ADEX CSCE OSCE Exam - Edition 100 Actual Exam Questions with 100% Ver...

ADEX CSCE OSCE Exam | / Edition

100 Actual Exam Questions with 100% Verified Answers | Graded A+ | Updated to the Latest Clinical Standards Introduction This resource provides 100 verified and up-to-date questions from the ADEX CSCE OSCE Exam, tailored to reflect the . Each item has been carefully reviewed for accuracy and alignment with clinical expectations, ensuring candidates are fully prepared for OSCE-style assessments and success in dental hygiene licensure.Answer Format All correct answers are clearly marked in bold and green to enhance learning efficiency and review speed.ADEX CSCE OSCE Exam – Question 1 (Multiple-Choice): A patient presents with a white patch on the buccal mucosa that does not wipe off. What is the most likely diagnosis?

• Candidiasis
• Leukoplakia
• Lichen planus
• Aphthous ulcer

Rationale: Leukoplakia is a white patch that cannot be wiped off and requires further evaluation for malignancy.Question 2 (Multiple-Choice): A radiograph shows a radiopaque lesion at the apex of tooth #8. What is the most likely cause?

• Caries
• Periapical pathology
• Enamel hypoplasia
• Dentinogenesis imperfecta

Rationale: A radiopaque lesion at the apex suggests periapical pathology, such as a granuloma or cyst.Question 3 (Multiple-Choice): A patient with a history of hypertension is prescribed a beta- blocker. Which oral side effect should be monitored?

• Gingival hyperplasia
• Xerostomia
• Tooth discoloration
• Oral candidiasis

Rationale: Beta-blockers can cause dry mouth, increasing caries risk.

Question 4 (Fill-in-the-Blank): A patient’s blood pressure is 160/100 mmHg. What is the dental hygiene management recommendation?Answer: Refer to a physician before treatment 1 / 3

Rationale: Blood pressure above 160/100 indicates hypertension requiring medical evaluation.Question 5 (Multiple-Choice): A patient has generalized 4–5 mm probing depths with bleeding. What is the most appropriate treatment?

• Fluoride varnish
• Scaling and root planing
• Amalgam restoration
• Sealant placement

Rationale: Scaling and root planing address periodontal disease with bleeding and moderate probing depths.Question 6 (Hot Spot): Identify the carious lesion on a bitewing radiograph of tooth #19.

Answer: Mesial surface, dentin involvement

Rationale: Bitewing radiographs detect interproximal caries, with dentin involvement indicating advanced decay.Question 7 (Multiple-Choice): A patient with diabetes reports frequent oral infections. What is the likely cause?

• Poor oral hygiene only
• Impaired immune response
• Excessive fluoride use
• Allergic reaction

Rationale: Diabetes impairs immune function, increasing infection risk.

Question 8 (Multiple-Choice): What is the first action during a medical emergency involving syncope in the dental chair?

• Administer epinephrine
• Place patient in Trendelenburg position
• Provide oxygen at 10 L/min
• Call 911 immediately

Rationale: Trendelenburg position improves cerebral blood flow in syncope.

Question 9 (Multiple-Choice): A patient with a penicillin allergy is prescribed an antibiotic for a dental infection. Which is appropriate?

• Amoxicillin
• Clindamycin
• Penicillin VK
• Cephalexin

Rationale: Clindamycin is safe for penicillin-allergic patients.

Question 10 (Drag-and-Drop): Sequence the steps for scaling and root planing.

Answer: 1. Assess periodontal status, 2. Administer local anesthesia, 3. Perform scaling, 4.Perform root planing, 5. Provide post-op instructions Rationale: This sequence ensures thorough periodontal treatment and patient education.Question 11 (Multiple-Choice): A patient’s intraoral exam reveals a red, velvety lesion on the tongue. What is the most likely diagnosis?

• Geographic tongue
• Erythroplakia 2 / 3

• Candidiasis
• Traumatic ulcer

Rationale: Erythroplakia is a red lesion with high malignant potential.

Question 12 (Multiple-Choice): A patient is taking warfarin. Which lab value should be checked before invasive procedures?

• Platelet count

B) INR

• Hemoglobin
• Blood glucose

Rationale: INR monitors warfarin’s anticoagulant effect.

Question 13 (Multiple-Choice): A panoramic radiograph shows a unilocular radiolucency near tooth #27. What is the most likely diagnosis?

• Ameloblastoma
• Periapical cyst
• Dentigerous cyst
• Odontoma

Rationale: A unilocular radiolucency near a tooth apex suggests a periapical cyst.Question 14 (Multiple-Choice): A patient with asthma experiences wheezing during treatment. What is the first action?

• Continue treatment
• Administer albuterol
• Call 911
• Place in supine position

Rationale: Albuterol relieves acute asthma symptoms.

Question 15 (Extended Match): Match the periodontal instrument to its use:

• Gracey curette – Root planing
• Sickle scaler – Supragingival calculus removal
• Explorer – Caries detection
• Periodontal probe – Measure pocket depth

Rationale: Each instrument has a specific clinical purpose.

Question 16 (Multiple-Choice): A patient reports burning mouth syndrome. Which

condition should be ruled out?

• Caries
• Vitamin B12 deficiency
• Periodontitis
• Fluorosis

Rationale: Vitamin deficiencies can cause burning mouth symptoms.

Question 17 (Multiple-Choice): What is the recommended frequency for bitewing

radiographs in a high-caries-risk patient?

• Every 2 years
• Every 6–12 months
• Every 3 years
• Once every 5 years

Rationale: High-caries-risk patients require frequent monitoring.

• / 3