OSCE ACTUAL EXAM QUESTIONS AND
COMPLETE STUDY GUIDE 2026
▶ Fissured tongue aka Scrotal tongue
tx?. Answer: deep furrows on the surface of the tongue that is considered
a normal variant
do nothing
▶ leukoplakia on the tongue or buccal mucosa must be ___. Answer:
biopsied
▶ asymptomatic finding on the tongue lateral border with a 5 year history
during which time it has changed appearance repeatedly.
TX?. Answer: reassurance, no treatment
▶ a keratotic linear formation on the tongue lateral border has been
present for about 2.5 years. tx. Answer: biopsy
▶ Name the pathology: can see on PAX with translucent areas due to less
striations in bone, decrease in trabecular bone density, enlarged bone
marrow spaces, and stepladder appearance. Answer: sickle cell anemia
▶ Name the pathology: can see due an obvious step between teeth 24 and
25 on pan. Can show a step down in the occlusal plane. Answer: mildine
mandibule fracture
▶ Name the pathology: idiopathic, can be due to nerves, or nutrition
deficiency. Answer: burning mouth syndrome
▶ t/f: if lingual tonsils enlarged when sick this is pathologic?. Answer: false
▶ a younger teenager with swollen tonsils is an _____ condtion. Answer:
inflammatory
,▶ this muscle is the first pillar in front of the tonsils?. Answer:
palatoglossus muscle
▶ t/f: pharngeal space on a pan is normal?. Answer: true
▶ cementoma affects ___ teeth.
TX:?. Answer: vital teeth
Treatment: no treatment, observe
▶ Name the pathology: affects non vital teeth, no radilucnet border,
radiopacity is not seperated from the apex, the clincal expansion is present.
Treatment:. Answer: condensing osteitis
tx; eliminate infection source and inflammation
▶ tx for periapical bone scar?. Answer: none, observe
▶ Name the pathology: mandible has soap bubble appearance due to
multilocular radiolucencies:. Answer: ameloblastoma
▶ Periapical film of mandibular first molar area with irregular shaped,
periapical radiopacity
Tx:?. Answer: leave alone
▶ Name the structure: carries saliva from the parotid gland to the mouth on
the cheeck just behind the second molar. If there is a retrograde infectoin of
the duct, could be be due to _____. Take a sialogram of the salivary ducts
and glands to see if stone exisit. Can also ___ to see if saliva comes out. If
there is no calcification, it is a ___ on a radiograph. Answer: stensons duct
duct stones
palpate
radiolucent
,▶ Name the structure: a submandibular duct that can become calcified. If a
stone is presnet it will like like a radipaque on an occlusal film. Answer:
whartons duct
▶ Film used to detect a sialolith of a submandibular gland?. Answer:
occlusal
▶ Name the pathology: the most common SALIVARY gland neoplasm, can
be see on the posterior palate as a PAINLESS SWELLING. Answer:
pleomorphic adenoma
▶ Name the pathology: shows white WHICHMANS straie (rectillinear
pattern) on the buccal mucosa.
Treatment if sympotomatic/erosive vs asymptomatic?. Answer: lichen
planus
symptomatic tx: topical steroid
asymptomatic: leave alone
▶ Name the pathology: ground glass appearance?. Answer: fibrous
dysplasia
▶ Name the pathology: a cyst can be see on a panorex with a raised area
on the sinu floor?. Answer: maxillary left sinus
▶ Name the pathology: can be present on inside of cheeck with fluid like
blister.
Treatment?. Answer: extravasation cyst
tx: surgical removal
▶ Name the pathology:; can be seen on pan even with all of the other third
molars erupted, usually in area #17 but can be in any third molar locaiton.
Answer: primordial cyst (developmental odontogenic cyst)
, ▶ Most common odontogenic cyst associated with the crown of an
unerupted or partially erupted tooht frequent in posterior mandible.
Answer: dentigerous cyst
▶ Name the pathology: arises from the PDL remnants. Is develpmental and
not the result of infection or inflammaiton
Tx:?. Answer: lateral periodontial cyst
tx: excisional biopsy, enucleation
▶ Name the pathology: PAX of mandibular anteriors where all teeth are
vital.
Tx?. Answer: periapical cemntal dysplasia
tx: reassure patient but do not do root canals
▶ Name the pathology:: a submanidbular gland depression that is
asymptomatic, unilocular , below the mandibular canal in the posterior
mandible between the molars and ANGLE OF MANDIBLE?
also called
Treatment?. Answer: Stafnes bone cyst (defect)
lingual salivary bone cavity
no treatment
▶ Median palatal cyst can be seen on an ___ film
tx:. Answer: occlusal film
enucleation
▶ Periapical film can show an extension of the maxilalry sinus between the
premolar and molars. Answer:
▶ maxillary anterior regions reveals a midline radipacuity, look for a step
may be due to ___. Answer: trauma
COMPLETE STUDY GUIDE 2026
▶ Fissured tongue aka Scrotal tongue
tx?. Answer: deep furrows on the surface of the tongue that is considered
a normal variant
do nothing
▶ leukoplakia on the tongue or buccal mucosa must be ___. Answer:
biopsied
▶ asymptomatic finding on the tongue lateral border with a 5 year history
during which time it has changed appearance repeatedly.
