Computerized Exam (OSCE) Questions

For dentists: the DSE OSCE(ADEX) and the Florida Laws & Rules.

For hygienists: the CSCE (ADEX), the Florida Laws & Rules, Local Anesthesia, and Nitrous Oxide.

Sedation exams: Minimal sedation, Moderate sedation, Deep sedation, General Anesthesia and Pediatric Sedation.

Candidates register for computerized exams through the “Registration tab” on their online CDCA candidate profiles. After selecting the exam you wish to register for, you must click on the “Prometric (third-party)” on the next page in order to continue registration. Prometric is the only third-party administrator of the CSCE, LA, NO and FLR exams, so it will be your only choice. Do NOT select a state. You will receive an email confirmation within 1 business day with additional instructions for scheduling. Please do not attempt to schedule your exam prior to receiving the authorization email. Click here for additional information.

Once your results are posted to your CDCA account, there is no waiting period. As soon as you get a notification that your scores have been posted to your CDCA account,  you are free to register for a retake at your earliest convenience.

If candidates wish to change their computerized exam date,  time or location they must reschedule or cancel their appointment directly with Prometric 1 calendar day or more before their scheduled date and time. Rescheduling of appointments can be accomplished via www.prometric.com or by calling 800-796-9857; both are available 24 hours a day, 7 days a week. CDCA cannot cancel or reschedule your appointment. Candidates that fail to cancel an appointment within at least 1 business day prior to their scheduled exam time will have a no-show result and the fees will be forfeited.

There is a $50.00 fee to reschedule or cancel an appointment if the change is made 1 to 5 days before the scheduled test date.
There is a $25 fee to reschedule or cancel an appointment if the change is made 6 to 29 days before the scheduled test date.

If you are rescheduling through the internet, you are encouraged to print out a hard-copy confirming your new appointment or cancellation.

Prometric policies and procedures – please refer to Prometric Information page.

PSI (EFDA) policies and procedures – please refer to the Candidate Information Bulletin.

Eligibilities IDs are good for one use only. To retake a failed computerized exam, you should register and pay for a retake through your profile, and receive a new eligibility ID. For retake fees, please go to fee chart.

Prometric policies and procedures – please refer to Prometric Information page.

Items in the DSE OSCE will include multiple choice (traditional/single response); multiple choice
(multiple response), extended match, drop down, fill in the blank, hot spot and drag and drop questions.

Information regarding special accommodations can be found by going to Step 1 – Exam Registration Instructions (DISABILITY PACKET).

This item format is similar to a multiple choice item; however, the multiple response item consists of a
question with more than one correct response. The question will always indicate how many responses
are correct. The examinee is asked to indicate correct responses.
The example below shows a multiple response question. (Click the image to enlarge)


In an extended match question, you will be asked to click and then match one column of questions to another. Directions are
provided in the question. Question tasks include matching responses to targets or placing responses in a specified order.
The example below is an extended match item. It asks the test taker to match the couples in literature. The test taker is supposed to click on a name in one column and match it with another. (Click the image to enlarge)

These item types will ask you to sort, order or group like items. In the example below, a diagram is shown with no labels, or some missing parts. Examinees will be expected to refer to the image and use the cursor to click and pick up, then drop the labels. This type of question could also be used to sort, order, or express relationships. (Click the image to enlarge)

In this item format, you will be presented with an image or a figure. You will then be asked to select a region on the image or figure that corresponds to the prompt in the question stem. To select the region,  click the correct region with the mouse. To change the answer, click on the existing marker and drag it to a different location.  You will not get to highlight an entire area on an image, so be as precise as possible when making your selection. You may move the cursor around and select another part of the image at any time before moving on with a final selection. An example of a hotspot question is shown below. In this example, a correct answer would be selected by clicking the pupil. (Click the image to enlarge)

Alternative item types are added to the DSE in order to further enhance the traditional multiple choice format. The alternative format helps ADEX more accurately and efficiently assess important areas of entry-level knowledge that are difficult to assess in a traditional multiple-choice format. Alternative item formats will allow examinees to effectively demonstrate important knowledge area competencies in a way different from the standard multiple-choice item format. Often, alternative item formats are more reflective of actual practice. For instance, the ability to make accurate diagnoses from a radiograph is a very important entry level skill. The examinee is not able to recognize or guess the correct answer from a set of provided response options when more than one condition is present and each is scored.

Yes. The alternative item types that will appear initially as pilot questions. Before any item appears on any ADEX examination, it is reviewed by a committee of subject matter experts to determine if the question represents current and valid entry-level knowledge. Like multiple-choice items, the alternative items are empirically evaluated during un-scored pilot testing before becoming a part of the operational question bank. Also, like multiple-choice items, the alternative items must satisfy stringent psychometric and statistical criteria before being included as operational (i.e., scored) questions on the examination