Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What is the recommended treatment for HIV patients regarding invasive procedures?

  1. Only perform procedures if CD4 and platelets are in a good range

  2. Perform any procedure as needed

  3. Only perform non-invasive procedures

  4. Refer to a specialist for all treatments

The correct answer is: Only perform procedures if CD4 and platelets are in a good range

The recommended approach for treating HIV patients regarding invasive procedures emphasizes the importance of assessing the patient's immune status before proceeding. CD4 cell counts are a key indicator of immune function in HIV patients; when CD4 counts are good, the patient's immune system is better equipped to handle potential complications from invasive procedures. Additionally, platelet counts are crucial because they are involved in blood clotting, and procedures can pose a risk of bleeding. By ensuring that both CD4 and platelet levels are in an acceptable range, dental professionals can minimize the risk of adverse events and improve patient outcomes. This careful evaluation is especially important because individuals with severely compromised immune systems (as indicated by low CD4 counts) are at a higher risk for infections and complications following invasive treatments. Therefore, performing procedures only when these parameters are stable is considered a best practice to safeguard the health of HIV patients.