CDCA OSCE UPDATED EXAM SCRIPT QUESTIONS
AND ANSWERS SURE A+
✔✔Sodium hypochlorite should be changed ___ - ✔✔daily
✔✔to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using
biological indicators ___ - ✔✔spore test
✔✔Tx for tetracycline staining? - ✔✔best to leave alone
✔✔____ can cause rampant decay due to lack of saliva to buffer acidic PH -
✔✔xerostomia
✔✔____: can cause rampant caries in todder/infant - ✔✔baby bottle syndrome
✔✔a patient on steriods will need ___ - ✔✔supplemenation
✔✔a MI can produce ___ symptoms while ___ does not - ✔✔GI
syncope does not induce GI symptoms
✔✔T/F use retraction cord that contains epi for patient with recent MI - ✔✔false
✔✔correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
,indigestion - ✔✔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 ____ - ✔✔Myocaridal
infarction
✔✔angina perctoris symptoms .Usually precipitated by exertion of _____. commonly
with see __ _and ___ occur - ✔✔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 _____ - ✔✔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 -
✔✔0.4mg nitroglycerine/vasodilation
viagra or cialis
✔✔What does MONA stand for and when is it used? - ✔✔morphine, oxygen,
nitroglycerine, asprin
angina treatment
✔✔Norpace/disopyramide - ✔✔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 - ✔✔GABA
Cl
benzodiazapine
✔✔Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - ✔✔TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
,✔✔Stent has been placed for patient undergoing kidney dialysis . Does patient require
medicaiton? - ✔✔No, does not require medication
✔✔if a patient has kidney disease, what can you prescribe and NOT prescribe -
✔✔Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
✔✔t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress
dose) - ✔✔true- due to anti rejection medications
✔✔analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY
FAULURE - ✔✔PROPROXEPHINE
✔✔antihistmine to prevent motion sickness and as a sedative for insomina when
benzodiapenines are contacindicated. Can be used to treat allergic reactions
common side effects are tardive dysinesia, xerostomia - ✔✔promethazine
✔✔bronchiodilater inhaler that relaxes muscles. Used for asthma - ✔✔albuterol
✔✔t/f: should administer nitrous oxide to an asthmatic - ✔✔false
✔✔angioedema of the upper lip has been dianosed as an allergic reaction with no other
signs of allergy. The most apporpriate treatment is ? - ✔✔oral administration of
antihistmine (benedryl)
✔✔a 60 year old female taking naproxene, one asprin dialy who is allergic to penicillin is
most likely taking the naproxene for ___. Do not make a a precision attachment for her
due to her lack of ___ as a result of the arthritis - ✔✔arthritis
lack of dexterity
✔✔patient has malaise, lethargy, itching, may have an allergic reaction. Give ____ -
✔✔benedryl
✔✔the major difference between syncope and severe analphylatic shock is there can
be ____ in anaphylatic shock - ✔✔diffuculity in breathing
✔✔patient undergoing anaphylatic shock. TX includes (4) - ✔✔place patient in supine
position
administer oxygen manually
, monitor vitals
give 0.3-0.5ml of EPI SC or IM
✔✔the first thing to do if a patient experiences syndrome (fainting or hypotension) in the
dental chair is to place patient in _____ position - ✔✔place patient in trendelenburg
position (supine) with feet higher than head by 15-30 degrees to increase cerebral
perfusion pressure
✔✔When is trendelenburg position contraindicated and instead would use just
horizontal position? - ✔✔hypovolumic shock (loss of blood volume)
✔✔medical history of patient taking penicillin and has an allegic reaction on the lower
lip. Tx? (2) - ✔✔apply topical steriods or swithc antibiotics
✔✔anaphylactic shock tx? (2) - ✔✔Epi 1:1000, 0.5 ml SQ, repeat every 10-20 min PRN
or steroid
✔✔dentist has needlestick , have ht patient do an ____ test to detect _____
then do ___ to confirm ELISA - ✔✔elisa test to convern HIV antibiodies
Western blot
✔✔AIDS patient treatment include ___ precautions, try to avoid invasive procedures
and _____ treatment - ✔✔univerisal precautions
try to avoid invasive procedures
no treatment
✔✔A patient taking Isonizid, Rifampin or Pyaziminade has ___ - ✔✔tuberculosis
✔✔if you patient is having a seizure , first acition is to protect ___ and __ _form
injurying themselves ,clear the area and _____ against the dental chair - ✔✔yourself
and patient from injury
clear the are and hold hands against dental chair
✔✔____ or ____is the test to evaluate blood coagulation (clotting) time and to monitor
response o oral anticoagualant therapy like COUMARIN and liver disease -
✔✔Prothrobmin test (PT)
INR
✔✔Name this disease:
