CDCA OSCE ACTUAL FINAL EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔Name the pathology:
Hepatitis that ca be caused by inoculation(serum, vaccination) iv drug use and blood
transfusions - ✔✔hepatitis C
✔✔Name the pathology: occurs on the lower lip an lateral tongue borders. may have a
crusted or cauliflower appearance - ✔✔Squamous cell carcinoma
✔✔patient comes in with hard palate swelling hat has been there for about 2 years. The
patient tells you they had a similiar lesion removed some years ago
tx? - ✔✔surgical removal
✔✔You see a swelling under the tongue on the floor of the mouth (ranula). What do you
do for treatment ?(2) - ✔✔surgical removal or masupialize
✔✔Dense, firm ulcer with indurated borders is of 4 months duration. It has been
gradually increasing in size and severely restricts tongue movement. What do you do? -
✔✔perform incisional biopsy
✔✔You see a hard palate with a midline swelling present for several years. Pt is
concerned about this swelling because there is a family history of carcinoma. What do
you do? - ✔✔treatment: leave along and reassure the patient
✔✔Name the pathology: occurs on the face (might see under eyes)
patient has RAISED lesion under the ye present for about 2 years.
TX? - ✔✔basal cell carcinoma
,biopsy and surgica lremoval
✔✔heptatis serum can be acute or chronic , prlonged incubaton 4-26 weeks? - ✔✔hep
b
✔✔hepatitis infectious required from raw steamed shellfish, contaiminated water or food
- ✔✔hep A
✔✔T/f: a patient who has Hepatitis A over a year ago is okay to treat?
When is Hepatitis A okay to treat: after _____ fro mthe onset of jaundice.
How is it transmitted? - ✔✔true, it resolves within a couple of weeks usually on its own
after one 1
transmitted fecal oral route
✔✔Name the pathology: looks like little dialted blood vessels (telangiectasis) on the
tongue - ✔✔multiple telangiestasias
✔✔Median Rhomboid Glossitis (Central Papillary Atrophy) is type of ___ infection.
Tx - ✔✔candida
nystatin
✔✔Hairy tongue : looks nasty. treat by taking the patient of thier medicaitons , use ___
and improve oral hygiene (brush tongue) - ✔✔mouthrinses, medications , and improve
OH
✔✔Oral hairy leukoplakia (AIDS)
presents as white plaque usually on the lateral border of the tongue that does not rub
off. Associated with __ and ___ - ✔✔Presents as a white mucosal plaque that does not
rub off, usually on the lateral border of the tongue; associated with EBV and AIDS
✔✔Name the pathology: oral manfestation in aids patients. a malginant cnacer of the
lining of blood vesels on the ______. May present as purple lesionson the palte. TX: ? -
✔✔kaposi sarcoma
hard palate
tx: provide normal dntal treatment but NO invasive treatment
,✔✔Geographic tongue (migratory glossitis) caused by atrophy of the ___ papillae on
tongue
tx: ? - ✔✔Pattern of normal coating interspersed with bright red, shiny, circular bald
areas caused by atrophy of the filiform papillae, with raised pearly borders. Pattern
resembles a map and changes with time. Not significant, and its cause is not known.
tx: ressure patient and leave alone
✔✔Fissured tongue aka Scrotal tongue
tx? - ✔✔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 ___ - ✔✔biopsied
✔✔asymptomatic finding on the tongue lateral border with a 5 year history during which
time it has changed appearance repeatedly.
TX? - ✔✔reassurance, no treatment
✔✔a keratotic linear formation on the tongue lateral border has been present for about
2.5 years. tx - ✔✔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 - ✔✔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 - ✔✔mildine mandibule fracture
✔✔Name the pathology: idiopathic, can be due to nerves, or nutrition deficiency -
✔✔burning mouth syndrome
✔✔t/f: if lingual tonsils enlarged when sick this is pathologic? - ✔✔false
✔✔a younger teenager with swollen tonsils is an _____ condtion - ✔✔inflammatory
✔✔this muscle is the first pillar in front of the tonsils? - ✔✔palatoglossus muscle
✔✔t/f: pharngeal space on a pan is normal? - ✔✔true
✔✔cementoma affects ___ teeth.
, TX:? - ✔✔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: - ✔✔condensing osteitis
tx; eliminate infection source and inflammation
✔✔tx for periapical bone scar? - ✔✔none, observe
✔✔Name the pathology: mandible has soap bubble appearance due to multilocular
radiolucencies: - ✔✔ameloblastoma
✔✔Periapical film of mandibular first molar area with irregular shaped, periapical
radiopacity
Tx:? - ✔✔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 - ✔✔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 - ✔✔whartons duct
✔✔Film used to detect a sialolith of a submandibular gland? - ✔✔occlusal
✔✔Name the pathology: the most common SALIVARY gland neoplasm, can be see on
the posterior palate as a PAINLESS SWELLING - ✔✔pleomorphic adenoma
✔✔Name the pathology: shows white WHICHMANS straie (rectillinear pattern) on the
buccal mucosa.
