OSCE

pocket measurement (probing)

There was a picture of a tooth with periodontal probe, they asked what the purpose of the probe is, and answer is for?

showing image of the midbuccal of upper premolar pocket measurement.

cleft palate

identify the condition and consequences ?

patient head movement while taking radiograph

PA with canine crown looks like far behind the root, but the root of the canine in same level of the other teeth

due thyroid collar wearing of the patient

They showed panoramic with anterior teeth with errors, almost three images are the same except one showed the correct error

Decrease vertical angulation FIX IT BY - increase vertical angulation

They showed elongated anterior teeth and they ask about the cause of the error

(U shaped zygomatic arch) zygoma

They ask about the radiopaque seen above the molar teeth

cement osseous dysplasia; they ask to choose more than one answers:

Mandibular anterior teeth

African American women, > age 30

All teeth are vital

radiolucent to radiopacity

No treatment is necessary

DO NOT CHOOSE: maxillary molar teeth, no treatment is necessary, men over 50, black

What instrument would you use to scale the distal of the mesial root on tooth #14?

A)1/2 B)7/8 C)11/12 D)13/14

Aspirin burn

They wrote a short case study, explaining patient suffering of severe pain, swollen gingiva with toothache and they put picture of white patches against the tooth area, they ask what is the cause:

ultrasonic scaler

Showed a picture and asked what instrument would you use for gross debridement?

They showed a picture of person with angular cheilitis and they ask about the cause?

Vitamin C deficiency, Candida albicans (fungal), some others

Match questions with medications:

nifedipine

xanax

arthristis

amoxicillin

zoloft

plavix

Calcium channel blockers

Anxiety medication

Medrol pack

Oral infection

Antidepressant

Blood thinner

They repeat same questions two or three times showing which of following require accommodation when you take radiograph, mandibular tori and appliances, they put image of class II and III malocclusion, you should pick

ortho appliances and Tori only

TMJ examination either

one or two fingers

Follicular cyst/ dentigerous cyst

appears around the crown of an unerupted or impacted mandibular third molar

They showed Herpes Zoster (Shingle) on face of old woman

What virus is this ?

Fordyce granules

Small bilateral yellow nodules of buccal mucosa and vermillion after puberty. Intraoral sebaceous (oil) glands.

Hemangioma

vascular lesion , tongue most common site, macroglassia can result, mostly in females. since birth

ranula

mucocele of the floor of the mouth , usually associated with sublingual gland, floor of the mouth swelling.

irritational fibroma

what is this lesion called

clopidogrel (Plavix)

What medication causes prolong bleeding:

sodium lauryl sulfate

What is the content in toothpaste lead to swelling of gingiva, soreness?

utility gloves, gown, mask

What should you wear, to transfer contaminated instrument?

Ankylosed tooth #T

Which tooth is congenitally missing?

___ as it showed first or second premolar and molar (lower right quadrant)

if it's first premolar will be 28 if it's the second premolar will be #29

primordial cyst

A patient missing one of his third molar since he born. The patient has a cyst that occurs in place of a tooth , unicellular radiolucency

send patient to physician or emergency hospital

Patient with blood pressure of 160/122 what you will do:

Steroid

Impaired healing

ASA 2

Asa classification: patient with controlled epilepsy?

Picture – Fluorosis

What is this a picture of !

What does mean * in PSR index?

furcation involvement

mobility

mucogingival defect

recession

goiter/ thyroid

crepitus

lymphadenopathy- swelling of the lymph nodes.

Matching question - on EOE:

Swallowing to evaluate______

TMJ -

Under the chin

Arestin (select 3): placed after periodontal surgery .

persist for 21 days

no brush/floss for 1 week

minocycline

3 different categories (match accordingly):

Sharps:

Biohazard:

Garbage:

Identify how to dispose of these:

broken instrument, cartridge with blood, needle.

bloody gauze, bloody gloves.

pt's bib, gown, saliva ejector, barriers

Patient is 21 y/o with massive bone loss (attached picture). Pt. has SEVERE bone loss on #24 and #25. Reason for bone loss?

HIV

stroke (cerebrovascular accident [CVA])

If half of the patient's body stops working:

Urticaria (aka hives)

Patient with a big blister on her hands. Question states it is itchy, red allergic reaction. What is it called?

It's going to ask you about a tooth #. The tooth is vital (keyword).

Periodontal abscess

Class III – Prognathic

Shows a picture of a clear underbite, lower lip protruding out. What kind of bite is this?

