Visual interpreation Question 1-14 in June 2009

VISUAL INTERPRETATION QUESTIONS

1. Avulsed anterior tooth – splint given

a. What are the future complications?

b. If there was middle third fracture, how long you will splint it?

2. OPG showing parasymphyseal fracture

a. What are the intraoral findings?

b. How you will treat it?

3. Picture showing ulceration of the lower lip

a. What are the differential diagnosis?

b. What is the lesion?

c. What are features do you expect histopathologically if malignant changes are noted?

4. Picture showing 35 with heavily filled with amalgam with a WHO probe dipping more than 8
mm. (Suspected Root Fracture)

a. What investigations do you do?

b. How do you treat it?

5. Picture showing anterior teeth with pus drainage seen in 11 with pathological migration.

a. What is differential diagnosis

6. Picture showing dens invaginatus of 34 and 44.

a. What are the complications?

b. How do you treat them?

7. Picture showing gingival lump on the lower posterior teeth

8. Bite wing radiograph shown

a. Identify the carious lesion on the radiograph.

9. Picture showing discoloration of 21

a. What are causes for the discoloration?

b. How will you treat it?

10. Picture showing discoloured anterior in a 7 year old

a. What are the causes for the discoloration?

b. How will you treat it?

11. OPG showing 46 RCT treated and impacted 48 just between 46 and 47, the patient wants to
remove 46.

a. What are the treatment options available for 46?

b. What warning do you have to give to the patient?

12. Picture showing resin boned lower anterior bridge

a. How do you prepare?

b. What material do you use?

13. Picture showing temporary bridge made of Luxtemp or Protemp

a. Why are they made?

b. What material is used?

14. Picture showing dentigenous imperfecta

a. How do you treat them?

isual interpretation Question 15-24 in June 2009

15. Picture showing bottles of chlorhexidine mouth wash

a. What is the mechanism of action?

b. What concentrations are used in dentistry?

16. Picture showing implant-supported prosthesis in the lower arch.

a. What are the uses of the prosthesis?

17. Picture showing implants on 21 and 23 region and abutment preparation of 24, 11, and 14
with retraction cord placed on the abutment gingiva

a. What is in the gingival retraction cord?

b. What type of bridge is planned?

18. Picture showing newly finished complex amalgam filling the whole tooth was filled with
amalgam

a. What factors affect the life of the restoration

b. What are other treatment options?

19. Picture showing swelling of the left side of the face (probably cellulitis of the buccal and
canine space)

a. What are the complications?

b. What are the intraoral findings?

c. How will you treat it?

20. Picture showing crown lengthening by gingivectomy of 34

a. What are indications for this?

b. What are the contraindications?

a. What is this procedure?

b. What are the advantages of the procedure?

c. How does dentist protect himself from radiations?

22. Picture showing a person wearing occlusal splint in the upper arch

a. What is it?

b. Why it is used for?

23. IOPA of the lower teeth

a. What is the crown material used in the radiograph shown?

b. What is the root canal filling material used?

c. What is on the left side of the radiograph? (probably an artefact)

24. There was another IOPA not sure what it was

OSCE QUESTIONS 1-9 IN JUNE 2009

OSCE QUESTIONS

1. Picture of root stump of 35, design a mucoperiosteal flap for lower premolar region

a. What is the danger in this zone?

b. What is the principle of mucoperiosteal flap?

2. A 60 year old woman is taking Fosamax, find from the NIMIS

a. What is it generic name?

b. What is the probable reason why she is taking this medication?

c. What are side effects of this medication?

3. Specimen of upper third molar with fractured tuberosity or cortical bone attached to it.

a. How to prevent this situation?

b. Which teeth are most commonly affected?

4. OPG with impacted lower 8 and upper 7 and 8

a. Write a radiological report seeing the radiograph

5. Picture showing the socket of 21, the patient has kept the tooth in milk and it has been just
30 minutes since the tooth has avulsed. The patient is a healthy individual

a. What is the treatment plan?

b. How do you manage it?

c. What questions do you ask the patient before you proceed with treatment?

6. OPG shown with impacted 18, 28, 38, and 48, The patient is a 23 year old woman who has
type I diabetes and taking oral contraceptives.

a. What questions do you ask before proceeding?

b. What type of anesthesia do you give? LA with sedation or GA

c. What complications are expected from the oral contraceptives?

8. Three sterilization pack, one with implant screws, one with suction tips sterilized with
ethylene dioxide, and another sterilized gloves with gamma radiation

a. How will you sterilize these materials

b. How will you make sure the sterilization is complete

c. How will you monitor the sterilization

9. A 60-year-old man with history of alcoholism requests for extraction

b. What tests do you need before extraction?

c. How do you manage bleeding post operatively?

OSCE QUESTION 10 IN JUNE 2009

10. The lower permanent molar had its pulp extirpated, the pulp is hyperaemic, but bleeding is
controlled

a. What endodontic material is used?

b. What is the rationale behind using this material?

c. What are the instructions and advice do you give to the patient?

1. tab Hypnovel- uses, alternatives, dosage and indications of use

2 bleeding socket after extn- management

3 Hep C patients extn tray- how will you dispose the items and sterilisation protocol

4 X ray faults- coning, under developed, over exposed, etc etc

steps in X ray processing

5 a line diagram of an anatomical space and name the structures

6 LA cartridge- clinical question about max dosage for a 54kg individual

7 choice of intra canal medicament in root treatment

8 Forceps/elevators- name and use

9 suture materials- name and use

10 Infective endocarditis management- 6 heart conditions where you have to give prophylactic
antibiotics, 6 dental procedures where you have to give pre-op antibiotics

11 Female type 1 diabetic patient on oral contraceptive for wisdom tooth surgery-management pre-
operative and choice of GA/LA

12 prescription writing

OSCE questions feb '10

1)pic of dry mouth (the one on sjogrens syndrome in odell, same pic).. asked the reasons and
treatment for dry mouth.

2) pic of dry socket,, aetiology and treatment i guess.. not sure about the questions
3) radiological report of an OPG

4) CPR

5) drugs : Midazolam - 3 diff uses and dose for each use

- dis adv

: lignocaine with 1:80000 adrenaline

- side effects

- calcualte the max dose for ... kg individual

6) case of avulsion - Rx

7) pic of lesion on tongue - draw an outline of biopsy specimen that u ll take (on a diagram on a
paper)

- not sure about the other question, i think it was d/d

8) post op instructions for a pt who had undergone extraction under oral sedation with temazapam

9) 23 yr old female pt with type 1 diabetes on OCP needs extraction of all 3rd molars

- will u treat the pt under LA with sedation or GA?

- what warnings will u give to the pt regarding OCP before the procedure

10) dont remember.. will try to !