CDCA OSCE COMPLETE TEST BANK EXAM GUIDE Fall 2022.

CDCA OSCE COMPLETE TEST BANK EXAM GUIDE. bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ *ANS- hyperthyroidism signs/symtoms of skinny, weight loss *ANS- Graves disease weight g ...

CDCA OSCE COMPLETE TEST BANK EXAM GUIDE. bulging eyes (exophthalmos), weight loss, and Graves disease are all due to _____ *ANS- hyperthyroidism signs/symtoms of skinny, weight loss *ANS- Graves disease weight gain, dry hair, lower voice, feels cold *ANS- 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 *ANS- addisons disease doubling the dose of steroids cortisol in response to stress patient with reduced or missing teeth on a pan *ANS- ectodermal dysplasia patient has supernumerary teeth (extra teeth) ... likely diagnosis? *ANS- cleiodcranial dysplasia : can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON WOOL appearance of bone *ANS- Pagets disease hypercementosis will follow the ____ on a PAX *ANS- PDL Cleft lip is defection fusion of the ____ and _____ *ANS- medial nasal process maxillary process failure of the palatal shelves to fuse result in ____ BIFID UVULA *ANS- cleft palate, bifid uvula patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) *ANS- Pierre robin syndrome looks like white and brown spots on the teeth *ANS- hypocalcified teeth ___ cannot be reversed but microabrainsion and aching can improve aesthetics, but cannot reverse the condition *ANS- fluorosis flurosis can be caued by a patient living in a region wher the fluoride content in the water is ____ppm. Normal is ____ppm *ANS- 4ppm normal is 0.7ppm patient has no enamel on the teeth on bitewing or panx *ANS- 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 *ANS- dentogenisis imperfecta mulberry molars, screwdriver shaped incisors , maxillary anteriors with central depression *ANS- syphillis ___ also known as twinning is due to incomplete formation of two teeth, common on incisors, seen in maxillary laterals *ANS- gemination bull shaped crowns with shortened roots on PAN or fms What can be a 2 contributing factors? *ANS- taurodontism overweight, hypertension Tzanck test is to diagnose ________ (small painful ulcers that recure every 5-6 months with fever) Treatment is ___ with ____ and analgesics *ANS- 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 *ANS- major apthous ulcers mucocele on the lower lip can be due to an ____ salivary gland, treat with _____. Inside the mucocel is ____ (mucus) *ANS- injured salivary gland treat with excision saliva,mucous A standard cartridge as ___ml of 2% lidcaine at ___mg. the active ingredient , and 1:100,000 (____) of EPI vasoconstrictor *ANS- 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 ? *ANS- true Sodium hypochlorite should be changed ___ *ANS- daily to test the autoclave to ensure that it is properly sterilizing by doing a ___ test using biological indicators ___ *ANS- spore test Tx for tetracycline staining? *ANS- best to leave alone ____ can cause rampant decay due to lack of saliva to buffer acidic PH *ANS- xerostomia ____: can cause rampant caries in todder/infant *ANS- baby bottle syndrome a patient on steriods will need ___ *ANS- supplemenation a MI can produce ___ symptoms while ___ does not *ANS- GI syncope does not induce GI symptoms T/F use retraction cord that contains epi for patient with recent MI *ANS- false correct sympotms of MI. The other two are more likely ____ chest pain upset stomach pounding heart beat left arm jaw jerk pain indigestion *ANS- 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 ____ *ANS- Myocaridal infarction angina perctoris symptoms .Usually precipitated by exertion of _____. commonly with see __ _and ___ occur *ANS- 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 _____ *ANS- 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 *ANS- 0.4mg nitroglycerine/vasodilation viagra or cialis What does MONA stand for and when is it used? *ANS- morphine, oxygen, nitroglycerine, asprin angina treatment Norpace/disopyramide *ANS- 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 *ANS- GABA Cl benzodiazapine Pottasium-sparing diuretics for hypertension and edema (2) WHEN IS IT NOT USED *ANS- TRAMETERNE AND SPIRONLACTONE NOT USED FOR IMPAIRED RENAL FUNCtion Stent has been placed for patient undergoing kidney dialysis . Does patient require medicaiton? *ANS- No, does not require medication if a patient has kidney disease, what can you prescribe and NOT prescribe *ANS- 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) *ANS- true- due to anti rejection medications analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY FAULURE *ANS- 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 *ANS- promethazine bronchiodilater inhaler that relaxes muscles. Used for asthma *ANS- albuterol t/f: should administer nitrous oxide to an asthmatic *ANS- false angioedema of the upper lip has been dianosed as an allergic reaction with no other signs of allergy. The most apporpriate treatment is ? *ANS- 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 *ANS- arthritis lack of dexterity patient has malaise, lethargy, itching, may have an allergic reaction. Give ____ *ANS- benedryl the major difference between syncope and severe analphylatic shock is there can be ____ in anaphylatic shock *ANS- diffuculity in breathing patient undergoing anaphylatic shock. TX includes (4) *ANS- 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 *ANS- 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? *ANS- hypovolumic shock (loss of blood volume) medical history of patient taking penicillin and has an allegic reaction on the lower lip. Tx? (2) *ANS- apply topical steriods or swithc antibiotics anaphylactic shock tx? (2) *ANS- 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 *ANS- elisa test to convern HIV antibiodies Western blot AIDS patient treatment include ___ precautions, try to avoid invasive procedures and _____ treatment *ANS- univerisal precautions try to avoid invasive procedures no treatment A patient taking Isonizid, Rifampin or Pyaziminade has ___ *ANS- 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 *ANS- 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 *ANS- Prothrobmin test (PT) INR Name this disease: pale gums due to decrease RBC count. diagnose by complete blood count test. What is sign of anemia RBC? *ANS- Anemia 2 million RBC normal RBC range ? *ANS- 4.7-5million name this disease : patient have low platelet count (poor clotting). Normal platelet count is ____-_____. Below 50,000 per microliter is _____ *ANS- thrmobocytopenia 150,000-450,000 thromboyctopenia name this diseaes: symtoms inlcude increased WBC above normal and ginival bleeding. Blood level example : RBC-2.2million, platelets-24,00, WBC-79,000 What is normal WBC count? How to diagnose(2) *ANS- lekuemia 4000-10,000 complete blood count, bone marrow examination Name this disease: can be caused by calcium channel blockers even after a few months. Treatment and last option? *ANS- gingival hyperplasia reduce or switch their medication gingivectomy patient with acid reflux and had mild dental pian. What can you prescribe? *ANS- acetominophin, no NSAIDS tetracycline and oral contraceptives _____ the antibiotics effectivness *ANS- WEAKEN penicillin allergic patient pre medication: ___ or ____ with dosages for adults *ANS- clindamycin 600mg/20mg/kg erythromycin 500mg/15mg/kg non allergic penicillin patient premedication with dosage for adult and kid and time *ANS- amoxcillin 1 hour prior to treatment adult: 2g kid: 50mg Hip joint replacent prohpylaix is only given the first ___ years after surgery only *ANS- 2 years t/f: No ab is need for patient with rheumatic heart disease *ANS- false true/false: should give antibiotic prophylaxis for a patient wit ha history of bacterial endocardtitis? *ANS- true CONTINUES