Test
Medical OSCE Quiz - glucose, bisphosphonates, INR
Este test tiene tipos de pregunta que se abren en el reproductor de siempre.
Preguntas del test (36)
1You must make sure you carry out ICE for all patients. What does ICE stand for?
I - [blank_start]Introduce[blank_end]
C - [blank_start]Consent[blank_end]
E - [blank_start]Expose[blank_end]- AIntroduce
- BConsent
- CExpose
2What is blood glucose measured in on a glucometer (in the UK!)
- Ammol/L
- Bmg/dl
3What is the normal range of capillary blood glucose in mmol/L in an ADULT before a meal?
- A2.9-7.5
- B3.5-5.5
- C3.5-6.9
- D2.9-6.9
4What is the normal blood glucose level in an adult without diabetes, in mmol/L, around 2 hours after eating?
- ALess than 10
- BLess than 15
- CLess than 7
- DLess than 8
5You are gaining consent to take someone's blood glucose measurement.
1. [blank_start]introduce[blank_end] yourself
2. Explain you are going to take a [blank_start]blood glucose[blank_end] measurement
3. Explain that you do this to ensure the [blank_start]levels[blank_end] of blood glucose are [blank_start]normal[blank_end] so as to prevent [blank_start]complications[blank_end] during [blank_start]dental[blank_end] treatment
4. This will also give a better [blank_start]understanding[blank_end] of how well your blood glucose is [blank_start]controlled[blank_end]
5. Can I [blank_start]proceed[blank_end]?- Aintroduce
- Bblood glucose
- Clevels
- Dnormal
- Ecomplications
- Fdental
- Gunderstanding
- Hcontrolled
- Iproceed
6What is the normal blood glucose level of a type 1 diabetic adult ON WAKING
- A3-6 mmol/l
- B2-7 mmol/l
- C5-7 mmol/l
7What is the normal blood glucose level of a type 1 diabetic adult BEFORE MEALS
- A4-7mmol/l
- B5-8mmol/l
- C3-7mmol/l
8What is the normal blood glucose level of a type 1 diabetic adult 90 minutes AFTER meals?
- A6-9mmol/l
- B5-9mmol/l
- C4-7mmol/l
9What is the normal blood glucose level of a TYPE 2 diabetic adult BEFORE meals?
- A4-7mmol/l
- B5-8mmol/l
- C3.5-5.5mmol/l
10What is the normal blood glucose level of a TYPE 2 diabetic adult two hours AFTER meals?
- ALess than 10mmol/l
- BLess than 7.5mmol/l
- CLess than 8mmol/l
- DLess than 8.5mmol/l
11The stages of carrying out a blood glucose measurement are as follows:
1. ICE ([blank_start]Introduce[blank_end], [blank_start]consent[blank_end], [blank_start]explain[blank_end])
2. Cross infection - [blank_start]wash[blank_end] hands
3. Prepare equipment - [blank_start]pricking[blank_end] device, [blank_start]glucometer[blank_end] strip (check expiry date), and the [blank_start]glucometer[blank_end].
4. Place [blank_start]strip[blank_end] in the machine - do not touch area where [blank_start]blood[blank_end] will be placed.
5. Ask patient to [blank_start]wash[blank_end] their hands - so their finger is [blank_start]clean[blank_end]
6. Place [blank_start]pricking[blank_end] device at chosen site and click
7. Dispose of device in the [blank_start]sharps bin[blank_end]
8. [blank_start]Massage[blank_end] the finger to get a [blank_start]drop[blank_end] of blood
9. Place test strip on blood droplet. Do not [blank_start]smear[blank_end] or [blank_start]spread[blank_end] the blood
10. Glucometer will generate a reading
11. Press [blank_start]cotton wool[blank_end] on to puncture wound until bleeding has [blank_start]stopped[blank_end] - possibly place a [blank_start]plaster[blank_end]
12. [blank_start]Wash[blank_end] hands, tidy up
13. Check patient is [blank_start]comfortable[blank_end]
14. Write [blank_start]record[blank_end] of measurement in notes.- Aconsent
- Bexpose
- CIntroduce
- Dwash
- Epricking
- Fglucometer
- Gglucometer
- Hstrip
- Iblood
- Jwash
- Kclean
- Lpricking
- Msharps bin
- NMassage
- Odrop
- Psmear
- Qspread
- Rcotton wool
- Sstopped
- Tplaster
- UWash
- Vcomfortable
- Wrecord
12Label the test strip using the drop down menus
- AThis goes in the machine
- BThis goes in the blood
- CThis goes in the machine
- DThis goes in the blood
13What is the correct term for BRONJ now?
Answer: [blank_start]MRONJ[blank_end]- AMRONJ
14What does the acronym MRONJ stand for?
[blank_start]Medication[blank_end] [blank_start]related[blank_end] [blank_start]osteonecrosis[blank_end] of the [blank_start]jaw[blank_end]- AMedication
- Brelated
- Costeonecrosis
- Djaw
15Which of the following drugs are true about bisphosphonates? (select all that apply)
- ABisphosphonates decrease bone resorption
- BBisphosphonates increase bone resorption
- CThey have an effect on osteoclasts
- DThey have an effect on osteoblasts
- EThey accumulate at areas of low bone turnover
- FThey accumulate at areas of high bone turnover
16How long must necrotic bone persist in the maxilla or mandible to be classified as MRONJ?
- A5 weeks
- B3 weeks
- C10 days
- D8 weeks
17True or false? MRONJ is rare in patients taking bisphosphonates
- AVerdadero
- BFalso
18True or false? Bisphosphonates are used to treat some cancers
- AVerdadero
- BFalso
19True or false? MRONJ is only truly MRONJ if the patient has no history of radiation therapy to the jaw?
