Duerden's answers

Question 1

What do you need to find out about the history of a lesion?

Answer 1

Duration of lesion
Effect of lesion
Size
Shape
Raised or flat
Colour
Contour
Margins
Fixed or mobile
Where does it originate from.

Question 2

How does geographic tongue present?

Answer 2

Multiple circular pink and red areas.

Question 3

What is linea alba?

Answer 3

Frictional keratosis caused by cheek biting.

Question 4

How does a haemangioma present clinically?

Answer 4

Red or blue painless lesions.
Usually occur on the tongue or the lip.
When pressed, they blanch.

Question 5

What is Kaposi’s Sarcoma associated with?

Answer 5

HIV/Immunocompromised patients/HPV-8

Question 6

how does Kaposi’s sarcoma present?

Answer 6

Red, brown or purple tumour.

Question 7

What can cause red oral lesions?

Answer 7

Trauma
Autoimmune
Erythroplakia
Speckled leucoplakia
Infections
Fungal

Question 8

What conditions can red oral lesions be related to?

Answer 8

Pemphigus Vulgaris
Benign mucous membrane pemphigoid.
Erythema Multiforme
Behcet’s Syndrome

Question 9

What does Erythroplakia present as?

Answer 9

Bright red and velvety.

Question 10

What is the aetiology of purpura?

Answer 10

Platelet deficiency
Drugs
HIV
Glandular fever
Vomiting
Localised oral purpura

Question 11

What can cause pigmented lesions?

Answer 11

Amalgam
Graphite

Question 12

What is black hairy tongue related to?

Answer 12

Chlorohexidine
Soft diet
Smoking
Xerostomia
Poor OH

Question 13

What can endogenous pigmented lesions come from?

Answer 13

Anatomical lesions
Physiological
Post inflammatory
Trauma
Manifestations of systemic disease
Drug induced
Malignancy