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Formative Assessment 1

Total questions: 25

Worksheet time: 15mins

Name
Class
Date
1.

A 53 year old male patient came to opd with the complaint of stiffness in check muscles. Upon examination the buccal mucosa had a marble like appearance with patches of white colored lesions. Bands of fibrous tissues were also palpable. He has been consuming betel nuts since childhood. What is the most likely diagnosis?

a)

Lichen planus

b)

Leukoplakia

c)

Erythroplakia

d)

Oral Submucous Fibrosis

2.

Diagnosing leukoplakia is crucial because it can develop into a cancerous condition. Among the given options, which one does not represent a characteristic feature of leukoplakia?

a)

Can be homogenous or wrinkled surface of mucosa

b)

Floor of the mouth is considered to be premalignant

c)

May vary from transparent and filmy to thick and dense

d)

White lesion and less than 5 mm

3.

A 29 year old female came to the opd with the complaint of burning sensation in mouth, along with difficulty and pain in swallowing. Upon examination, her tongue appeared to be smooth and shiny with absence of lingual papillae and crack sores on the corner of the mouth. She also has a history of iron deficiency anemia. What is most likely your diagnosis?

a)

Angular chelitis

b)

Plummer – Vinson syndrome

c)

Systemic lupus erthymetosus

d)

Discoid lupus erythematosus

4.

A 46-year-old man presents with a persistent white patch on the buccal mucosa. He reports occasionally biting the inside of his cheek while chewing. On examination, there is a white, irregularly bordered plaque with a rough, frayed surface along the line of occlusion. The lesion cannot be scraped off. There are no indurated margins, ulcerations, or palpable cervical lymph nodes. The patient is otherwise healthy and takes no medications.
Which of the following is the most appropriate next step in the management of this lesion?

a)

Immediate incisional biopsy to rule out carcinoma

b)

Prescription of topical corticosteroids for 2 weeks

c)

Observation after removal of the traumatic source, with re-evaluation in 2 weeks

d)

Empirical antifungal therapy with clotrimazole

5.

What is the recommended treatment regimen for trigeminal neuralgia using carbamazepine (Tegretol)?

a)

Start with 100 mg and Maintain a maximum daily dose of 600-800 mg.

b)

Start with 100 mg twice daily and gradually increase by 100 mg each day until pain control, with a maximum daily dose of 800-1000 mg

c)

Initiate with carbamazepine 500 mg twice daily and gradually increase to 1000 mg

d)

start with 50 mg and increase the dosage by 300 mg every day until pain is relieved.

6.

A 65-year-old patient presents to the dental outpatient department with pain on the right side of the chin for 3 days, followed by the appearance of a painful rash over the same area. On examination, there are clusters of vesicular eruptions on an erythematous base distributed unilaterally over the chin and lower lip, corresponding to the mental nerve region. Intraoral examination reveals no significant ulcerations. The patient recalls having chickenpox during childhood.What is the recommended treatment for this condition?

a)

Topical acyclovir ointment alone

b)

Oral acyclovir therapy with analgesics

c)

Systemic corticosteroids alone

d)

Oral antibiotics to prevent secondary infection

7.

A 32-year-old woman presents to the clinic with recurrent episodes of throbbing right-sided headache associated with nausea, photophobia, and phonophobia. The pain lasts for about 8–10 hours and is often preceded by visual disturbances. She denies any recent head trauma or visual loss. On examination, there are no focal neurological deficits. She requests medication for the next time she develops such an episode.
What is the first-line treatment for managing the acute phase of her migraine attacks?

a)

Paracetamol, NSAID or Aspirin

b)

Sumatriptin

c)

Beta blockers

d)

Ergotamin

8.

A 70-year-old patient presents to the emergency department with complaints of a severe headache and tenderness over the right temporal region. The patient also reports visual disturbances. On examination, an enlarged and painful temporal artery is noted. Laboratory investigations reveal an elevated ESR and CRP. Based on these findings, what is the next step in the management of this patient?

a)

MRI of the brain

b)

Temporal artery biopsy

c)

CT angiography of the head and neck

d)

CBCT

9.

A 45-year-old patient visits the clinic with complaints of flushing and sweating on the right side of the face following meals. The patient underwent parotid gland surgery six months ago. On examination, there is no pain reported, but the patient describes a burning sensation during episodes. Between episodes, there is numbness in the affected area. What condition is most likely affecting the patient?

a)

Bell's palsy

b)

Trigeminal Neuralgia

c)

Frey syndrome

d)

Glossopharyngeal Neuralgia

10.

What is the most important component of ulcer?

a)

margin

b)

floor

c)

edge

d)

base

11.

Undermined edges are seen in

a)

trophic ulcer

b)

squamous cell carcinoma

c)

healing ulcer

d)

tuberculous ulcer

12.

A 35-year-old male presented to the dental OPD with a complaint of an ulcer on the right buccal mucosa. Upon inquiry, he mentioned that he applied aspirin due to toothache. What type of ulcer is most likely present in this case?

a)

chemical

b)

mechanical

c)

thermal

d)

electric

13.