- AVerdadero
- BFalso
20True or false? Bisphosphonates are never prescribed as a preventative measure
- AVerdadero
- BFalso
21True or false? MRONJ patients should never be treated in primary care.
- AVerdadero
- BFalso
22During a medical history, you should ensure you ask about [blank_start]past[blank_end], current, or possible [blank_start]future[blank_end] use of bisphosphonates.
Bisphosphonates are often prescribed for non-malignant conditions such as:
- O[blank_start]steoporosis[blank_end]
- P[blank_start]aget's[blank_end] disease
- O[blank_start]steogenesis[blank_end] imperfect
- F[blank_start]ibrous[blank_end] d[blank_start]ysplasia[blank_end]
and some malignant conditions such as:
- [blank_start]Multiple[blank_end] myeloma
- B[blank_start]reast[blank_end] cancer
- P[blank_start]rostate[blank_end] cancer
- Metastatis bony lesions- Apast
- Bfuture
- Csteoporosis
- Daget's
- Esteogenesis
- Fibrous
- Gysplasia
- HMultiple
- Ireast
- Jrostate
23Symptoms of MRONJ often include:
- [blank_start]Delayed[blank_end] healing following extraction or oral surgery
- P[blank_start]ain[blank_end]
- Soft tissue [blank_start]infection[blank_end]
- Sw[blank_start]elling[blank_end]
- P[blank_start]araesthesia[blank_end]
- [blank_start]Exposed[blank_end] bone
- N[blank_start]umbness[blank_end]- ADelayed
- Bain
- Cinfection
- Delling
- Earaesthesia
- FExposed
- Gumbness
24Check all things you must advise a patient taking bisphosphonates during, and before, dental treatment
- ABisphosphonate use should be discouraged during active dental treatment courses
- BGood oral hygiene must be maintained
- CHealthy diet and stopping smoking is important
- DReduce bisphosphonate intake
- EReduce alcohol intake
- FRegular dental check ups
- GAvoid visiting the dentist often
- HReport symptoms as soon as possible
- IAllow time for symptoms to resolve as they may be transient
- JRoutine treatments such as scale and polish should be avoided
25True or false? Carrying out dental treatment prior to a course of bisphosphonate therapy is contraindicated and will increase risk of MRONJ
- AVerdadero
- BFalso
26How might bisphosphonates improve a patient's medical state?
- AIncrease bone turnover
- BDelaying onset of disease
- CReduce chance of treatment complications
- DReduce chance of bone pain
- EReduce chance of necrosis
- FIncrease blood supply to bone
27Which of these is the correct term for death of bone?
- AOsteoporosis
- BOsteoradionecrosis
- COsteonecrosis
- DOsteomyelitis
28True or false? A patient on bisphosphonate therapy for management of osteoporosis is at high risk of MRONJ
- AVerdadero
- BFalso
29Are patients on IV bisphosphonates at a higher or lower risk of developing MRONJ?
- AHigher
- BLower
30Patients at high risk of developing MRONJ have one or more of the following factors
− previous [blank_start]diagnosis[blank_end] of BONJ;
− taking a bisphosphonate as part of the management of a [blank_start]malignant[blank_end] condition;
− other non-[blank_start]malignant[blank_end] systemic condition affecting [blank_start]bone[blank_end] (e.g. Paget’s disease);
− under the care of a [blank_start]specialist[blank_end] for a [blank_start]rare[blank_end] medical condition (e.g. [blank_start]osteogenesis[blank_end] imperfecta); − concurrent use of systemic [blank_start]corticosteroids[blank_end] or other [blank_start]immunosuppressants[blank_end];
− coagulopathy, chemotherapy or radiotherapy.- Adiagnosis
- Bmalignant
- Cmalignant
- Dbone
- Especialist
- Frare
- Gosteogenesis
- Hcorticosteroids
- Iimmunosuppressants
31True or false: MRONJ risk is temporarily reduced by the patient ceasing their bisphosphonate therapy prior to dental treatment.
- AVerdadero
- BFalso
32True or false? bisphosphonate drugs can remain in the skeletal tissues for years.
- AVerdadero
- BFalso
33The anticoagulant treatment record is more commonly known as the...?
- ABlue book
- BYellow book
- CGreen book
- DRed book
34True or false: Patients on warfarin therapy should be advised against taking ibuprofen and aspirin
- AVerdadero
- BFalso
35What should a patient's INR be prior to commencing dental treatment with a bleeding risk?
- AMore than 4
- BLess than 4
- CMore than 2
- DLess than 2
36You are seeing a lady who is about to have dental treatment. She is on warfarin therapy.
- You should ask [blank_start]why[blank_end] she was [blank_start]prescribed[blank_end] warfarin
- You should look at their anticoagulant therapy record ([blank_start]yellow[blank_end] book)
- You need to ensure her [blank_start]INR[blank_end] has been measured [blank_start]recently[blank_end] and that measurements are under control with no [blank_start]fluctuations[blank_end]
- [blank_start]Paracetamol[blank_end] can be taken for pain relief
- You can place [blank_start]sutures[blank_end] to control bleeding if necessary
- She should [blank_start]not[blank_end] stop taking her warfarin before treatment
- Risk of [blank_start]thrombosis[blank_end] is greater than the risk of [blank_start]bleeding[blank_end]- Awhy
- Bprescribed
- Cyellow
- DINR
- Erecently
- Ffluctuations
- GParacetamol
- Hsutures
- Inot
- Jthrombosis
- Kbleeding
Información
- Descripción
- Dentistry 4th year osce
- Idioma
- English
- Visitas
- 95
- Etiquetas
- Valoración
- Aún sin valoraciones Valora este test