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A Guide to Clinical Differential Diagnosis of Oral Mucosal Lesions Exam
Test Questions and Answers Graded A+
A 19-year-old woman has painful ulcers on the labial
mucosa and buccal mucosa of 4 days duration. She has
had similar ulcers on previous occasions, and each time
the lesions healed in approximately 7 days. The best di-
agnosis is
A 67-year-old woman has a *chronic sore mouth* of 2
years duration. The lesions consist of *multiple persistent
ulcers* adjacent to white rough thickened areas which do
not rub ott and are arranged in a *striated* pattern. The
lesions are bilateral and involve the buccal mucosa, lateral
borders of the tongue, and gingiva. Of the following, the
best diagnosis is
A
patient
has
multiple,
asymptomatic,
irregular,
flat
patch-
es
on
the
dorsum
of
the
tongue.
Each
patch
has
a
red
cen-
ter
and
an
irregular
white
periphery.
The
patient
reports
that the lesions come and go. The best diagnosis is
A 16-year-old woman has a *compressible, nontender*,
5x5 mm soft tissue enlargement of the *lower labial mu-
cosa*. The lesion has a blue mucosal surface which does
not blanch upon palpation. The patient states that she has
been aware of the lesion for 2 months and that it has
increased and decreased in size during this time. Of the
following, the best diagnosis is
A 13-year-old female patient has mild fever, *lym-
phadenopathy* and *vesicles and ulcers *of the soft
palate and tonsillar pillars bilaterally, of 5 days duration.
No other oral lesions are present. The best diagnosis is
A
patient
has
a
white,
nontender,
5
x
6
mm,
soft
tissue
enlargement
on
the
right
soft
palate
of
at
least
2
years
aphthous
ulcers
lichen
planus
geographic
tongue
(erythema
migrans)
mucocele
herpangina
papilloma
