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16 - BDS3 OSCE > ALL OSCE QUESTIONS > Flashcards

ALL OSCE QUESTIONS Flashcards

1
Q

Take a pain history

A

Site of pain

Onset of pain

Character of the pain

Does it radiate anywhere else

Anything alleviate the pain

Time pain comes on

Anything make it worse

Severity of the pain

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2
Q

Take a medical history

A

Cardiovascular issues

Respiratory issues

GIT issues

Liver or kidney issues

Endocrine diseases

Bleeding disorders

Neurological issues

Psychiatric

Dermatological issues

Musculoskeletal issues

Pregnancy

Allergies

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3
Q

2 purposes of rubber dam other than moisture control in fissure sealants

A

Patient safety to prevent aspiration of foreign objects

Patient is very cooperative so can tolerate it

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4
Q

2 CI for rubbery dam in paeds fissure seal

A

Latex allergy

Small mouth size

Very uncooperative

ASD

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5
Q

Where would one place an IDB?

A

Hold thumb at coronoid notch and place injection 1mm above occlusal plane in the triangle made by the coronoid notch and the pterygomandibular raphe

Approach from contralateral premolars

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6
Q

Orthodontic definition of retention

How does adams clasp do this?

A

Resistance to displacement forces away from hard palate

Arrowhead engages the small mesiobuccal and distobuccal undercuts

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7
Q

Take a smoking history

A

What type of tobacco do you use

How many do you smoke per day

How long have you been using for

How early in the morning do you first light up

Any behaviours or routines that stimulate you to smoke, e.g getting home from work, eating lunch etc

Have you ever considered quitting

Have you ever tried? How many attempts?

What things helped you, what didnt?

Would you be interested now?

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8
Q

Give smoking quitting advice

A

It would benefit greatly to quit

There are local support services around such as local pharmacies offer quitting advice

Website called quit your way which helps provide support and advice on quitting

Consider nicotine replacement therapy, use of nicotine patches can help reduce cravings

Use of e cigarettes could be beneficial

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9
Q

Give some advice on e cigs

A

Co use of e cig and reduced cigarettes is good as you are lowering exposure

Likely they are safer however not prolonged enough evidence to say for certain

In no circumstance is smoking cigarettes more beneficial than it is smoking e cigarettes

If fully on e cigarettes give strong reinforcement that it is positive there have fully Eliminated tobacco

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10
Q

Three types of elevator methods

A

Wheel and axle

Wedge

Lever

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11
Q

Write a lab card for primary lower impressions

A

Pls pour PI in 50:50 plaster:stone and construct 1/2mm spaced non perforated PMMA resin tray with handle

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12
Q

Lab card for upper PI

A

Pls pour PI in 50:50 plaster:stone and construct 1/2mm spaced special tray in light cured acrylic with a handle

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13
Q

Write lab card for master IMPS

A

Pls pour MI in 100% dental stone and construct upper and lower wax record blocks on light cured bases

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14
Q

Lab card for jaw reg?

A

Please mount casts to registration taken - on an average value articulator

Set upper teeth to record block
Set lower teeth to upper teeth

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15
Q

Lab card for denture trial / insertion

A

Please wax up for finish and process in heat cured PMMA, i mark post dam.

or

Remount casts and make specified change if needed

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16
Q

What prescribe to fix an anterior crossbite

A

A - z spring 0.5mm HSSW

R - adams clasp 44, 66 0.7mm HSSW

A - PMMA baseplate, only moving 1 tooth

B - flat posterior bite plane, self cure PMMA

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17
Q

What prescribe for a posterior crossbite?

A

A - mid palatal screw 0.5mm HSSW

R - adams clasp 0.7mm HSSW 44 66

A- only moving 2 teeth?

B - self cure PMMA, posterior bite plane

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18
Q

How retract canines?

A

A - palatal finger springs, 0.5mm HSSW

R - adams clasp 66, Southend clasp 11 .7 HSSW

A - only moving 2 teeth

B - self cure PMMA

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19
Q

How move canine palatal?

A

A - buccal canine retractor 0.5HSSW

R - adams clasp 66, Southend clasp 11, 0.7 HSSW

A - only moving 2 teeth

B - self cure PMMA

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20
Q

How cure overbite and overjet

A

A - 12-22 Roberts retractor 0.5mm HSSW

R - adams clasp 66 0.7mm HSSW

A -

B - self cure PMMA, FABP at OPJ+3mm

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21
Q

Process for BLS?

A

Danger check

Response check

Airway check, finger sweep if necessary

Breathing, check chest for breathing or agonal breathing

Cardiovascular, check pulse while listening for breathing

Call 999 - cardiac arrest, tell them where we are and phone number. Say we need oxygen bag valve mask, defibrillator and oxygen tank

Start compressions and breaths

22
Q

What to write for a crown prescription for primary imps?

A

Pour imps in 100% stone and construct study models

23
Q

Crown prescription for face bow record?

A

Mount upper cast on arcon articulator and construct customised incisal table

24
Q

Prescription for crown special trays?