Matching certain drugs:

Blood thinner —-------

Hypertension------------

Allergy—----------------

Antidepressant—-----

Anti-anxiety—----------

Asthma—--------------

match the drugs

Plavix

Hydrochlorothiazide (HTCZ)

cetirizine (Zyrtec), loratadine (Claritin)

sertraline (Zoloft), fluoxetine (Prozac)

alprazolam (Xanax)

Albuterol/Bronchodilator

2 grams of amoxicillin 1 hr before treatment

This patient has no contraindications: how much pre medication are you going to give?

traumatic ulcer

One picture of hard palate tori with ulcer

Epstein Barr virus disease

Mononucleosis is a manifestation of

MRSA treatment( methicillin resistant staphylococcus aureus

Vancomycin is used for ?

junction of face and lateral surface

What side of sickle, Columbia is placed on stone for sharpening?

give 300 mg clindamycin and wait 1 hour

Patient is allergic to amoxicillin and he took only 300mg clindamycin what should you do?

Hypoglycemia

Patient is diabetic and loses consciousness – because of

Trendelenburg position / head is lower than feet

Patient loses consciousness in dental chair what will you do?

Bell's Palsy :

Unilateral facial muscle paralysis

7th Facial cranial nerve (VII)

Most pts recover within 3 weeks to 6 months

Symptoms: unilateral facial paralysis, drooling, inability to close the eye on the side

Abfraction

A picture of notched teeth , cause by pathological loss of tooth structure from tooth flexure during mastication. wedge shaped defects at the cervical area.

toxins produced from biofilm

If a patient has gingivitis, the reason for the edema is due to:

If patient has obstruction of airway

Heimlich maneuver is performed when

Posterior, shallow pockets

Short, contra angled instrument where would you use it?

Contra angle, universal

Which ultrasonic insert would you use for sub gingival calculus on a mandibular molar tooth:

Pt probe reading on the distal of mandibular 1st molar is 6mm. Why is this? (Picture showed a space between #19 and 18 and food trapped)

open contact (I chose this b/c I strongly felt that there was food in b/w the two molars …don’t get confused with it being rough restoration just b/c you see amalgam on the occlusal surface of both #18 and #19)

No opposing tooth

(PA picture) Maxillary 2nd molar is supererupted and has décay on the mesial surface, maxillary 1st molar has calculus on the distal surface. What is the cause of this?

14-21 min or 17-21 min (Lidocaine + Prilocaine) 2.5% / 1.7g

duration of Oraqix®

pt is 9 yrs old

Pano came up - all 1st molars and all incisors we're in but canines weren't

OSHA (Occupational Safety and Health Administration)

Who would you contact about handling infectious diseases in your workplace?

5% sodium fluoride

Do no brush or floss for 4-6 hrs

No eating crunchy or sticky foods for 4-6 hrs

1.23 % APF

Fluoride question (select 4-5 that apply):

sit patient upright

If your diabetic pt starts to feel uncomfortable, nervous and faint, what should you do immediately?

Stimudent (wooden wedge)

Know _____ is NOT recommended as a cleaning aid for braces!!

water flosser

Floss threader

Dental Tape

electrical toothbrush

plastic coated proxabrush

Does not apply:

metal coated brush

proper cleaning aid for single implant (Select the ones that apply)

free gingival graft

what is this a picture of?

For PPE which items fall under high level protection and what are low level protection

Mouth mask - H

N95

Disposable gown

Lab coat

Face shield

Head cap

Piezoelectric ultrasonic

Consult cardiologist

Hand instruments

Patient with pacemaker what consideration. Drag question options were

Gingivitis

There was picture of periodontitis with recession on lower and upper anterior teeth. The question asked all are the reason for appearance that teeth EXCEPT:

Remember the most important item for decay is acid, not sugar!

Remember diet soda (no sugar) can cause more decay that regular soda because of the acid content.

Showed a picture of 2nd mandibular molar with age 15yrs

Incomplete root formation

They showed image of working end (correct) on lower anterior they asked:

Remove all calculus

stenson's duct

There was a picture showing an ulcer close to tooth #3 around salivary glands: (the other choices didn't make sense so I chose that it was related to:

Thumb sucking

A picture of a kid showing an open bite, this can be caused by

Instruct pt on how to neutralize acid

A picture came up of a bulimic patient asking about home care recommendation:

Asked me a question about a pt with hip replacement: I chose

consultation with orthopedic surgeon.

frequency of carbohydrates intake

Asked why are pt's more prone to caries:

Pacemaker

Asked all of the following require premed except:

angioplasty and stent

Again it asked which of the following does not require premed

Amelogenesis imperfecta

There was a picture of a child's teeth (7 yrs old).. asked what condition:

internal resorption…

what is this radiograph of ?

There were 6 pictures that came up and asked to identify which individuals would need biopsy, choices were like: leukoedema, linea alba, and then there were 3 that definitely looked similar to

Leukoplakia/

Activate EMS

A question about a pt being in the reception area, unresponsive/unconscious:

Sharpened tip (I chose this)

Question about ultrasonic asking which of the following is not correct:

A picture of Materia Alba came up

A soft non-mineralized whitish deposit found on the tooth surface around the gingival margins, usually associated with poor oral hygiene

foreshortened

too much vertical angulation will cause ..

Candidiases

Prendisone and Albuterol can cause

Abrasion

pathologic loss of tooth structure from a mechanical process. think external things .