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8 cases. Read the case, answer each step out loud, then reveal the model answer and grade yourself honestly. At the end you get a summary; scores are saved only in this browser.
Case 1 of 8
Exposed bone after denosumab
The case
A 67-year-old woman with breast cancer metastatic to the spine is referred for a sore spot in the lower left jaw. Her oncologist started denosumab 120 mg every 4 weeks two years ago. A lower left first molar was extracted by her general dentist 3 months ago. She has had exposed, yellow-white bone in the socket since then, now about 1 cm across, with redness, tenderness and pus from the margin for the past week. She has no history of radiation to the head and neck. Other medications: letrozole and a daily vitamin D supplement. She is afebrile.
Step 1 of 5What is your working diagnosis, and how do you confirm it fits the definition?
Think it through, ideally out loud, before you look.
Model answers are teaching summaries for interview practice, based on the guidelines listed with each case. They are not a substitute for clinical judgment, your program's protocols or the current full guideline.
