OSCE Flashcards

1
Q

what is the process of evidence based practice?

A

ask
align
acquire
appraise
apply

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2
Q

what is evidence?

A

available body of facts or information to show if something is true/valid

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3
Q

what are the issues with peer review?

A

corruption
plagiarism
skills of reviewer
time

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4
Q

what makes bad research?

A

poor design
poorly reported
not needed
biased

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5
Q

what is peer review?

A

research has passed the scrutiny of other scientists and considered valid important and original

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6
Q

how do you know what research you should believe?

A

has it been peer reviewed?
ask
align
acquire
appraise
apply

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7
Q

what does PICO mean?

A

population
intervention
comparison
outcome

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8
Q

describe each part of PICO?

A

p = how would I describe this group of patients?
I = what is being done to the patient?
C = what are we comparing to?
O = desired or undesired

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9
Q

what are the 6 key elements of communication?

A
  • understand non verbal
  • listen
  • engage
  • ask questions and get feedback
  • acknowledge feelings
  • give feedback
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10
Q

give examples of non verbal communication?

A

eye conic
body posture
body orientation
body movement
distraction
interest

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11
Q

what is the purpose of open questions?

A

facilitate information gathering

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12
Q

how would a dentist be a active listener?

A

gestures
nodd
encourace
remarks “yes please go on”

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13
Q

how would a dentist show empathy?

A

acknowledge there worries and validate why they feel like that

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14
Q

what 3 things effect behaviour?

A

motivation
capability
opportunity

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15
Q

what are behavioural change techniques?

A

effect change or maintain behaviour

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16
Q

what is adherence in terms of behavioural science?

A

if the patient follows advice given by the health professional

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17
Q

give examples of behavioural change techniques?

A

goal setting
habit forming
role modeling
rewardign

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18
Q

what is justice?

A

fairness

19
Q

what is respect for autonomy?

A

respect for self determination
(patient power to make own decisions)

20
Q

what in beneficence?

A

patients best interests

21
Q

what is non malificence?

A

balance of risk and harm vs benefits

22
Q

what are the 4 Cs of ethics?

A

confidentiality
capacity
competence
consent

23
Q

what re the 9 standards of GDC?

A
  • put patients interests first
  • communicate effectively with patients
  • obtain valid consent
  • maintain and protect patients information
  • have clear and effective complaints procedure
  • work with colleagues for patients best interest
  • maintain develop and work within ur professional skills
  • raise concern if patients at risk
  • make sure ur personal behaviour maintains patient confidence and trust
24
Q

describe the features of civil cases?

A

standard of proof = balance of probabilities
decision = liable or not
decided by = sheriff or JP
power of court = damage or injury

25
Q

when can dentists provide treatment without consent?

A

if it is necessary emergency treatment

26
Q

according to standards what must we do in terms of confidentiality?

A
  1. make and keep complete and accurate patient records
  2. protect the confidentiality of patients information and use it only for given purpose
  3. only release a patients information without their permission in exceptional circumstances
  4. ensure patients have access to records
  5. keep patients info secure at all times wether in paper or electronic
27
Q

when is lawful disclosure in play?

A
  1. when patient gives consent
  2. when its required by law
  3. if their is a compelling public interest
28
Q

what 5 steps should be taken if confidentiality breached?

A
  1. proper apology written and in person
  2. investigate details of what happened and how
  3. offer meeting with patient to discuss
  4. inform patient of steps being taken
  5. conduct staff training required and review record keeping system
29
Q

which tooth has marked medial displacement of lingual cusp?

A

upper 5

30
Q

which tooth is a perfect circle?

A

lower 5

31
Q

what are mammelons?

A

3 cusplets in children on incised edge of tooth

32
Q

what is canine fossa?

A

on first upper premolar mesial surface
small ridge that makes space for canine root

33
Q

what is the only premolar with 2 roots?

A

upper 4s

34
Q

what do the upper lateral incisors have on the palatal surface?

A

2 ridges that join at a fossa at the cervix which is prone to caries

35
Q

which canine sits at an angle on the root?

A

lower

36
Q

name 3 differences between upper and lower canines?

A

uppers have more pointed cusps
uppers are wider
uppers sit in line with root

37
Q

what is the difference between the shape of the upper 6 and upper 7? what causes this?

A

upper 6 is a trapezoid
upper 7 is a triangle
due to he distopalatal cusp on upper 7 being much smaller or absent

38
Q

how would you decontaminate the dental chain?

A

detergent wipes
light handles arm switch
chair back of chair
change wipes
bracket table arm and handle
motors cables and housing
change wipes
suction tubing
spitoon

39
Q

give 6 jobs of the dental nurse?

A

soft tissue retraction
prepare for procedure
hand dentist what they need
aspirate
clean
chart

40
Q

what is part of taking history for patient?

A

complaining of
history of present complaint
past medical history
part dental history
social history

41
Q

what would you be looking at while meeting a patient for the first time?

A

appearance
breathing
colour
disability

42
Q

when should you take a full new history for a patient?

A

if they are new
havent attended in over a year
been 2 years since their last full history

43
Q

how should you approach history taking?

A

sit at eye level with the patient
ask open questions at first
then ask closed questions and be specific
be sensitive

44
Q

during examination what are you looking for at first glance?

A

behaviour and attitude of the patient
exposed skin
hands
ability to communicate