ADEX CSCE OSCE Exam 2026/2027 Actual
Exam | 100 Actual Exam Questions with
100% Verified Answers | Graded A+ &
Updated to Latest Clinical Standards |
Pass Guaranteed - A+ Graded
Question 1
A 62-year-old patient with a history of myocardial infarction 6 months
ago, well-controlled hypertension, and type 2 diabetes is scheduled for a
simple extraction. According to the ASA Physical Status Classification,
this patient is:
A. ASA I
B. ASA II
C. ASA III
D. ASA IV
Correct ,,,,answer,,,: C
Rationale: ASA III is defined as a patient with severe systemic disease
that limits activity but is not incapacitating. This patient has multiple
conditions (prior MI, hypertension, diabetes). ASA II would be mild
systemic disease. ASA IV is incapacitating disease constant threat to
life.
,Question 2
A patient taking a nonselective beta-blocker (propranolol) requires a
local anesthetic with epinephrine. Which adverse effect is most likely?
A. Tachycardia and hypertension
B. Bradycardia and hypertension
C. Hypotension and reflex tachycardia
D. No significant interaction
Correct ,,,,answer,,,: B
Rationale: Nonselective beta-blockers block beta-2 mediated
vasodilation, leaving alpha-mediated vasoconstriction unopposed.
Epinephrine can cause severe hypertension and reflex bradycardia.
Selective beta-1 blockers (atenolol) have less risk.
Question 3
Which medication is most commonly associated with gingival
enlargement?
A. Amlodipine
B. Lisinopril
C. Metformin
D. Warfarin
Correct ,,,,answer,,,: A
Rationale: Amlodipine (calcium channel blocker) causes gingival
enlargement. Phenytoin, cyclosporine, and nifedipine are also known
causes. Lisinopril (ACE inhibitor), metformin, and warfarin do not cause
gingival overgrowth.
,Question 4
A 45-year-old female presents with a well-demarcated, painless,
radiolucent lesion at the angle of the mandible below the inferior
alveolar canal. The lesion is discovered incidentally on panoramic
radiograph. What is the most likely diagnosis?
A. Odontogenic keratocyst
B. Stafne bone cyst
C. Ameloblastoma
D. Traumatic bone cyst
Correct ,,,,answer,,,: B
Rationale: Stafne bone cyst (static bone cyst) is a lingual salivary gland
depression located below the inferior alveolar canal near the angle of the
mandible. It is asymptomatic and requires no treatment. (A) OKC is
usually in posterior mandible but may be above the canal. (C)
ameloblastoma is expansile and multilocular. (D) traumatic bone cyst is
typically in anterior mandible.
Question 5
A 28-year-old man has probing depths of 5–6 mm with 30% bone loss
on multiple teeth. He has a history of smoking 1 pack/day for 10 years.
Based on the 2017 AAP/EFP classification, this periodontitis is:
A. Stage I, Grade A
B. Stage II, Grade B
C. Stage III, Grade C
D. Stage II, Grade C
Correct ,,,,answer,,,: B
Rationale: Stage II periodontitis = 15-30% bone loss. Grade B =
, moderate rate of progression (smoker but <10 pack-years? This patient
has 10 pack-years, so moderate risk). Grade A is slow, Grade C is rapid.
Question 6
Which radiographic projection is best for detecting interproximal caries?
A. Periapical (PA)
B. Panoramic
C. Bitewing
D. Occlusal
Correct ,,,,answer,,,: C
Rationale: Bitewing radiographs are specifically designed to visualize
interproximal surfaces with minimal overlap. Periapical films also show
interproximal but more distortion. Panoramic has poor detail for caries.
Occlusal shows large areas.
Question 7
A patient presents with a painful, non-healing ulcer on the lateral border
of the tongue for 4 weeks. He has a 40-pack-year smoking history. What
is the most appropriate next step?
