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3 OSCE > 3 OSCE > Flashcards

3 OSCE Flashcards

(42 cards)

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1
Q

PPE for hand hygiene order on and off

A

On:
1. Apron
2. Mask
3. Visor
4. Gloves

Off:
1. Gloves
2. Visor
3. Mask
4. Apron

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2
Q

What are the 2 different types of hand hygiene?

A

Hand hygiene using a non-microbial liquid soap and water
Hand rubbing by applying an alcohol based hand rub

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3
Q

What are the landmarks on an upper cast?

A

Hamular notch
Maxillary tuberosity
Crest of alveolar ridge
Incisive papilla
Buccal frenum
Vestibular sulcus
Vibrating line
Palatine fovea

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4
Q

What are the landmarks of a lower cast?

A

Crest of alveolar ridge
Vestibular sulcus
Buccal frenum
Lingual frenum
Retromolar pad
Pear shaped pad
Lingual pouch/mylohyoid area

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5
Q

What provides support in upper and lower arches?

A
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6
Q

Post op instructions after an extraction

A
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7
Q

5 steps of smoking cessation?

A

Ask
Advise
Assess
Assist
Arrange

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8
Q

Describe stable angina

A

Chest pain or discomfort that often occurs with activity/stress and is relieved by rest

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9
Q

Describe unstable angina

A

Lacks of blood flow and oxygen that may lead to a heart attack

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10
Q

Describe an MI

A

Occurs when blood flow to a part of your herat is blocked for a long enough time that part of the heart muscle is damaged or dies
Pain is more severe and persistent than angina, not relieved by rest and can cause death of heart muscle

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11
Q

How should you check a patients breathing?

A

Fund causes such as infection or inflammation
Recognise - looks, listen and feel
Check breathing rate
Tx - 15L oxygen, bronchodilators, posture

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12
Q

How should you check a patients circulation?

A

Causes - arrhythmia/ACS/HF
Check pulse
Treat cause
Elevate legs

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13
Q

How should you check for disability?

A

Check for causes - drugs, injury, hypoglycaemia
Recognise it - ACVPU, GCS
Treat - optimise ABC

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14
Q

How should you use oxygen to treat a patient?

A

15L via a non breathing mask
Give to anyone who is sick

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15
Q

How may anaphylaxis present?

A

A - swelling, stridor
B - increased rate, wheeze
C - increased rate, hypotension
D - LOC
E - rash, swelling

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16
Q

How should anaphylaxis be treated?

A

Adrenaline - 1:1000 0.5mg
IM injection
Only if life threatening

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17
Q

How may angina or an MI present?

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A

A - talking
B - increased rate
C - increased
D - alert
E - pale, clammy, central chest pain

18
Q

How is angina/MI treated?

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A

GTN spray 400 micrograms per dose
If MI:
Aspirin 300 milligrams crushed or chewed

19
Q

How may asthma present?

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A

A - difficult to complete sentences
B - increased rate with wheeze
C - increased rate
D - alert
E - tripods

20
Q

How is an asthma attack treated?

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A

Salbutamol 100 micrograms per actuation
Spacer device when appropriate

21
Q

How is mild choking treated?

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A

Encourage cough
Continue to check for deterioration to ineffective cough or until obstruction relieved

22
Q

How is severe choking treated?

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A

If conscious:
5 back blows
5 abdominal thrusts
If unconscious:
Start CPR

23
Q

How may hypoglycaemia present?

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A

A - initially talking
B - initially increased
C - initially increased
D - initially alert
E - irritable, confused, pale

24
Q

How is hypoglycaemia treated?

Study These Flashcards
A

Glucose
Glucagon 1 milligram IM injection

25
How may seizures and fits present?
A - compromised C - unresponsive E - seizure activity, incontenence
26
How are seizures and fits treated?
If repeated or prolonged consider midazolam 10 milligrams via the buccal mucosa
27
How does syncope present?
A - compromised B - reduced C - reduced rate and pressure D - unresponsive E - pale, clammy
28
How is syncope treated?
Elevate legs
29
How should you check a patients airway?
Find causes of obstruction If patient conscious? Infection, inflammation or swelling Recognise by talking or sounds Treat with triple manoeuvre and adjuncts
30
How do you give an IM injection?
Z track technique Hand hygiene and gloves Wipe area with alcohol wipe and let dry Pull skin so it is slightly tight Insert needle at 90º angle Aspirate Inject slowly Remove needle Cover site with gauze Dispose of needle
31
What are the steps of giving OHI?
Talk with the patient about causes of periodontal disease and discuss any barriers to plaque removal Brush twice a day once at night and one other time during the day Brush at a 45º angle to tooth in circular motion and focus on 2/3 teeth at a time Use a plea sized amount of at least 1,450ppm fluoride toothpaste Spit, don’t rinse Floss Fluoride mouthwash at time different to tooth brushing eg after a meal Ask patient to practice Make a plan Provide support at subsequent visits
32
What irrigants are used in endo?
EDTA 17% - removes smear layer Sodium hypochlorite 3% - disinfects and dissolves pulpal remnants, disrupts organic portion of the smear layer Chlorhexidine 0.2% - disinfects canal
33
Why are paper points used in endo?
To ensure the canal is dry before medicating or obturating
34
Describe reversible pulpitis
Vital, inflamed pulp Responsive to pulpal testing Caused by exposed dentine, caries and deep restorations Following management of the aetiology, pulp can reverse to health
35
Describe symptomatic irreversible pulpitis
Vital, inflamed pulp Pulpal inflammation cannot heal Sharp pain on thermal stimulus - lingers 30s or longer Pain may be spontaneous Analgesics typically ineffective No TTP as inflammation hasn’t reached periapical tissues
36
Describe asymptomatic irreversible pulpitis
Vital, inflamed pulp Pulpal inflammation cannot heal No clinical symptoms May have trauma or caries that would result in exposure following removal
37
Describe necrotic pulp?
Non vital Asymptomatic No response to thermal testing
38
Describe symptomatic periapical periodontitis?
Inflammation of apical periodontium Pain on biting, percussion and palpation - indicative of degenerating pulp May be periapical radiolucency
39
Describe asymptomatic periapical periodontitis
Inflammation and destruction of apical periodontium of pulpal origin Appears as apical radiolucency No presence of clinical symptoms
40
Describe an acute apical abscess
Inflammatory reaction to pulpal infection and necrosis Rapid onset with spontaneous pain and extreme TTP Pus formation and swelling May be no radiographic signs Malaise, fever and lymphadenopathy
41
Describe a chronic apical abscess
Inflammatory reaction to pulpal infection and necrosis Little/no discomfort, gradual onset Intermittent discharge of pus through sinus tract Periapical/periradicular radiolucency
42
Describe chronic osteitis
Diffuse radiopaque lesion Represents a localised bony reaction to a low grade inflammatory stimulus Usually seen at apex of tooth

3 OSCE (1 decks)

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