How can Recurrent Aphthous Stomatitis (RAS) be distinguished from other diseases with similar-appearing oral lesions?

a)

By the presence of oral bacteria causing the lesions

b)

By the absence of systemic symptoms accompanying the oral lesions

c)

By the lesions being limited to a single occurrence

d)

By the lesions' tendency to recur, their multiplicity, and chronicity

14.

A 28-year-old woman presents to a dermatology clinic with a darkly pigmented lesion on her upper back that has recently increased in size and changed color. She reports multiple episodes of acute sunburn during beach vacations as a teenager. Her medical history is unremarkable, but she notes that her father was treated for malignant melanoma five years ago. On examination, the lesion is asymmetric, has irregular borders, variegated pigmentation, and measures 8 mm in diameter.

Which of the following risk factors most strongly supports the diagnosis of malignant melanoma in this patient?

a)

History of multiple episodes of acute sun exposure

b)

Human papillomavirus (HPV) infection

c)

Arsenic exposure from groundwater

d)

Occupational exposure to ionizing radiation

15.

Fill in the blank: Posterior oral tissue involvement is characteristic and diagnostic of _________.

a)

Major Aphthous Ulcers

b)

Herpetic Gingivostomatitis

c)

Oral Lichen Planus

d)

Candidiasis

16.

Which of the following best defines a 'Precancerous Lesion'?

a)

A morphologically altered tissue where cancer is more likely to occur

b)

A cancerous growth that is confined to the epithelium.

c)

A generalized state with an increased risk of cancer developing anywhere in the mouth.

d)

Any benign oral white patch that cannot be diagnosed clinically

17.

Which oral precancerous lesion is characterized by a bright red patch, well-defined from surrounding mucosa, with a velvet-like surface, and has the greatest tendency for malignant transformation?

a)

Candidal Speckled Leukoplakia

b)

Leukoplakia

c)

Erythroplakia

d)

Oral Submucous Fibrosis

18.

A 62-year-old man presents with a non-healing ulcer on the lateral border of his tongue that has been present for three months. He reports occasional pain and difficulty swallowing. His history includes heavy smoking and alcohol use for 25 years. On examination, there is an indurated ulcer with rolled margins and a firm base. Palpation reveals a single, enlarged, non-tender submandibular lymph node. A biopsy confirms well-differentiated squamous cell carcinoma. Which of the following statements about the diagnosis and prognosis of oral carcinoma is accurate?

a)

The prognosis is generally good, even in late stages.

b)

It is typically diagnosed by clinical appearance alone.

c)

Carcinoma of the lip has a worse prognosis than lesions further back in the oral cavity.

d)

The TNM system is the most widely used staging system for oral carcinoma.

19.

Glossodynia refers to

a)

Ulceration on tongue

b)

Trauma on tongue

c)

Lesion on tongue

d)

Pain in tongue

20.

Allodynia refers to

a)

An increased response to stimulus that is normally painful

b)

Absence of pain response to painful stimulus

c)

Pain from stimulus that normally doesnot provoke pain

d)

Partial loss of sensation

21.

A patient with a history of radiotherapy to head and neck region presents in dental opd with generalized erythematous appearance of oral mucosa, pain, dryness of mouth and patches of atrophic epithelium. The patient has which one of the following conditions?

a)

Drug induced mucosal inflammation

b)

Osteoradionecrosis

c)

Radiation mucositis

d)

Chemical injury to oral tissues

22.

A 63-year-old woman presents with severe, intermittent, electric shock–like facial pain affecting the right maxillary region. The pain is triggered by touching her face and brushing her teeth. Medical therapy with carbamazepine provided initial relief, but the pain has become refractory. MRI shows vascular compression of the trigeminal nerve root by the superior cerebellar artery. The neurosurgeon discusses various surgical options aimed at providing long-term pain relief. Which surgical technique is considered to provide the longest pain-free duration following treatment?

a)

Balloon decompression

b)

Gamma knife surgery

c)

Microvascular decompression

d)

Peripheral cryotherapy

23.

A 20-year-old male presents to the dental outpatient department with painful ulcers on the soft palate and tonsillar area for the past 5 days. He reports that similar ulcers have been occurring intermittently for the last 3 years, each episode lasting about a week before healing spontaneously. He has no significant medical history. Interestingly, his twin brother experiences the same problem. The patient mentions that he quit smoking 3.5 years ago, shortly before these ulcers began appearing.
What is the most likely diagnosis in this case?

a)

Traumatic ulcer

b)

Factitious ulcer

c)

Recurrent aphthous stomatitis

d)

Behcet disease

24.

Acanthosis refers to

a)

Increase in thickness in prickle cell layer

b)

Decrease in thickness in prickle cell layer

c)

Increase in thickness of keratin layer of epithelium

d)

Decrease in thickness of keratin layer of epithelium

25.

A 56-year-old woman notices dark brown patches on the inside of her cheeks and hard palate. The lesions are painless and have appeared gradually over the past few months. She has been taking medication for rheumatoid arthritis for one year.
Which of the following medications is most likely responsible for this pigmentation

a)

Amoxicillin

b)

Hydroxychloroquine

c)

Paracetamol

d)

Ibuprofen