6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
Diagnostic Skills OSCE (DSE OSCE) Exam Questions
and Answers Latest 2024/2025 COMPLETE EXAM
WITH VERIFIED ANSWERS \ALREADY GRADED A+.
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
A patient has recently had a
surgery, always consult with the patient's physician to
stroke. What is your first
determine whether and when the blood thinners can
concern?
- when was their last cleaning be stopped and subsequently restarted.- . Following
- are they on anticoagulants a CVA that required significant hospitalization, routine
- current blood pressure 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.
Anaphylaxis is accompanied by wheezing, bronchoconstriction
What is the main symptom - anaphyalxis: intense itching, hives, flushing over the
that differentiates face and chest. Rhinitis, conjunctivitis, nausea, vomiting,
anaphylaxis from syncope? abdominal cramps, and perspiration. Palpitation,
- bronchoconstriction
tachycardia, sub- sternal tightness, coughing,
- clammy skin and pallor
wheezing, and dyspnea. BP drops rapidly and loss of
- nausea, vomiting
consciousness or cardiac arrest can occur in severe
cases.- syncope: fright and flight response. Anxiety,
tachycardia, perspiration, light- headedness, and
2… 1/18
2
,6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
blurred vision are commonly experienced.
The Enzyme Linked the patient does not have HIV antibodies
Immune Absorbent Assay - consider that false negatives are a thing, life happens.
(ELISA) Test - a negative We cannot definitively say they do not have HIV,but
response for a person who we can say that no Ab were detected.
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.
14 year old presents with leukemia --> high WBC, lymphadenopathy, painful
inflamed gingiva. Bloodwork gingiva. Don't forget that WBC can be elevated OR
indicates abnormal RBC, decreased in leukemia! Gingival hypertrophy is a
WBC, and platelets. common sign/symptom
Diagnosis?
- normal 14 year old
- hypothyroidism
- leukemia
- anemia
2… 2/18
2
,6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
Stem indicates patient has Penicillin allergy
recently taken - hives is a common response to penicillin allergies
medications, which one
likely caused the rash
present on their arm?
- Acetamiophen
- Barbituates
- Penicillin
- diphenhydramine
calcium channel blockers, cyclosporines, anticonvulsants,
Name the drugs that induce immunosuppressants
hyperplasia - nifedipine, amlodipine, phenytoin, sodium valproate,
phenobarbitone, ethosuximide
Drugs that may have I put Amlodipine (gingival hyperplasia,
increased chance of - statins have actually been shown to improve
periodontal destruction periodontal treatment outcomes due to the
- "-statin" osteoblastic activity induced
- "-olol"
- "-ipril"
https://www.intechopen.com/books/oral-
- Amlodipine
diseases/adverse-effects-of-medications- on-
periodontal-tissues
Pt presents with white Use your best judgement. History of trauma leads to
lesion, lateral anterior fibroma diagnosis; but medical history may lead to
tongue. History of trauma papilloma. If described as "cauliflower" assume
(continuously biting it, ect). papilloma!
Resembled a papillary
lesion.
- papilloma
- fibroma
- squamous cell carcinoma
Pt has a history of Gardner's Syndrome
multiple odontomas. - colorectal polyposis
What syndrome is
suspected?
- Addison's disease
- ectodermal dysplasia
- Gardner's syndrome
- Cushing's syndrome
2… 3/18
2
, 6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
What is the treatment for a excision with local glands
mucocele?
- corticosteroids
- excision with local glands
- biopsy
- antifungal medication
Identify: - mucocele - bluish, swollen salivary gland
- mucocele - ranula - mucocele but on the floor of the mouth
- ranula - fibroma - benign scar-like reaction to constant irritation/trauma
- fibroma - papilloma - wartlike lesion; likely positive hx of HPV
- papilloma - thermal injury - hx of hot food/drink; sudden occurence
- thermal injury - SCC - shallow, ulcerated lesion
- SCC - cold sore (herpes)
- cold sore (herpes)
image Squamous cell carcinoma
Pt presents with shallow - ALWAYS pay attention to medical history. Knowing
ulcerated lesion on the that he is a farmer, you know that he spends the
lower lip that has been majority of his time in the sun; also knowing that the
present for several lesion has been present for an extended time (my
months. Has been a question stem mentioned several months). SCC is
farmer for several years. more common on the lower lip vs upper lip.
Likely diagnosis?
- squamous cell carcinoma
- traumatic burn
- apthous ulcer
- mucocele
2… 4/18
2
Diagnostic Skills OSCE (DSE OSCE) Exam Questions
and Answers Latest 2024/2025 COMPLETE EXAM
WITH VERIFIED ANSWERS \ALREADY GRADED A+.