A

Construct non perforated acrylic special tray with 3mm wax spacer and extra oral handle

25
Q

Prescription for crown master imps

A

Pour in 100% stone to construct definitive casts. Mount on articulator with jaw registration. Section tooth FDI for MCC with metal palatal surface with canine guidance + labial aspect in porcelain with inter-proximal contact

26
Q

What teeth are scaled at 7 o’clock

A

43-33 all

27
Q

What teeth are done at 9 o’clock

A

Buccal LRS
Lingual LLS
Buccal URS

28
Q

What teeth scaled at 11 o’clock

A

Buccal and palatal of ULS
UAS
Palatal URS
Lingual LRS
Buccal LLS

29
Q

What colour are all the curettes?

A

Grey = anterior

Orange = mesial

Blue = distal

Green = buccal / lingual

Red hoe = mesial and distal

Yellow hoe = buccal and lingual

Mini sickle = embrasures

Columbia = universal

30
Q

Give post op instruction for extraction

A

Do not rinse mouth today, but from tomorrow start rinsing mouth with warm saline 3-4 times per day

Avoid hot drinks and hot / hard foods today while the LA wears off

Avoid smoking and alcohol today

Avoid any heavy exercise or things that can elevate your blood pressure

Do not explore the socket with your finger, toothbrush etc as it can dislodge the clot

Take OTC paracetamol and ibuprofen for pain, for no more than 3 days, do not exceed recommended dose and advised to take them before the local anaesthetic wears off

If socket begins to bleed again, bite down on damp gauze for 15-30 minutes

If bleeding doesn’t stop, contacts GDSH or A&E

If pain gets worse after 2-3 days come back to us

31
Q

Give denture hygiene advice

A

Clean it after every meal over sink of water so dont break it, use simple detergent and water

Don’t leave it in overnight, leave it in a glass of water

Clean the fitting surfaces as well as the occlusal surfaces

32
Q

What is RIVA?

A

RIVA = RMGIC, used to replace missing dentine. Can be used as a cavity base or even cement in crowns etc. also can be used for cervical restorations as bonds to tooth surface.

33
Q

What is dycal / ultracal?

A

CaOH liner used for pulp capping or as a cavity base/lining material. Used for small pulpal exposures too.

Stimulate secondary dentine deposition

34
Q

What is vitrebond?

A

Cavity liner / base

GIC - fluoride releasing

Bond to dentine

Light cure

35
Q

What is ledermix?

A

Ledermix = antibiotic and steroid used on vital pulp. Intramediciament used between visits

Good as a sub lining for very deep cavities

36
Q

What is RelyX?

A

RelyX = Resin based luting cement, dual cure. Used to cement veneers etc.

No need for DBA or primer

Good for cementing crowns etc

37
Q

How would one do a diet diary?

A

Must be recorded over at least 3 days including one weekend day

Record what they eat, how much and the time

38
Q

What are the stages of treatment planning and what do they entail?

A

Immediate - relief of pain

Initial treatment - HPT, restoration of carious lesions, alter any defective restorations, PMPR, OHI etc

Re-evaluation - reevaluate oral hygiene and oral condition

Definitive treatment - endodontics, fixed pros, large restorations. Has pT been complaint with OH? Removeable pros etc.

Maintenance - maintaining oral condition

39
Q

Emergency drug for angina? Doses and how would u treat?

A

GTN spray, 400mg/dose for unstable angina - sublingually

If mild attack, continue with dental treatment, if severe then give oxygen and call ambulance

40
Q

Drug for asthma attack? When to call ambulance?

A

Salbutamol inhaler 100mg/dose

For asthma or mild anaphylaxis in airways

If doesn’t respond rapidly or signs of severe attack, give O2 and call ambulance

41
Q

What drug for anaphylaxis? How is it administered?

A

0.5mg/ml adrenaline

IM injection into thigh

Pull skin taught, aspirate and deposit, pull out half way, let skin loose, then all way out.

42
Q

Drug for MI?

A

300mg dispensable aspirin, without water ideally so it can work faster

43
Q

Treatment for hypoglycaemia?

A

1mg IM glucose injection and glucose such as sugar drink

44
Q

What treatment for seizures?

A

Ensure safe environment, if it persists consider 10mg midazolam via buccal mucosa route

45
Q

Treatment for syncope?

A

Lie flat and raise legs

46
Q

Eruption dates of lower permanent teeth?

A

Lower incisors - 6

Lower laterals - 7

Lower canines - 9

Lower 1st premolar - 10

Lower 2nd premolar - 11

Lower first molar - 6

Lower second molar - 12

Wisdom - 17/18

47
Q

Eruption dates of upper permanent teeth?

A

C Incisor - 7

Lateral incisor - 8

Canine - 11

First premolar - 10

Second premolar - 11

First molar - 6

Second molar - 12

Third molar - 17/18

48
Q

Aim of a bitewing radiograph?

A

See the mesial of the canine to the distal of the 7, preferably no overlap, critical to see EDJ

49
Q

Aim of a periapical?

A

See one full tooth and root and surrounding structures associated with the tooth

50
Q

What LA give to someone with high blood pressure or heart issues?

A

Adrenaline free prilocaine with felypressin

Contains synthetic vasoconstrictor so LA does last long enough

51
Q

What if can’t give felypressin and must use lidocaine for heart issue patients?

A

No more than 3 cartridges with adrenaline, can use adrenaline free but will not last as long

16 - BDS3 OSCE (1 decks)

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