Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the initial step when there is swelling at the angle of the mandible?

1. Perform immediate surgery

2. Administer antibiotics

3. Take an X-ray

4. Consult a specialist

The correct answer is: Take an X-ray

The initial step when confronted with swelling at the angle of the mandible is to take an X-ray. This imaging is crucial because it allows for the assessment of any underlying issues such as abscesses, fractures, or other pathological changes in the area. Determining the cause of the swelling is vital for appropriate treatment and management. X-ray imaging helps in visualizing bony structures and can reveal conditions like osteomyelitis or impacted teeth, which may not be evident through a clinical exam alone. By performing this step first, the clinician can gather essential information to guide further action, whether that involves surgical intervention, antibiotic therapy, or referral to a specialist, depending on the findings. Performing immediate surgery without prior imaging could lead to unnecessary procedures if the swelling is due to a non-surgical cause. Similarly, administering antibiotics or consulting a specialist should follow after a visual assessment to understand the pathology and severity of the condition correctly.