ANSWERS SURE A+
✔✔Name the pathology:
Hepatitis that ca be caused by inoculation(serum, vaccination) iv drug use and blood
transfusions - ✔✔hepatitis C
✔✔Name the pathology: occurs on the lower lip an lateral tongue borders. may have a
crusted or cauliflower appearance - ✔✔Squamous cell carcinoma
✔✔patient comes in with hard palate swelling hat has been there for about 2 years. The
patient tells you they had a similiar lesion removed some years ago
tx? - ✔✔surgical removal
✔✔You see a swelling under the tongue on the floor of the mouth (ranula). What do you
do for treatment ?(2) - ✔✔surgical removal or masupialize
✔✔Dense, firm ulcer with indurated borders is of 4 months duration. It has been
gradually increasing in size and severely restricts tongue movement. What do you do? -
✔✔perform incisional biopsy
✔✔You see a hard palate with a midline swelling present for several years. Pt is
concerned about this swelling because there is a family history of carcinoma. What do
you do? - ✔✔treatment: leave along and reassure the patient
✔✔Name the pathology: occurs on the face (might see under eyes)
patient has RAISED lesion under the ye present for about 2 years.
TX? - ✔✔basal cell carcinoma
,biopsy and surgica lremoval
✔✔heptatis serum can be acute or chronic , prlonged incubaton 4-26 weeks? - ✔✔hep
b
✔✔hepatitis infectious required from raw steamed shellfish, contaiminated water or food
- ✔✔hep A
✔✔T/f: a patient who has Hepatitis A over a year ago is okay to treat?
When is Hepatitis A okay to treat: after _____ fro mthe onset of jaundice.
How is it transmitted? - ✔✔true, it resolves within a couple of weeks usually on its own
after one 1
transmitted fecal oral route
✔✔Name the pathology: looks like little dialted blood vessels (telangiectasis) on the
tongue - ✔✔multiple telangiestasias
✔✔Median Rhomboid Glossitis (Central Papillary Atrophy) is type of ___ infection.
Tx - ✔✔candida
nystatin
✔✔Hairy tongue : looks nasty. treat by taking the patient of thier medicaitons , use ___
and improve oral hygiene (brush tongue) - ✔✔mouthrinses, medications , and improve
OH
✔✔Oral hairy leukoplakia (AIDS)
presents as white plaque usually on the lateral border of the tongue that does not rub
off. Associated with __ and ___ - ✔✔Presents as a white mucosal plaque that does not
rub off, usually on the lateral border of the tongue; associated with EBV and AIDS
✔✔Name the pathology: oral manfestation in aids patients. a malginant cnacer of the
lining of blood vesels on the ______. May present as purple lesionson the palte. TX: ? -
✔✔kaposi sarcoma
hard palate
tx: provide normal dntal treatment but NO invasive treatment
,✔✔Geographic tongue (migratory glossitis) caused by atrophy of the ___ papillae on
tongue
tx: ? - ✔✔Pattern of normal coating interspersed with bright red, shiny, circular bald
areas caused by atrophy of the filiform papillae, with raised pearly borders. Pattern
resembles a map and changes with time. Not significant, and its cause is not known.
tx: ressure patient and leave alone
✔✔Fissured tongue aka Scrotal tongue
tx? - ✔✔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 ___ - ✔✔biopsied
✔✔asymptomatic finding on the tongue lateral border with a 5 year history during which
time it has changed appearance repeatedly.
TX? - ✔✔reassurance, no treatment
✔✔a keratotic linear formation on the tongue lateral border has been present for about
2.5 years. tx - ✔✔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 - ✔✔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 - ✔✔mildine mandibule fracture
✔✔Name the pathology: idiopathic, can be due to nerves, or nutrition deficiency -
✔✔burning mouth syndrome
✔✔t/f: if lingual tonsils enlarged when sick this is pathologic? - ✔✔false
✔✔a younger teenager with swollen tonsils is an _____ condtion - ✔✔inflammatory
✔✔this muscle is the first pillar in front of the tonsils? - ✔✔palatoglossus muscle
✔✔t/f: pharngeal space on a pan is normal? - ✔✔true
✔✔cementoma affects ___ teeth.
, TX:? - ✔✔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: - ✔✔condensing osteitis
tx; eliminate infection source and inflammation
✔✔tx for periapical bone scar? - ✔✔none, observe
✔✔Name the pathology: mandible has soap bubble appearance due to multilocular
radiolucencies: - ✔✔ameloblastoma
✔✔Periapical film of mandibular first molar area with irregular shaped, periapical
radiopacity
Tx:? - ✔✔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 - ✔✔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 - ✔✔whartons duct
✔✔Film used to detect a sialolith of a submandibular gland? - ✔✔occlusal
✔✔Name the pathology: the most common SALIVARY gland neoplasm, can be see on
the posterior palate as a PAINLESS SWELLING - ✔✔pleomorphic adenoma
✔✔Name the pathology: shows white WHICHMANS straie (rectillinear pattern) on the
buccal mucosa.
