Mock OSCEs Flashcards
what are the 5As you need to do when trying to refer someone for smoking cessation
ask
advise
assess
assist
arrange
what questions should you ask for the Ask section of 5As
do you smoke
what do you smoke
how often do you smoke
how long have you smoked
why do you smoke
do you have kids in the house
what should you tell the patient with regards to advising about smoking cessation
smoking is harmful to general health
smoking is detrimental to oral health
money and bad breath problems
how would you assess a pt’s willingness to quit
ask - are you interested in giving up now, any motivations to quit, have you tried to quit in the past, if so why not successful
how do you assist a patient to stop smoking
ask them if they want help from local smoking cessation services
4 x more likely to quit
nicotine replacement therapy
where should you signpost patient to if they would like to quit
pharmacy
GP
Quit your way Scotland
what would a patient with orbitozygomatic fracture present with
lacerations
nasal bleeding/ deviation/ patency
facial asymmetry
limited mandibular movement
how would you examine a patient for orbitozygomatic fracture
palpation of zygoma bilaterally
examine sensation of infra-orbital region - upper lip, lateral nose and lower eyelid
eye exam - pupillary reaction to light, ask if double vision, eyeball mobility assessment
how would you manage a patient with orbitozygomatic fracture in practice
urgent phone call to OMFS at A&E for urgent referral
surgical management - ORIF if symptomatic (diplopia/asymmetry/enophthalmos)
conservative management - if displaced, asymptomatic or more than 1 month old
how would you assess a patient for XLA who is taking warfarin
ask about INR level
ask if pt knows their INR
ask when INR was last taken
ask to see patient’s INR book
ask if INR is stable
how would you tell a patient in pain that is taking warfarin that the tooth cannot be XLA’s today
due to high risk of bleeding because of your medication (warfarin) your INR values are above the recommended level for safe extractions
how long before an extraction should a patient taking warfarin’s INR levels be checked
ideally within 24 hours, can be 72 hours if stable
stable = INR < 4 for last 3 months
what questions are asked on a BBV screen after sharps injury
have you ever been diagnosed with HIV/ hep B/C
have you ever injected drugs
have you ever had sex with another man
have you had sex with someone outside of europe, canada, USA, australia or New Zealand
have you had a piercing or tattoo done by unlicensed artist in UK or other country
what type of drug is alendronic acid
bisphosphonate
what is the action of bisphosphonate drugs
they reduce the turnover of bone
they accumulate in sites of high bone turnover