be stopped and subsequently restarted.- . Following a CVA that required significant
hospitalization, routine dental treatment must be delayed by 6 months.- Routine dental
treatment should be delayed by 3 months if the post-CVA recovery was uneventful and
the patient was admitted overnight just for observation.- Avoid epinephrine containing
LAs during the first 6 months of dental treatment. Subsequent use of epinephrine
depends on the patient's prognosis. Epinephrine containing LAs can be used starting 1
year after the stroke, when the patient demonstrates progressive improvement of the
CVA and absence of TIAs.
✔✔What is the main symptom that differentiates anaphylaxis from syncope?
- bronchoconstriction
- clammy skin and pallor
- nausea, vomiting - ✔✔Anaphylaxis is accompanied by wheezing, bronchoconstriction
- anaphyalxis: intense itching, hives, flushing over the face and chest. Rhinitis,
conjunctivitis, nausea, vomiting, abdominal cramps, and perspiration. Palpitation,
tachycardia, sub- sternal tightness, coughing, wheezing, and dyspnea. BP drops rapidly
and loss of consciousness or cardiac arrest can occur in severe cases.- syncope: fright
and flight response. Anxiety, tachycardia, perspiration, light-headedness, and blurred
vision are commonly experienced.
✔✔The Enzyme Linked Immune Absorbent Assay (ELISA) Test - a negative response
for a person who had needle stick means what?
- the patient definitely has an HIV infection
- the patient has antibodies to HIV-1 present
- the patient definitely does not have an HIV infection
- the patient has no antibodies to HIV-1 present. - ✔✔*the patient does not have HIV
antibodies*
- consider that false negatives are a thing, life happens. We cannot definitively say they
do not have HIV,but we can say that no Ab were detected.
✔✔14 year old presents with inflamed gingiva. Bloodwork indicates abnormal RBC,
WBC, and platelets. Diagnosis?
- normal 14 year old
- hypothyroidism
- leukemia
- anemia - ✔✔leukemia --> high WBC, lymphadenopathy, painful gingiva. Don't forget
that WBC can be elevated OR decreased in leukemia! Gingival hypertrophy is a
common sign/symptom
, ✔✔Stem indicates patient has recently taken medications, which one likely caused the
rash present on their arm?
- Acetamiophen
- Barbituates
- Penicillin
- diphenhydramine - ✔✔Penicillin allergy
- hives is a common response to penicillin allergies
✔✔Name the drugs that induce hyperplasia - ✔✔calcium channel blockers,
cyclosporines, anticonvulsants, immunosuppressants
- nifedipine, amlodipine, phenytoin, sodium valproate, phenobarbitone, ethosuximide
✔✔Drugs that may have increased chance of periodontal destruction
- "-statin"
- "-olol"
- "-ipril"
- Amlodipine - ✔✔I put Amlodipine (gingival hyperplasia,
- statins have actually been shown to improve periodontal treatment outcomes due to
the osteoblastic activity induced
https://www.intechopen.com/books/oral-diseases/adverse-effects-of-medications-on-
periodontal-tissues
✔✔Pt presents with white lesion, lateral anterior tongue. History of trauma (continuously
biting it, ect). Resembled a papillary lesion.
- papilloma
- fibroma
- squamous cell carcinoma - ✔✔Use your best judgement. History of trauma leads to
fibroma diagnosis; but medical history may lead to papilloma. If described as
"cauliflower" assume papilloma!
✔✔Pt has a history of multiple odontomas. What syndrome is suspected?
- Addison's disease
- ectodermal dysplasia
- Gardner's syndrome
- Cushing's syndrome - ✔✔Gardner's Syndrome
- colorectal polyposis
✔✔What is the treatment for a mucocele?
- corticosteroids
- excision with local glands
- biopsy
- antifungal medication - ✔✔cut. it. out. seriously, exorcise the demon (mucocele)!
✔✔Identify:
