Randome Questions

Question 1

What to ask a patient about a lesion in their mouth?

Answer 1

• how long have the lesion been present
• Do you feel any discomfort or pain from the lesion?
• changing in size?
• any bleeding or fluid ?
• any difficulty swallowing
• any unintentional weight loss?

Question 2

How would you perform E/O examination if she is presenting with a lesion in the mouth?

Answer 2

• facial asymmetry
• any visible extra oral lesions?
• TMJ problems
• Any limited mouth opening
• any lymphadenopathy?

Question 3

How to describe a lesion?

Answer 3

• homogenous/non homogenous
• pedunculated? or no?
• exophytic or endophytic
• colour
  -location
• size (measure using intraoral ruler)

Question 4

Differential diagnosis for this lesion?

Answer 4

Fibroepthelial polyp
Squamous cell papilloma
Pyogenic granuloma
Condyloma acuminatum
verrucous carcinoma

Question 5

How to anaesthetise lesion before biopsy?

Answer 5

• deposit at base of the lesion on the centre
• blanching around lesion means it is working

Question 6

how ensure area is numb ?

Answer 6

• by probing around lesion with sharp probe and asking the patient if they feel any pain

Question 7

Which areas around lesions would you anaesthetise?

Answer 7

• around the lesion as a circle
• at three points around the lesion as triangle
• at 4 points around the lesion as a square

Question 8

How to achieve haemostasis after excision of a lesion on the hard palate?

Answer 8

• use bipolar which is a heated tweezers this allows blood vessels to close
• suture a pack on top of the lesion , this can be removed at review appointment