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WorksheetsOral Mucosal Lesion & OPMD
Total questions: 13
Worksheet time: 7mins
What is oral mucosa?
The outer surface of the teeth
The membrane lining the mouth
The muscles under the tongue
The hard palate only
Which lesion appears as a small, painful ulcer with a red halo?
Candidiasis
Aphthous ulcer
Lichen planus
Fibroma
Which feature is commonly seen in oral lichen planus?
Vesicles
Reticular white striae
Pseudomembrane
Yellow crusts
Which condition is most often associated with removable denture wearers?
Oral candidiasis
Aphthous ulcer
Herpetic gingivostomatitis
Squamous cell carcinoma
A non-healing ulcer with indurated margins is most likely:
Aphthous ulcer
Oral candidiasis
Oral squamous cell carcinoma
Mucous retention cyst
Which of the following is NOT a likely cause of pigmented oral lesions?
Amalgam tattoo
Melanoma
Hemangioma
Candidiasis
Which site is THE most commonly affected by OSCC ?
Floor of mouth
Upper lip
Posterior lateral tongue
Gingiva
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
I, II
I, II, III
I, III, IV
I, IV
What is the key histological feature of erythroplakia ?
Hyperplasia
Mild epithelial dysplasia
Severe dysplasia or carcinoma (>90% cases)
Keratosis only
What percentage of OSCC cases in Perak (2019–2023) were detected at TNM Stage I ?
10%
13.2%
25%
50%
What is a key feature of proliferative verrucous leukoplakia (PVL) ?
Single, small lesion that resolves spontaneously
Multifocal, persistent lesions with high recurrence and malignancy risk
Always caused by HPV
Common in young males
What is the recommended management when smokeless tobacco keratosis does not resolve within 6 weeks after habit cessation ?
Observe and reassure
Start antibiotics
Biopsy and manage as leukoplakia
Prescribe topical steroids only
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)
I
I, III
I, III, IV
I, IV
