20.Lip_Lesions_Tests

Question 1

A patient presents with enlarged lips and mucopurulent discharge from multiple minor salivary glands.
Which of the following diagnoses best fits this presentation?
A. Cheilitis Glandularis
B. Melkersson–Rosenthal Syndrome
C. Exfoliative Cheilitis
D. Contact Cheilitis

Answer 1

A - Cheilitis Glandularis: inflammation and hypertrophy of minor salivary glands

Question 2

A painless, persistent swelling of the lip with noncaseating granulomas on biopsy.
Which of the following diagnoses best fits this presentation?
A. Exfoliative Cheilitis
B. Cheilitis Granulomatosa
C. Contact Cheilitis
D. Actinic Cheilitis

Answer 2

B - Cheilitis Granulomatosa: non-caseating granulomatous lip swelling

Question 3

A patient exhibits recurrent lip swelling, fissured tongue, and episodes of facial paralysis.
Which of the following diagnoses best fits this presentation?
A. Contact Cheilitis
B. Actinic Cheilitis
C. Melkersson–Rosenthal Syndrome
D. Perioral Dermatitis

Answer 3

C - Melkersson–Rosenthal Syndrome: granulomatous swelling, fissured tongue, facial paralysis

Question 4

A patient complains of flaky, scaly crust on the vermilion border with redness.
Which of the following diagnoses best fits this presentation?
A. Actinic Cheilitis
B. Perioral Dermatitis
C. Chronic Lip Fissures
D. Exfoliative Cheilitis

Answer 4

D - Exfoliative Cheilitis: excessive keratin shedding on vermilion border

Question 5

A patient develops dryness and fissuring of lip border after using a new lipstick.
Which of the following diagnoses best fits this presentation?
A. Contact Cheilitis
B. Perioral Dermatitis
C. Chronic Lip Fissures
D. Cheilitis Glandularis

Answer 5

A - Contact Cheilitis: allergic or irritant reaction of lip border

Question 6

An outdoor worker has chronic lower lip erythema, dryness, and blurred vermilion border.
Which of the following diagnoses best fits this presentation?
A. Chronic Lip Fissures
B. Actinic Cheilitis
C. Cheilitis Glandularis
D. Cheilitis Granulomatosa

Answer 6

B - Actinic Cheilitis: premalignant lip change from sun exposure

Question 7

A patient shows erythematous papules and small vesicles around the mouth after topical steroid use.
Which of the following diagnoses best fits this presentation?
A. Cheilitis Glandularis
B. Cheilitis Granulomatosa
C. Perioral Dermatitis
D. Melkersson–Rosenthal Syndrome

Answer 7

C - Perioral Dermatitis: erythema and papulovesicles around vermilion border

Question 8

A patient with Crohn’s disease has painful linear cracks at the lip commissures.
Which of the following diagnoses best fits this presentation?
A. Cheilitis Granulomatosa
B. Melkersson–Rosenthal Syndrome
C. Exfoliative Cheilitis
D. Chronic Lip Fissures

Answer 8

D - Chronic Lip Fissures: persistent lip cracks and ulcers