CDCA OSCE 2023 STUDY GUIDE 100%
VERIFED (RECOMMENDED FOR YOUR
STUDIES)
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ -
Answer hyperthyroidism
signs/symtoms of skinny, weight loss - Answer Graves disease
weight gain, dry hair, lower voice, feels cold - Answer hypothyroidism
Acute adrenal insufficnecy is also known as ____disease. A patient on steroids might
have an attack if not supplmeneted by ___ the steroid dose before dental treatment due
to thier inability to produce extra ___ in response to stress - Answer addisons disease
doubling the dose of steroids
cortisol in response to stress
patient with reduced or missing teeth on a pan - Answer ectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis? - Answer
cleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment with
COTTON WOOL appearance of bone - Answer Pagets disease
hypercementosis will follow the ____ on a PAX - Answer PDL
Cleft lip is defection fusion of the ____ and _____ - Answer medial nasal process
maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA - Answer cleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) -
Answer Pierre robin syndrome
looks like white and brown spots on the teeth - Answer hypocalcified teeth
___ cannot be reversed
,but microabrainsion and aching can improve aesthetics, but cannot reverse the
condition - Answer fluorosis
flurosis can be caued by a patient living in a region wher the fluoride content in the
water is ____ppm. Normal is ____ppm - Answer 4ppm
normal is 0.7ppm
patient has no enamel on the teeth on bitewing or panx - Answer amelognesis
imperfecta
can see OBLITERATED pulp chambers on radiogrpahs and teeth have a
TRANSLUCENT or opalescent hue (greyish or blue)
also known as osteogenisis imperfect
associated with collagenn maturation problem, non systemic - Answer dentogenisis
imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central
depression - Answer syphillis
___ also known as twinning is due to incomplete formation of two teeth, common on
incisors, seen in maxillary laterals - Answer gemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors? - Answer taurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months
with fever) Treatment is ___ with ____ and analgesics - Answer acute herpactic
gingivostomatitis
pallative care with lidocaine rinses and analgesics
long standing and heal with a scar, can see on the lip and palate, pemphoid can also
heal with a scar - Answer major apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside
the mucocel is ____ (mucus) - Answer injured salivary gland
treat with excision
saliva,mucous
,A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and
1:100,000 (____) of EPI vasoconstrictor - Answer 1.8ml
36mg
0.018mg of EP
t/f: according to cdc regulations, you are not required to wash hands before and after
removing gloves ? - Answer true
Sodium hypochlorite should be changed ___ - Answer daily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using
biological indicators ___ - Answer spore test
Tx for tetracycline staining? - Answer best to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH - Answer
xerostomia
____: can cause rampant caries in todder/infant - Answer baby bottle syndrome
a patient on steriods will need ___ - Answer supplemenation
a MI can produce ___ symptoms while ___ does not - Answer GI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI - Answer false
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion - Answer all except indigestion and upset stomach
angina
patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and third
tablet and still nothing happens. Patient is most likley have a ____ - Answer Myocaridal
infarction
, angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with
see __ _and ___ occur - Answer chest discomfort(not pain) epigrastrium area, usually
preciptated by stress and exertion
nasua and vomitting
if a patient is sitting in dental chair with hands on heart, first thing you do is give the
patient _____ - Answer 0.4mg of nitroglycerine tablet
if patient is having a myocradial infarction/chest pain, andminster anti anginal drugs
such as _____.