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
A patient has recently had a
surgery, always consult with the patient's physician to
stroke. What is your first
determine whether and when the blood thinners can
concern?
- when was their last cleaning be stopped and subsequently restarted.- . Following
- are they on anticoagulants a CVA that required significant hospitalization, routine
- current blood pressure 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.
Anaphylaxis is accompanied by wheezing, bronchoconstriction
What is the main symptom - anaphyalxis: intense itching, hives, flushing over the
that differentiates face and chest. Rhinitis, conjunctivitis, nausea, vomiting,
anaphylaxis from syncope? abdominal cramps, and perspiration. Palpitation,
- bronchoconstriction
tachycardia, sub- sternal tightness, coughing,
- clammy skin and pallor
wheezing, and dyspnea. BP drops rapidly and loss of
- nausea, vomiting
consciousness or cardiac arrest can occur in severe
cases.- syncope: fright and flight response. Anxiety,
tachycardia, perspiration, light- headedness, and
2… 1/18
2
,6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
blurred vision are commonly experienced.
The Enzyme Linked the patient does not have HIV antibodies
Immune Absorbent Assay - consider that false negatives are a thing, life happens.
(ELISA) Test - a negative We cannot definitively say they do not have HIV,but
response for a person who we can say that no Ab were detected.
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.
14 year old presents with leukemia --> high WBC, lymphadenopathy, painful
inflamed gingiva. Bloodwork gingiva. Don't forget that WBC can be elevated OR
indicates abnormal RBC, decreased in leukemia! Gingival hypertrophy is a
WBC, and platelets. common sign/symptom
Diagnosis?
- normal 14 year old
- hypothyroidism
- leukemia
- anemia
2… 2/18
2
,6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
Stem indicates patient has Penicillin allergy
recently taken - hives is a common response to penicillin allergies
medications, which one
likely caused the rash
present on their arm?
- Acetamiophen
- Barbituates
- Penicillin
- diphenhydramine
calcium channel blockers, cyclosporines, anticonvulsants,
Name the drugs that induce immunosuppressants
hyperplasia - nifedipine, amlodipine, phenytoin, sodium valproate,
phenobarbitone, ethosuximide
Drugs that may have I put Amlodipine (gingival hyperplasia,
increased chance of - statins have actually been shown to improve
periodontal destruction periodontal treatment outcomes due to the
- "-statin" osteoblastic activity induced
- "-olol"
- "-ipril"
https://www.intechopen.com/books/oral-
- Amlodipine
diseases/adverse-effects-of-medications- on-
periodontal-tissues
Pt presents with white Use your best judgement. History of trauma leads to
lesion, lateral anterior fibroma diagnosis; but medical history may lead to
tongue. History of trauma papilloma. If described as "cauliflower" assume
(continuously biting it, ect). papilloma!
Resembled a papillary
lesion.
- papilloma
- fibroma
- squamous cell carcinoma
Pt has a history of Gardner's Syndrome
multiple odontomas. - colorectal polyposis
What syndrome is
suspected?
- Addison's disease
- ectodermal dysplasia
- Gardner's syndrome
- Cushing's syndrome
2… 3/18
2
, 6/27/25, 11:52 AM Diagnostic Skills OSCE (DSE OSCE) Exam Questions and Answers Latest 2024/2025 Graded A+.
What is the treatment for a excision with local glands
mucocele?
- corticosteroids
- excision with local glands
- biopsy
- antifungal medication
Identify: - mucocele - bluish, swollen salivary gland
- mucocele - ranula - mucocele but on the floor of the mouth
- ranula - fibroma - benign scar-like reaction to constant irritation/trauma
- fibroma - papilloma - wartlike lesion; likely positive hx of HPV
- papilloma - thermal injury - hx of hot food/drink; sudden occurence
- thermal injury - SCC - shallow, ulcerated lesion
- SCC - cold sore (herpes)
- cold sore (herpes)
image Squamous cell carcinoma
Pt presents with shallow - ALWAYS pay attention to medical history. Knowing
ulcerated lesion on the that he is a farmer, you know that he spends the
lower lip that has been majority of his time in the sun; also knowing that the
present for several lesion has been present for an extended time (my
months. Has been a question stem mentioned several months). SCC is
farmer for several years. more common on the lower lip vs upper lip.
Likely diagnosis?
- squamous cell carcinoma
- traumatic burn
- apthous ulcer
- mucocele
2… 4/18
2
