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Oral Mucosal Lesion & OPMD

Total questions: 13

Worksheet time: 7mins

Name
Class
Date
1.

What is oral mucosa?

a)

The outer surface of the teeth

b)

The membrane lining the mouth

c)

The muscles under the tongue

d)

The hard palate only

2.

Which lesion appears as a small, painful ulcer with a red halo?

a)

Candidiasis

b)

Aphthous ulcer

c)

Lichen planus

d)

Fibroma

3.

Which feature is commonly seen in oral lichen planus?

a)

Vesicles

b)

Reticular white striae

c)

Pseudomembrane

d)

Yellow crusts

4.

Which condition is most often associated with removable denture wearers?

a)

Oral candidiasis

b)

Aphthous ulcer

c)

Herpetic gingivostomatitis

d)

Squamous cell carcinoma

5.

A non-healing ulcer with indurated margins is most likely:

a)

Aphthous ulcer

b)

Oral candidiasis

c)

Oral squamous cell carcinoma

d)

Mucous retention cyst

6.

Which of the following is NOT a likely cause of pigmented oral lesions?

a)

Amalgam tattoo

b)

Melanoma

c)

Hemangioma

d)

Candidiasis

7.

Which site is THE most commonly affected by OSCC ?

a)

Floor of mouth

b)

Upper lip

c)

Posterior lateral tongue

d)

Gingiva

8.

Which of the following is FALSE regarding leukoplakia ?

      I.        All leukoplakias become malignant

    II.        It is a white plaque with no specific diagnosis after exclusion of other conditions.

   III.        Non-homogenous leukoplakia has lower malignant potential

   IV.        It is always associated with tobacco use

a)

I, II

b)

I, II, III

c)

I, III, IV

d)

I, IV

9.

What is the key histological feature of erythroplakia ?

a)

Hyperplasia

b)

Mild epithelial dysplasia

c)

Severe dysplasia or carcinoma (>90% cases)

d)

Keratosis only

10.

What percentage of OSCC cases in Perak (2019–2023) were detected at TNM Stage I ?

a)

10%

b)

13.2%

c)

25%

d)

50%

11.

What is a key feature of proliferative verrucous leukoplakia (PVL) ?

a)

Single, small lesion that resolves spontaneously

b)

Multifocal, persistent lesions with high recurrence and malignancy risk

c)

Always caused by HPV

d)

Common in young males

12.

What is the recommended management when smokeless tobacco keratosis does not resolve within 6 weeks after habit cessation ?

a)

Observe and reassure

b)

Start antibiotics

c)

Biopsy and manage as leukoplakia

d)

Prescribe topical steroids only

13.

Which of the following are common differential diagnoses of desquamative gingivitis ?

       I.          Oral Lichen Planus (OLP)

      II.          Chronic Periodontitis

    III.          Mucous Membrane Pemphigoid (MMP)

    IV.          Pemphigus Vulgaris (PV)

a)

I

b)

I, III

c)

I, III, IV

d)

I, IV