MFD Part 2, Dublin, November 2010

OSCE EXAM

Each station is 5 minutes

1. CPR
2. Rubber dam & Band placement:
a. Isolate lower left 2nd premolar to prepare class II cavity on distal surface; place the
clamp on 1st molar
b. Place matrix and band
3. Cranial nerves examination:
Examine the motor components of the following nerves ( explain to the examiner what
are you doing)
There was an actor ( you are allowed to carry examination on him)
a. Trochlear nerve
b. Abducens nerve
c. Oculomotor nerve
d. Trigeminal nerve
e. Facial nerve
4. Skull
3 marks:
a. Yellow mark (_________) foramina, the nerve passes here(________), these nerves
together form(________) to which damage will cause
(___________).
Answer: optic foramina, optic nerves, optic chiasma, blindness
b. Blue mark (________)foramin ,through which(_______) artery passes
Answer: Foramin magnum, maxillary
c. Purple mark (________) two fissures on temporal bone, injury on this area causes
haemorrhage in(________)
Answer: Pterion, intracranial but I’m not sure about which area exactly
5. Suturing:
a. Simple interrupted suture (20 marks)
b. Horizontal mattress suture (40 marks)
c. Vertical mattress suture (40 marks)
6. Picture
Patient diagnosed for lichen plannus
a. Differential diagnosis?
b. 4 types occurring in the oral cavity?
 c. 3 typical histological features?
d. Is it benign/premalignant/malignant?

7. Picture for a child with brown discolored teeth

a. What’s the condition?
b. What’s the cause?
c. If the causative agent is eliminated will the condition stop progressing?
d. What are 2 initial treatment procedures?
e. What consequences will occur?
f. What long term procedures should be carried?
8. Picture for intra-oral swelling for a middle age lady( between upper 2nd incisor & canine)
With another pic. Of histological section
a. Describe the lesion?
b. Differential diagnosis? (Pyogenic granuloma, giant cell granuloma)
c. What type of cells do you see in histological section? (there were multinucleated
giant cells & inflammatory cells)
d. Diagnosis?
e. What investigations do you need to prove the diagnosis?
9. Negligence:
Pt. complaining of parasthesia of lower lip
a. What 4 elements should pt. prove to win the case?
b. How long the period of complain should be?
c. What do you call that period?
d. When this period should start?
10. A cast for a mandible :
56 yrs old man with good oral hyagiene, present teeth are LR4, LR3 LR2, LR1, LL1, LL2,
LL3, LL4
It was also drawn in the answer sheet
a. Draw the ideal design and indicate the components
b. What device you need to use?
c. Function of device in question (b)?
d. 2 clinical procedures you need to do for this case?
11. OPG with impacted lower 8 & radiolucency at angle of mandible
a. Type of impaction?
b. Differential diagnosis of the lesion?
c. Symptoms arise because of presence of the lesion in this area?
d. Treatment options for the lesion?
12. Cephalogram for 11 yrs old boy, with tracing paper
a. Identify the following ( tell the examiner what are you doing
Point A, Point B, Point S, Point N, Maxillary plane, Mandibular plane
b. Classify:
Anterioposterior relationship
Vertical relationship
c. What 4 cephalometric changes will occur if the child treated with functional
appliance?
13. Maxillary & Mandibular models on articulator with appliance( twin block appliance)
a. What’s the appliance?
b. What type of malocclusion is it used to treat?
c. What problem will arise with using it?
14. Picture of oral cavity for a child with trauma:
a. What type of trauma?
b. How would be managed?
c. What complications?
d. Long term follow up?
15. I don’t remember
16. & 17. Rest stations
ORAL EXAM
2 desks, 2 examiners for each one, whole exam is 30 minutes
1. 15 mins;
i.Pic. of upper teeth with surface loss

What do you see?

What’s the cause?
How you treat the patient?

ii. Pic. Of teeth with chipped enamel and brown discolored teeth

What’s the condition?

How you treat the case?

iii. 3 OPGs

OPG 1. Name of radiograph?

What do you see? (There were absent all 6s)

What’s the cause?

When usually the 6s are extracted?

OPG 2. Canine on eruption pathway

In what angulation is it erupting?

If not erupted normally what to do?

OPG 3.( Absent 5s in all quadrants and retained Es)

What do you call absence of teeth?

Which teeth are commonly missing?

What conditions are associated with absent teeth?

Prevelance in population?
2.15 mins
i.Physiology:

If pt. inhaled foreign body, most likely to go to which lung?

What’s dead space in lungs? Why called so?

Which has the lower pressure, systemic or pulmonary circulation?

How to manage hypoglycaemic coma?

Where glucagon is secreted from?

ii. Pic. of swelling on floor of the mouth, 16 yrs old girl has exams

Describe what you see?

What conservative treatment will you do?

Mention 2 anatomical structures you will consider when do surgery?

Will you do large or small incision? In which direction ?

iii. 2 radiographs for the same pt. (PA skull & lateral oblique), there was radiolucency on angle of
mandible:

Name them?

Why taken both?

Give 2 possible lesions occurring in this area?

Options of treatment?