when to not give this to the patient as can cause severe drop in blood pressure -
Answer 0.4mg nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used? - Answer morphine, oxygen,
nitroglycerine, asprin
angina treatment
Norpace/disopyramide - Answer Antiarrhythmic/antianginal agent
Valium (diazepam) has metabolies for long duration and binds to ___ receptors to
cause inhibtory effects . will have ___ channel opening
It is a ___ used for anxiety, siezures ,and insomina - Answer GABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - Answer TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient require
medicaiton? - Answer No, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe - Answer
Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
VERIFED (RECOMMENDED FOR YOUR
STUDIES)
bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ -
Answer hyperthyroidism
signs/symtoms of skinny, weight loss - Answer Graves disease
weight gain, dry hair, lower voice, feels cold - Answer hypothyroidism
Acute adrenal insufficnecy is also known as ____disease. A patient on steroids might
have an attack if not supplmeneted by ___ the steroid dose before dental treatment due
to thier inability to produce extra ___ in response to stress - Answer addisons disease
doubling the dose of steroids
cortisol in response to stress
patient with reduced or missing teeth on a pan - Answer ectodermal dysplasia
patient has supernumerary teeth (extra teeth) ... likely diagnosis? - Answer
cleiodcranial dysplasia
: can cause hypercementosis of the roots, generalized skull and jaw enlragment with
COTTON WOOL appearance of bone - Answer Pagets disease
hypercementosis will follow the ____ on a PAX - Answer PDL
Cleft lip is defection fusion of the ____ and _____ - Answer medial nasal process
maxillary process
failure of the palatal shelves to fuse result in ____
BIFID UVULA - Answer cleft palate, bifid uvula
patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) -
Answer Pierre robin syndrome
looks like white and brown spots on the teeth - Answer hypocalcified teeth
___ cannot be reversed
,but microabrainsion and aching can improve aesthetics, but cannot reverse the
condition - Answer fluorosis
flurosis can be caued by a patient living in a region wher the fluoride content in the
water is ____ppm. Normal is ____ppm - Answer 4ppm
normal is 0.7ppm
patient has no enamel on the teeth on bitewing or panx - Answer amelognesis
imperfecta
can see OBLITERATED pulp chambers on radiogrpahs and teeth have a
TRANSLUCENT or opalescent hue (greyish or blue)
also known as osteogenisis imperfect
associated with collagenn maturation problem, non systemic - Answer dentogenisis
imperfecta
mulberry molars, screwdriver shaped incisors , maxillary anteriors with central
depression - Answer syphillis
___ also known as twinning is due to incomplete formation of two teeth, common on
incisors, seen in maxillary laterals - Answer gemination
bull shaped crowns with shortened roots on PAN or fms
What can be a 2 contributing factors? - Answer taurodontism
overweight, hypertension
Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months
with fever) Treatment is ___ with ____ and analgesics - Answer acute herpactic
gingivostomatitis
pallative care with lidocaine rinses and analgesics
long standing and heal with a scar, can see on the lip and palate, pemphoid can also
heal with a scar - Answer major apthous ulcers
mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside
the mucocel is ____ (mucus) - Answer injured salivary gland
treat with excision
saliva,mucous
,A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and
1:100,000 (____) of EPI vasoconstrictor - Answer 1.8ml
36mg
0.018mg of EP
t/f: according to cdc regulations, you are not required to wash hands before and after
removing gloves ? - Answer true
Sodium hypochlorite should be changed ___ - Answer daily
to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using
biological indicators ___ - Answer spore test
Tx for tetracycline staining? - Answer best to leave alone
____ can cause rampant decay due to lack of saliva to buffer acidic PH - Answer
xerostomia
____: can cause rampant caries in todder/infant - Answer baby bottle syndrome
a patient on steriods will need ___ - Answer supplemenation
a MI can produce ___ symptoms while ___ does not - Answer GI
syncope does not induce GI symptoms
T/F use retraction cord that contains epi for patient with recent MI - Answer false
correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion - Answer all except indigestion and upset stomach
angina
patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and third
tablet and still nothing happens. Patient is most likley have a ____ - Answer Myocaridal
infarction
, angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with
see __ _and ___ occur - Answer chest discomfort(not pain) epigrastrium area, usually
preciptated by stress and exertion
nasua and vomitting
if a patient is sitting in dental chair with hands on heart, first thing you do is give the
patient _____ - Answer 0.4mg of nitroglycerine tablet
if patient is having a myocradial infarction/chest pain, andminster anti anginal drugs
such as _____.
when to not give this to the patient as can cause severe drop in blood pressure -
Answer 0.4mg nitroglycerine/vasodilation
viagra or cialis
What does MONA stand for and when is it used? - Answer morphine, oxygen,
nitroglycerine, asprin
angina treatment
Norpace/disopyramide - Answer Antiarrhythmic/antianginal agent
Valium (diazepam) has metabolies for long duration and binds to ___ receptors to
cause inhibtory effects . will have ___ channel opening
It is a ___ used for anxiety, siezures ,and insomina - Answer GABA
Cl
benzodiazapine
Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - Answer TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
Stent has been placed for patient undergoing kidney dialysis . Does patient require
medicaiton? - Answer No, does not require medication
if a patient has kidney disease, what can you prescribe and NOT prescribe - Answer
Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