AND ANSWERS SURE A+
✔✔Sodium hypochlorite should be changed ___ - ✔✔daily
✔✔to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using
biological indicators ___ - ✔✔spore test
✔✔Tx for tetracycline staining? - ✔✔best to leave alone
✔✔____ can cause rampant decay due to lack of saliva to buffer acidic PH -
✔✔xerostomia
✔✔____: can cause rampant caries in todder/infant - ✔✔baby bottle syndrome
✔✔a patient on steriods will need ___ - ✔✔supplemenation
✔✔a MI can produce ___ symptoms while ___ does not - ✔✔GI
syncope does not induce GI symptoms
✔✔T/F use retraction cord that contains epi for patient with recent MI - ✔✔false
✔✔correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
,indigestion - ✔✔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 ____ - ✔✔Myocaridal
infarction
✔✔angina perctoris symptoms .Usually precipitated by exertion of _____. commonly
with see __ _and ___ occur - ✔✔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 _____ - ✔✔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 -
✔✔0.4mg nitroglycerine/vasodilation
viagra or cialis
✔✔What does MONA stand for and when is it used? - ✔✔morphine, oxygen,
nitroglycerine, asprin
angina treatment
✔✔Norpace/disopyramide - ✔✔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 - ✔✔GABA
Cl
benzodiazapine
✔✔Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED - ✔✔TRAMETERNE AND SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
,✔✔Stent has been placed for patient undergoing kidney dialysis . Does patient require
medicaiton? - ✔✔No, does not require medication
✔✔if a patient has kidney disease, what can you prescribe and NOT prescribe -
✔✔Tylenol (acetaminophen)
NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
✔✔t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress
dose) - ✔✔true- due to anti rejection medications
✔✔analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY
FAULURE - ✔✔PROPROXEPHINE
✔✔antihistmine to prevent motion sickness and as a sedative for insomina when
benzodiapenines are contacindicated. Can be used to treat allergic reactions
common side effects are tardive dysinesia, xerostomia - ✔✔promethazine
✔✔bronchiodilater inhaler that relaxes muscles. Used for asthma - ✔✔albuterol
✔✔t/f: should administer nitrous oxide to an asthmatic - ✔✔false
✔✔angioedema of the upper lip has been dianosed as an allergic reaction with no other
signs of allergy. The most apporpriate treatment is ? - ✔✔oral administration of
antihistmine (benedryl)
✔✔a 60 year old female taking naproxene, one asprin dialy who is allergic to penicillin is
most likely taking the naproxene for ___. Do not make a a precision attachment for her
due to her lack of ___ as a result of the arthritis - ✔✔arthritis
lack of dexterity
✔✔patient has malaise, lethargy, itching, may have an allergic reaction. Give ____ -
✔✔benedryl
✔✔the major difference between syncope and severe analphylatic shock is there can
be ____ in anaphylatic shock - ✔✔diffuculity in breathing
✔✔patient undergoing anaphylatic shock. TX includes (4) - ✔✔place patient in supine
position
administer oxygen manually
, monitor vitals
give 0.3-0.5ml of EPI SC or IM
✔✔the first thing to do if a patient experiences syndrome (fainting or hypotension) in the
dental chair is to place patient in _____ position - ✔✔place patient in trendelenburg
position (supine) with feet higher than head by 15-30 degrees to increase cerebral
perfusion pressure
✔✔When is trendelenburg position contraindicated and instead would use just
horizontal position? - ✔✔hypovolumic shock (loss of blood volume)
✔✔medical history of patient taking penicillin and has an allegic reaction on the lower
lip. Tx? (2) - ✔✔apply topical steriods or swithc antibiotics
✔✔anaphylactic shock tx? (2) - ✔✔Epi 1:1000, 0.5 ml SQ, repeat every 10-20 min PRN
or steroid
✔✔dentist has needlestick , have ht patient do an ____ test to detect _____
then do ___ to confirm ELISA - ✔✔elisa test to convern HIV antibiodies
Western blot
✔✔AIDS patient treatment include ___ precautions, try to avoid invasive procedures
and _____ treatment - ✔✔univerisal precautions
try to avoid invasive procedures
no treatment
✔✔A patient taking Isonizid, Rifampin or Pyaziminade has ___ - ✔✔tuberculosis
✔✔if you patient is having a seizure , first acition is to protect ___ and __ _form
injurying themselves ,clear the area and _____ against the dental chair - ✔✔yourself
and patient from injury
clear the are and hold hands against dental chair
✔✔____ or ____is the test to evaluate blood coagulation (clotting) time and to monitor
response o oral anticoagualant therapy like COUMARIN and liver disease -
✔✔Prothrobmin test (PT)
INR
✔✔Name this disease:
