06.White_Lesions_Tests Flashcards
(19 cards)
A 58-year-old heavy smoker presents with a sharply demarcated white patch on the lateral tongue, asymptomatic and persistent for 6 months.
Which of the following diagnoses best fits this presentation?
A. Leukoplakia (Mild dysplasia)
B. Leukoplakia (Moderate to severe dysplasia)
C. Hairy Leukoplakia
D. Lichen Planus (Reticular)
A - Leukoplakia (Mild dysplasia): presence of mild epithelial dysplasia
A 42-year-old HIV-positive patient shows vertical white streaks on the lateral tongue that cannot be scraped off.
Which of the following diagnoses best fits this presentation?
A. Hairy Leukoplakia
B. Leukoplakia (Moderate to severe dysplasia)
C. Lichen Planus (Reticular)
D. Lichen Planus (Erosive)
B - Leukoplakia (Moderate to severe dysplasia): severe epithelial atypia
A 35-year-old woman has interlacing lace-like white lines across buccal mucosa, with areas of red ulceration.
Which of the following diagnoses best fits this presentation?
A. Lichen Planus (Reticular)
B. Lichen Planus (Erosive)
C. Hairy Leukoplakia
D. Lichen Planus (Plaque)
C - Hairy Leukoplakia: EBV-induced corrugated white patches
A 60-year-old patient reports painful erosive white lesions on the gingiva with a burning sensation.
Which of the following diagnoses best fits this presentation?
A. Lichen Planus (Erosive)
B. Lichen Planus (Plaque)
C. Lichen Planus (Bullous)
D. Lichen Planus (Reticular)
D - Lichen Planus (Reticular): lacelike Wickham striae pattern
A 47-year-old man presents with a smooth, thick white plaque on the dorsal tongue, non-detachable.
Which of the following diagnoses best fits this presentation?
A. Lichen Planus (Erosive)
B. Lichen Planus (Plaque)
C. Lichen Planus (Bullous)
D. Graft-versus-host Disease (Acute)
A - Lichen Planus (Erosive): erosive ulcerative white lesion
A 50-year-old reports subepithelial blistering of oral mucosa that yields Nikolsky’s sign when rubbed.
Which of the following diagnoses best fits this presentation?
A. Lichen Planus (Bullous)
B. Lichen Planus (Plaque)
C. Graft-versus-host Disease (Acute)
D. Graft-versus-host Disease (Chronic)
B - Lichen Planus (Plaque): thick homogeneous white plaque
A 45-year-old post-bone-marrow transplant patient has diffuse acute white mucosal sloughing with bleeding.
Which of the following diagnoses best fits this presentation?
A. Graft-versus-host Disease (Acute)
B. Graft-versus-host Disease (Chronic)
C. Lichen Planus (Bullous)
D. Nicotinic Stomatitis
C - Lichen Planus (Bullous): subepithelial blister formation
A chronic transplant recipient develops fibrotic white bands and mucosal atrophy after 2 years.
Which of the following diagnoses best fits this presentation?
A. Graft-versus-host Disease (Chronic)
B. Nicotinic Stomatitis
C. Snuff Pouch
D. Graft-versus-host Disease (Acute)
D - Graft-versus-host Disease (Acute): acute immune-mediated mucosal damage
A 55-year-old pipe smoker exhibits a diffusely white keratotic palate with pinpoint red salivary gland orifices.
Which of the following diagnoses best fits this presentation?
A. Graft-versus-host Disease (Chronic)
B. Nicotinic Stomatitis
C. Snuff Pouch
D. Oral Submucous Fibrosis
A - Graft-versus-host Disease (Chronic): chronic fibrosis and sclerotic changes
A 40-year-old snuff user presents with a focal white keratotic area in the mandibular vestibule.
Which of the following diagnoses best fits this presentation?
A. Snuff Pouch
B. Nicotinic Stomatitis
C. Oral Submucous Fibrosis
D. Cinnamon Contact Stomatitis
B - Nicotinic Stomatitis: keratinized palate with inflamed salivary orifices
A 30-year-old betel quid chewer notes stiff, marble-like white bands and mouth opening restriction.
Which of the following diagnoses best fits this presentation?
A. Oral Submucous Fibrosis
B. Cinnamon Contact Stomatitis
C. Snuff Pouch
D. Chemical Burn
C - Snuff Pouch: localized tobacco-induced keratosis
A patient using cinnamon-flavored chewing gum develops a sharply demarcated white reaction on the buccal mucosa.
Which of the following diagnoses best fits this presentation?
A. Cinnamon Contact Stomatitis
B. Chemical Burn
C. Uremic Stomatitis
D. Oral Submucous Fibrosis
D - Oral Submucous Fibrosis: fibrous bands and restricted mouth opening
A child accidentally ingests lye, resulting in irregular white necrotic patches on the tongue.
Which of the following diagnoses best fits this presentation?
A. Cinnamon Contact Stomatitis
B. Chemical Burn
C. Uremic Stomatitis
D. Candidiasis (Pseudomembranous)
A - Cinnamon Contact Stomatitis: hypersensitivity reaction to spice
A patient with end-stage renal disease shows painful white ulcerations on the ventral tongue.
Which of the following diagnoses best fits this presentation?
A. Uremic Stomatitis
B. Chemical Burn
C. Candidiasis (Pseudomembranous)
D. Candidiasis (Erythematous)
B - Chemical Burn: caustic injury to mucosa
A 65-year-old on broad-spectrum antibiotics develops white removable plaques that bleed on scraping.
Which of the following diagnoses best fits this presentation?
A. Candidiasis (Pseudomembranous)
B. Candidiasis (Erythematous)
C. Uremic Stomatitis
D. Candidiasis (Chronic hyperplastic)
C - Uremic Stomatitis: uremic toxins causing ulcerations
A patient on steroids presents with diffuse red atrophic patches on the palate.
Which of the following diagnoses best fits this presentation?
A. Candidiasis (Erythematous)
B. Candidiasis (Chronic hyperplastic)
C. Geographic Tongue
D. Candidiasis (Pseudomembranous)
D - Candidiasis (Pseudomembranous): white plaques that wipe off
A denture wearer shows persistent white adherent plaques on buccal mucosa.
Which of the following diagnoses best fits this presentation?
A. Candidiasis (Erythematous)
B. Candidiasis (Chronic hyperplastic)
C. Geographic Tongue
D. Leukoplakia (Mild dysplasia)
A - Candidiasis (Erythematous): red atrophic mucosa from Candida
A 28-year-old has migratory erythematous depapillated patches surrounded by white borders on the tongue.
Which of the following diagnoses best fits this presentation?
A. Geographic Tongue
B. Candidiasis (Chronic hyperplastic)
C. Leukoplakia (Mild dysplasia)
D. Leukoplakia (Moderate to severe dysplasia)
B - Candidiasis (Chronic hyperplastic): white adherent Candida plaques
A 50-year-old asymptomatic patient has well-demarcated migratory depapillated areas with a white peripheral rim on the tongue.
Which of the following diagnoses best fits this presentation?
A. Leukoplakia (Mild dysplasia)
B. Leukoplakia (Moderate to severe dysplasia)
C. Geographic Tongue
D. Hairy Leukoplakia
C - Geographic Tongue: migratory depapillated patches with white borders
