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OSCE/CSCE ACTUAL EXAM 2025-2026 QUESTIONS AND CORRECT ANSWERS GRADED A+ OSCE/CSCE ACTUAL EXAM 2025-2026 OSCE/CSCE
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Your patient is taking Pepsid and acetaminophen. what effects may they experience?
a. increased bleeding
b. decreased salivary flow
c. gingival hyperplasia
d. increased salivary flow
b. decreased salivary flow
How long should you wash your hands in between clients?
a. 5 seconds
b. 15 seconds
c. 25 seconds
d. 35 seconds
b. 15 seconds
You can do all of the following to prevent biofilm in dental waterlines except for one. which one is the exception?
a. purge between clients
b. flush lines with chemicals
c. flush with tap water
d. use individual water tanks per unit
c. flush with tap water
I.D. this condition that is related to a low-grade inflammatory reaction
a. focal sclerosis osteitis
b. periodical cement dysplasia
a. focal sclerosis osteitis
what is the minimum % of alcohol needed in hand sanitizer for it to be effective?
60%
patient has an allergic reaction to penicillin (shows picture of hand with blister). What is it called?
IO picture of multi lobed maxillary tori with an ulcer on it. what kind of ulcer is this?
a. herpetic ulcer
b. pathos ulcer
c. traumatic ulcer
d. median palatine cyst
c. traumatic ulcer
Picture of a radiograph with elongation. How would you fix it?
a. increased vertical angulation
b. decrease vertical angulation
c. horizontal angulation
a. increased vertical angulation
which of the following conditions requires premedication?
a. breast implants
b. periodontal disease
c. patient with renal dialysis port
d. patient with coronary bypass
d. patient with coronary bypass
what plaque control aid would you NOT recommend to this patient with braces?
a. stimudent
b. toothbrush
c. floss threader
d. end tuft
a. stimudent
patient has had a firm lesion underneath his tongue for a while. what do you think red lesion is?
a. carcinoma
b. ranula
c. sialolith
a. carcinoma
ID this lesion caused by Epstein Barr virus
hairy leukoplakia
b. place stone at junction between face and lateral surface
c. place stone at back
b. place stone at junction between face and lateral surface
your diabetic patient was in a rush and did not eat after taking his insulin in the morning. he begins to show signs of hypoglycemia. what should you do next?
a. lay them supine
b. give them sugary drink
c. keep upright
b. give them a sugary drink
your patient is feeling light headed as if they are going to pass out, what do you do?
place them in trendelenburg position
how long do you cold sterile a contaminated instruments?
a.. 4 hours
b. 6 hours
c. 8 hours
d. 10 hours
d. 10 hours
what is the treatment of a thyroid nodule?
surgical excision
what is the supplemental plaque control for a class III furcation
a. end tuft
b. super floss
c. floss threader
d. stimudent
b. super floss
what is the cause of the notches in these incisors?
congenital syphilis
you are summoned to the waiting room and find a patient unconscious. What is the first step you should take after checking their pulse and presence of respiration?
summon EMS
a 15 year old patient has BW radiographs taken and his 3rd molars appear un- erupted. why are they un-erupted?
patient is too young
what is the closest nutritional relationship that causes caries?
frequency of carb intake
ID this wedge shaped condition
abfraction
what is this ulcer associated with?
stensons duct
if your patient is allergic to penicillin, what other antibiotic will they be allergic to? which should be prescribed?
amoxicillin
clindimycin
this photo shows calculus causing inflammation on the lower anteriors. what exactly is causing the inflammation?
a. rough surface
b. toxins in plaque attached to calculus
c. acids in plaque
b. toxins in plaque attached to calculus
why are the apices of these molars not completely formed?
takes 3 years to develop after eruption - incomplete root formation
why would you have a patient sign a refusal of treatment form?
detailed explanation of the importance of procedure and its benefits to the patient
all of the following are important characteristics of an ultrasonic except one. which is the exception?
a. sharp tip
b. acoustic streaming
c. acoustic turbulence
when is acid content the highest in the mouth?
a. before eating
b. while eating
c. immediately after eating
d. 40 minutes after eating
c. immediately after eating
ID what is wrong with this picture of the pan patient
thyroid collar
ID the patent profile
Mesognathic
ID the patent profile
prognathic
ID the patent profile
Retrognathic
dens in dente
erosion on max linguals
what should you recommend a patient does to help the erosion on her maxillary linguals
recommend something to neutralize acid
periodontal abscess
periapical abscess
T/F the patient moving is the reason this photo turned out this way...
false, it is a crown fracture
Articular eminence radiograph
coronoid process panoramic
coronoid
zygomatic process
the cause of this lesion is due to a retainer
Palatal papillary hyperplasia
this lesion can be wiped away
aspirin burn
patient had varicella zoster virus in the past and now has this
ophthalmic herpes zoster
T/F: a hyperglycemic patient will not have a fast heart beat
true
hunger, fatigue, weakness, sweating, headache, dizziness, low bp, cold or clammy skin, Diaphoresis and Irritability.
Hypoglycemia symptoms
questions asks if the lamina dura is thick or think
thick
what is the antibiotic treatment for MRSA?
IV vancomycin
a picture of a clinician with a probe tipped inter proximally posterior in the mouth. why would the probe be inserted this way?
to determine furcation involvement
how long should a FL2 tray stay in the mouth?
4 minutes
APF fluoride will cause what?
etch restorations
APF fluoride should be avoided in what areas?
recession
tobacco staining
a patient has decay on the mesial of #2. there is a loss of contact with the distal of #3. what is the cause of the decay on the mesial of #2? (IO picture)
loss of contact with the distal of #
a patient previously had a knee replacement. what should you do before treatment?
contact orthopedic surgeon to find out wha he or she would like to do
a patient receive SRP, polish and was put on a 2 week recall. at the recall (picture) the gingiva appeared much healthier except for one area. what do you do?
a. explore and re scale if needed
b. review home care
c. recommended antimicrobial rinse
d. determine if patient is pregnant
a. explore and re scale if needed
how is this IO lesion treated?
