DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) ACTUAL EXAM 190 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

DIAGNOSTIC SKILLS EXAM OSCE (DSE OSCE) 2023-

2024 ACTUAL EXAM 190 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES|ALREADY

GRADED A+

- When a patient experiences a milder form of anaphylactic reaction, the

drug or prepara- tion that caused a reaction is discontinued and the

patient is given diphenhydramine (Benadryl), 25-50 mg/tablet PO q6h

for 48-72 hr.

Steroids - whats most important information you need to get from your

patient when you find out they are on steroids.. before even thinking

about treating them?

(remembered) - ANSWER- duration and dosage.

- "The rule of twos": Ask whether the patient is currently on steroids or

has been on corticosteroids for 2 weeks or longer within the past 2 years.

You must go back 2 years in the history because it can take 2 weeks to 2

years for the adrenal glands to bounce back to normal function.

Patients _____ is the most important thing for calculating medication

dosage for a child.

a. age

b. weight

c. gender

d. height

(remembered) - ANSWER- b

Biggest concern with down syndrome?

he thought Congenital Heart Defects.

- Trisomy 21 are at increased risk of cardiac defects, true.

- early onset periodontal disease IS MOST SIGNIFICANT ORAL

HEALTH PROBLEM; they have a lower prevalence of dental caries

though.

Consider prescribing Chlorhexidine or other antimicrobial agents for

daily use.

- When treating, consider patient's cardiac status and need for

premedication (medical consult may be indicated).

(remebered) - ANSWERPatient just had a stroke. What do you need to worry about?

(remembered) - ANSWER- if they are on anti-coagulants (blood

thinners).

- Stroke patients could be on blood thinners, such as aspirin,

dipyradamole (Persan- tine), clopidogrol (Plavix), or Coumadin,

postrecovery. Prior to major surgery, always consult with the patient's

physician to determine whether and when the blood thinners can be

stopped and subsequently restarted.

- . Following a CVA that required significant hospitalization, routine

dental treatment must be delayed by 6 months.

- Routine dental treatment should be delayed by 3 months if the postCVA 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.

What is the difference in anaphylaxis vs syncope?

(remembered) - ANSWER- anaphylaxis has wheezing and

bronchoconstriction.

- anaphyalxis: intense itching, hives, flushing over the face and chest.

Rhinitis, conjunctivitis, nausea, vomiting, abdominal cramps, and

perspiration. Palpitation, tachycardia, sub- sternal tightness, coughing,

wheezing, and dyspnea. BP drops rapidly and loss of consciousness or

cardiac arrest can occur in severe cases.

- syncope: fright and flight response. Anxiety, tachycardia, perspiration,

light-headedness, and blurred vision are commonly experienced.

The Enzyme Linked Immune Absorbent Assay (ELISA) Test - a

negative response for a person who had needle stick means what?

a. the patient definitely has an HIV infection

b. the patient has antibodies to HIV-1 present

c. the patient definitely does not have an HIV infection

d. the patient has no antibodies to HIV-1 present.

(remembered) - ANSWER- patient had no Abs present was answer.