CDCA OSCE Exam Study Questions with Correct Answers bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ - Correct Answer hyperthyroidism signs/symtoms of skinny, weight loss - Correct Answer Graves disease weight gain, dry hair, lower voice, feels cold - Correct 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 - Correct Answer addisons disease doubling the dose of steroids cortisol in response to stress patient with reduced or missing teeth on a pan - Correct Answer ectodermal dysplasia patient has supernumerary teeth (extra teeth) ... likely diagnosis? - Correct Answer cleiodcranial dysplasia : can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON WOOL appearance of bone - Correct Answer Pagets disease hypercementosis will follow the ____ on a PAX - Correct Answer PDL Cleft lip is defection fusion of the ____ and _____ - Correct Answer medial nasal process maxillary process failure of the palatal shelves to fuse result in ____ BIFID UVULA - Correct Answer cleft palate, bifid uvula patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) - Correct Answer Pierre robin syndrome looks like white and brown spots on the teeth - Correct Answer hypocalcified teeth ___ cannot be reversed but microabrainsion and aching can improve aesthetics, but cannot reverse the condition - Correct Answer fluorosis 1 / 4
flurosis can be caued by a patient living in a region wher the fluoride content in the water is ____ppm. Normal is ____ppm - Correct Answer 4ppm normal is 0.7ppm patient has no enamel on the teeth on bitewing or panx - Correct 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 - Correct Answer dentogenisis imperfecta mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression - Correct Answer syphillis ___ also known as twinning is due to incomplete formation of two teeth, common on incisors, seen in maxillary laterals - Correct Answer gemination bull shaped crowns with shortened roots on PAN or fms What can be a 2 contributing factors? - Correct 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 - Correct 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 - Correct Answer major apthous ulcers mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside the mucocel is ____ (mucus) - Correct Answer injured salivary gland treat with excision saliva,mucous 2 / 4
A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and
1:100,000 (____) of EPI vasoconstrictor - Correct 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 ? - Correct Answer true Sodium hypochlorite should be changed ___ - Correct Answer daily to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using biological indicators ___ - Correct Answer spore test Tx for tetracycline staining? - Correct Answer best to leave alone ____ can cause rampant decay due to lack of saliva to buffer acidic PH - Correct Answer xerostomia ____: can cause rampant caries in todder/infant - Correct Answer baby bottle syndrome a patient on steriods will need ___ - Correct Answer supplemenation a MI can produce ___ symptoms while ___ does not - Correct Answer GI syncope does not induce GI symptoms T/F use retraction cord that contains epi for patient with recent MI - Correct 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 - Correct 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 ____ - Correct Answer Myocaridal infarction 3 / 4
angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with see __ _and ___ occur - Correct 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 _____ - Correct 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 - Correct Answer 0.4mg nitroglycerine/vasodilation viagra or cialis What does MONA stand for and when is it used? - Correct Answer morphine, oxygen, nitroglycerine, asprin angina treatment Norpace/disopyramide - Correct 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 - Correct Answer GABA Cl benzodiazapine Pottasium-sparing diuretics for hypertension and edema (2) WHEN IS IT NOT USED - Correct Answer TRAMETERNE AND SPIRONLACTONE NOT USED FOR IMPAIRED RENAL FUNCtion Stent has been placed for patient undergoing kidney dialysis . Does patient require medicaiton? - Correct Answer No, does not require medication if a patient has kidney disease, what can you prescribe and NOT prescribe - Correct Answer Tylenol (acetaminophen) NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney)
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