TX?. Answer: reassurance, no treatment
▶ a keratotic linear formation on the tongue lateral border has been
present for about 2.5 years. tx. Answer: biopsy
▶ Name the pathology: can see on PAX with translucent areas due to less
striations in bone, decrease in trabecular bone density, enlarged bone
marrow spaces, and stepladder appearance. Answer: sickle cell anemia
▶ Name the pathology: can see due an obvious step between teeth 24 and
25 on pan. Can show a step down in the occlusal plane. Answer: mildine
mandibule fracture
▶ Name the pathology: idiopathic, can be due to nerves, or nutrition
deficiency. Answer: burning mouth syndrome
▶ t/f: if lingual tonsils enlarged when sick this is pathologic?. Answer: false
▶ a younger teenager with swollen tonsils is an _____ condtion. Answer:
inflammatory
,▶ this muscle is the first pillar in front of the tonsils?. Answer:
palatoglossus muscle
▶ t/f: pharngeal space on a pan is normal?. Answer: true
▶ cementoma affects ___ teeth.
TX:?. Answer: vital teeth
Treatment: no treatment, observe
▶ Name the pathology: affects non vital teeth, no radilucnet border,
radiopacity is not seperated from the apex, the clincal expansion is present.
Treatment:. Answer: condensing osteitis
tx; eliminate infection source and inflammation
▶ tx for periapical bone scar?. Answer: none, observe
▶ Name the pathology: mandible has soap bubble appearance due to
multilocular radiolucencies:. Answer: ameloblastoma
▶ Periapical film of mandibular first molar area with irregular shaped,
periapical radiopacity
Tx:?. Answer: leave alone
▶ Name the structure: carries saliva from the parotid gland to the mouth on
the cheeck just behind the second molar. If there is a retrograde infectoin of
the duct, could be be due to _____. Take a sialogram of the salivary ducts
and glands to see if stone exisit. Can also ___ to see if saliva comes out. If
there is no calcification, it is a ___ on a radiograph. Answer: stensons duct
duct stones
palpate
radiolucent
,▶ Name the structure: a submandibular duct that can become calcified. If a
stone is presnet it will like like a radipaque on an occlusal film. Answer:
whartons duct
▶ Film used to detect a sialolith of a submandibular gland?. Answer:
occlusal
▶ Name the pathology: the most common SALIVARY gland neoplasm, can
be see on the posterior palate as a PAINLESS SWELLING. Answer:
pleomorphic adenoma
▶ Name the pathology: shows white WHICHMANS straie (rectillinear
pattern) on the buccal mucosa.
Treatment if sympotomatic/erosive vs asymptomatic?. Answer: lichen
planus
symptomatic tx: topical steroid
asymptomatic: leave alone
▶ Name the pathology: ground glass appearance?. Answer: fibrous
dysplasia
▶ Name the pathology: a cyst can be see on a panorex with a raised area
on the sinu floor?. Answer: maxillary left sinus
▶ Name the pathology: can be present on inside of cheeck with fluid like
blister.
Treatment?. Answer: extravasation cyst
tx: surgical removal
▶ Name the pathology:; can be seen on pan even with all of the other third
molars erupted, usually in area #17 but can be in any third molar locaiton.
Answer: primordial cyst (developmental odontogenic cyst)
, ▶ Most common odontogenic cyst associated with the crown of an
unerupted or partially erupted tooht frequent in posterior mandible.
Answer: dentigerous cyst
▶ Name the pathology: arises from the PDL remnants. Is develpmental and
not the result of infection or inflammaiton
Tx:?. Answer: lateral periodontial cyst
tx: excisional biopsy, enucleation
▶ Name the pathology: PAX of mandibular anteriors where all teeth are
vital.
Tx?. Answer: periapical cemntal dysplasia
tx: reassure patient but do not do root canals
▶ Name the pathology:: a submanidbular gland depression that is
asymptomatic, unilocular , below the mandibular canal in the posterior
mandible between the molars and ANGLE OF MANDIBLE?
also called
Treatment?. Answer: Stafnes bone cyst (defect)
lingual salivary bone cavity
no treatment
▶ Median palatal cyst can be seen on an ___ film
tx:. Answer: occlusal film
enucleation
▶ Periapical film can show an extension of the maxilalry sinus between the
premolar and molars. Answer:
▶ maxillary anterior regions reveals a midline radipacuity, look for a step
may be due to ___. Answer: trauma
