MFDS Oral Medicine

Question 1

A 55-year-old female presents with bilateral white lace-like striations on the buccal mucosa with areas of erythema and ulceration. She reports episodes of soreness. What is the most likely diagnosis?

Accepted Answer

Oral lichen planus

Answer

Oral leukoplakia

Answer

Oral squamous cell carcinoma

Answer

Candidiasis

Question 2

A patient presents with a painful, solitary ulcer on the lateral border of the tongue that has been present for three weeks. There is no obvious local cause. What is the most important next step?

Accepted Answer

Arrange an urgent two-week-wait referral for biopsy to exclude malignancy

Answer

Prescribe a topical corticosteroid and review in one week

Answer

Prescribe antibiotics and review in two weeks

Answer

Reassure the patient and advise warm salt water rinses

Question 3

Which of the following conditions is MOST commonly associated with a geographic tongue (erythema migrans)?

Accepted Answer

Psoriasis

Answer

Oral cancer

Answer

Diabetes mellitus

Answer

HIV infection

Question 4

A patient with a history of coeliac disease presents with recurrent aphthous ulceration and angular cheilitis. Blood tests reveal a haemoglobin of 10.2 g/dL. Which deficiency is most likely contributing to the oral manifestations?

Accepted Answer

Iron deficiency secondary to malabsorption

Answer

Vitamin C deficiency

Answer

Vitamin D deficiency

Answer

Zinc deficiency

Question 5

A 70-year-old male who wears a complete upper denture presents with erythema confined to the denture-bearing area of the palate. He is otherwise asymptomatic. What is the most likely diagnosis?

Accepted Answer

Erythematous candidiasis (denture stomatitis)

Answer

Nicotinic stomatitis

Answer

Pemphigus vulgaris

Answer

Allergic contact stomatitis to denture acrylic

Question 6

What is the recommended first-line topical treatment for symptomatic oral lichen planus?

Accepted Answer

Topical corticosteroids such as betamethasone mouthwash or fluocinolone acetonide in Orabase

Answer

Topical aciclovir

Answer

Topical metronidazole gel

Answer

Topical chlorhexidine gluconate mouthwash alone

A 55-year-old female presents with bilateral white lace-like striations on the buccal mucosa with areas of erythema and ulceration.She reports episodes of soreness.What is the most likely diagnosis?

A 55-year-old female presents with bilateral white lace-like striations on the buccal mucosa with areas of erythema and ulceration.
She reports episodes of soreness.
What is the most likely diagnosis?