A. Prescribe topical steroids
B. Prescribe antiviral medication
C. Biopsy the lesion
D. Reassess in 2 weeks
Correct ,,,,answer,,,: C
Rationale: Any non-healing ulcer >2 weeks in a high-risk patient
Exam | 100 Actual Exam Questions with
100% Verified Answers | Graded A+ &
Updated to Latest Clinical Standards |
Pass Guaranteed - A+ Graded
Question 1
A 62-year-old patient with a history of myocardial infarction 6 months
ago, well-controlled hypertension, and type 2 diabetes is scheduled for a
simple extraction. According to the ASA Physical Status Classification,
this patient is:
A. ASA I
B. ASA II
C. ASA III
D. ASA IV
Correct ,,,,answer,,,: C
Rationale: ASA III is defined as a patient with severe systemic disease
that limits activity but is not incapacitating. This patient has multiple
conditions (prior MI, hypertension, diabetes). ASA II would be mild
systemic disease. ASA IV is incapacitating disease constant threat to
life.
,Question 2
A patient taking a nonselective beta-blocker (propranolol) requires a
local anesthetic with epinephrine. Which adverse effect is most likely?
A. Tachycardia and hypertension
B. Bradycardia and hypertension
C. Hypotension and reflex tachycardia
D. No significant interaction
Correct ,,,,answer,,,: B
Rationale: Nonselective beta-blockers block beta-2 mediated
vasodilation, leaving alpha-mediated vasoconstriction unopposed.
Epinephrine can cause severe hypertension and reflex bradycardia.
Selective beta-1 blockers (atenolol) have less risk.
Question 3
Which medication is most commonly associated with gingival
enlargement?
A. Amlodipine
B. Lisinopril
C. Metformin
D. Warfarin
Correct ,,,,answer,,,: A
Rationale: Amlodipine (calcium channel blocker) causes gingival
enlargement. Phenytoin, cyclosporine, and nifedipine are also known
causes. Lisinopril (ACE inhibitor), metformin, and warfarin do not cause
gingival overgrowth.
,Question 4
A 45-year-old female presents with a well-demarcated, painless,
radiolucent lesion at the angle of the mandible below the inferior
alveolar canal. The lesion is discovered incidentally on panoramic
radiograph. What is the most likely diagnosis?
A. Odontogenic keratocyst
B. Stafne bone cyst
C. Ameloblastoma
D. Traumatic bone cyst
Correct ,,,,answer,,,: B
Rationale: Stafne bone cyst (static bone cyst) is a lingual salivary gland
depression located below the inferior alveolar canal near the angle of the
mandible. It is asymptomatic and requires no treatment. (A) OKC is
usually in posterior mandible but may be above the canal. (C)
ameloblastoma is expansile and multilocular. (D) traumatic bone cyst is
typically in anterior mandible.
Question 5
A 28-year-old man has probing depths of 5–6 mm with 30% bone loss
on multiple teeth. He has a history of smoking 1 pack/day for 10 years.
Based on the 2017 AAP/EFP classification, this periodontitis is:
A. Stage I, Grade A
B. Stage II, Grade B
C. Stage III, Grade C
D. Stage II, Grade C
Correct ,,,,answer,,,: B
Rationale: Stage II periodontitis = 15-30% bone loss. Grade B =
, moderate rate of progression (smoker but <10 pack-years? This patient
has 10 pack-years, so moderate risk). Grade A is slow, Grade C is rapid.
Question 6
Which radiographic projection is best for detecting interproximal caries?
A. Periapical (PA)
B. Panoramic
C. Bitewing
D. Occlusal
Correct ,,,,answer,,,: C
Rationale: Bitewing radiographs are specifically designed to visualize
interproximal surfaces with minimal overlap. Periapical films also show
interproximal but more distortion. Panoramic has poor detail for caries.
Occlusal shows large areas.
Question 7
A patient presents with a painful, non-healing ulcer on the lateral border
of the tongue for 4 weeks. He has a 40-pack-year smoking history. What
is the most appropriate next step?
A. Prescribe topical steroids
B. Prescribe antiviral medication
C. Biopsy the lesion
D. Reassess in 2 weeks
Correct ,,,,answer,,,: C
Rationale: Any non-healing ulcer >2 weeks in a high-risk patient
