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Questions and Answers
What should be done when examining the lips during an intraoral examination?
What should be done when examining the lips during an intraoral examination?
What is an abnormal finding when inspecting the buccal mucosa?
What is an abnormal finding when inspecting the buccal mucosa?
Which appearance of the tongue indicates a need for further examination?
Which appearance of the tongue indicates a need for further examination?
What should be used to facilitate a full examination of the floor of the mouth?
What should be used to facilitate a full examination of the floor of the mouth?
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What is the primary purpose of an extra oral examination?
What is the primary purpose of an extra oral examination?
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During the examination of the soft palate, what action should the patient take?
During the examination of the soft palate, what action should the patient take?
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Which of the following indicates an abnormal finding during the palpation of lymph nodes?
Which of the following indicates an abnormal finding during the palpation of lymph nodes?
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When inspecting the vestibules and fauces, what finding would be concerning?
When inspecting the vestibules and fauces, what finding would be concerning?
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What type of swelling is normally considered during oral examinations?
What type of swelling is normally considered during oral examinations?
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What position should the patient's head be in during the extra oral examination?
What position should the patient's head be in during the extra oral examination?
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During the examination of the temporomandibular joint (TMJ), which symptom should the examiner look for?
During the examination of the temporomandibular joint (TMJ), which symptom should the examiner look for?
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Which condition requires urgent referral during an oral examination?
Which condition requires urgent referral during an oral examination?
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What technique is recommended for palpating difficult areas during the examination?
What technique is recommended for palpating difficult areas during the examination?
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Which of the following symptoms may indicate lymphadenopathy?
Which of the following symptoms may indicate lymphadenopathy?
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What is bruxism commonly associated with?
What is bruxism commonly associated with?
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What should be documented if an abnormality is detected during an examination?
What should be documented if an abnormality is detected during an examination?
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What might be indicated if a sore, ulcer, or blister does not heal?
What might be indicated if a sore, ulcer, or blister does not heal?
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Which symptom is commonly associated with apthous ulcers?
Which symptom is commonly associated with apthous ulcers?
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What should be avoided in patients with active cold sores?
What should be avoided in patients with active cold sores?
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Which condition is characterized by red, inflamed, and sore lips that may crack?
Which condition is characterized by red, inflamed, and sore lips that may crack?
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Which question is important for understanding potential causes of oral ulcers?
Which question is important for understanding potential causes of oral ulcers?
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What is a common characteristic of both angular cheilitis and herpes labialis?
What is a common characteristic of both angular cheilitis and herpes labialis?
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What type of examination might show color changes and breaks in the mucosa?
What type of examination might show color changes and breaks in the mucosa?
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Intraoral lesions can commonly be found in which areas?
Intraoral lesions can commonly be found in which areas?
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What is a common method to prevent angular cheilitis?
What is a common method to prevent angular cheilitis?
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Which condition is characterized by painful and variable size sores in the mouth?
Which condition is characterized by painful and variable size sores in the mouth?
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What is the first step to take when conducting an intraoral and extraoral examination?
What is the first step to take when conducting an intraoral and extraoral examination?
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Which symptom might indicate the need for an additional examination of the lymph nodes?
Which symptom might indicate the need for an additional examination of the lymph nodes?
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During the extraoral examination of the face, which of the following signs should be recorded?
During the extraoral examination of the face, which of the following signs should be recorded?
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When palpating the lymph nodes, what is a normal characteristic to expect?
When palpating the lymph nodes, what is a normal characteristic to expect?
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What behavior might a patient exhibit that could suggest a condition leading to TMD?
What behavior might a patient exhibit that could suggest a condition leading to TMD?
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Which question should NOT be asked if a patient presents with an oral abnormality?
Which question should NOT be asked if a patient presents with an oral abnormality?
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When assessing the TMJ, what is an indication of a potential issue?
When assessing the TMJ, what is an indication of a potential issue?
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Which characteristic should be documented during the visual examination of the lymph nodes?
Which characteristic should be documented during the visual examination of the lymph nodes?
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What does TMD stand for?
What does TMD stand for?
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Which of the following is NOT a symptom associated with TMD?
Which of the following is NOT a symptom associated with TMD?
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Why is it important to check for facial asymmetries during a TMD examination?
Why is it important to check for facial asymmetries during a TMD examination?
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What is the best way to assess if a patient's condition is normal or abnormal for them?
What is the best way to assess if a patient's condition is normal or abnormal for them?
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In a TMD examination, what should you visually inspect for in the eyes?
In a TMD examination, what should you visually inspect for in the eyes?
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What might deviations in facial symmetry during examination indicate?
What might deviations in facial symmetry during examination indicate?
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Which of the following could cause TMD symptoms?
Which of the following could cause TMD symptoms?
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What should be done if an abnormality is detected during a TMD examination?
What should be done if an abnormality is detected during a TMD examination?
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What is the recommended action when examining a tongue for abnormalities?
What is the recommended action when examining a tongue for abnormalities?
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What condition is characterized by smooth, red depapillation of the tongue?
What condition is characterized by smooth, red depapillation of the tongue?
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Which symptom indicates a potentially serious oral condition that requires urgent referral?
Which symptom indicates a potentially serious oral condition that requires urgent referral?
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What can be a potential side effect of a lingual salivary stone?
What can be a potential side effect of a lingual salivary stone?
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Which type of lesion is associated with a burning sensation and numbness in the mouth?
Which type of lesion is associated with a burning sensation and numbness in the mouth?
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What is the appearance of a normal tongue, in contrast to a pathological one?
What is the appearance of a normal tongue, in contrast to a pathological one?
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Limited lip movement can be caused by which condition?
Limited lip movement can be caused by which condition?
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What type of oral condition could cause halitosis (bad breath)?
What type of oral condition could cause halitosis (bad breath)?
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What type of lesion often indicates a serious underlying condition when persistent?
What type of lesion often indicates a serious underlying condition when persistent?
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Which of the following is NOT typically associated with a harmless oral condition?
Which of the following is NOT typically associated with a harmless oral condition?
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Study Notes
Extra/Intra Oral Examination Questions
- Always review patient medical history.
- Key questions to ask if abnormality is detected:
- How long has the abnormality been present?
- How are you feeling generally?
- Are you experiencing any pain?
- How often do you get mouth ulcers?
- Do you remember recent lip or tongue biting?
- Do you remember any burning sensation?
- Are you aware of teeth clenching or grinding?
Extra Oral Examination – Step-by-Step
- Introduce yourself and the nurse to the patient. Explain the reason for the appointment and gain consent from the patient.
-
Face: Visually examine the face and top of the head looking for:
- Symmetry
- Swelling
- Signs of infection
- Bruises
- Cuts
- Colors
- Record location, size, color, duration and pain associated with any abnormality.
-
Lymph Nodes:
- Stand behind the patient.
- Ensure the patient is relaxed with the head slightly forward and chin tipped.
- Palpate lymph nodes (using pads of fingers in an on/off motion) to check for tenderness or swelling.
- Compare both sides.
- Note any normal results as small (pea-sized), not tender, and mobile.
- Record all findings noting location, size, duration and pain assessment.
Intra Oral Examination – Step-by-Step
-
Lips: Examine the outside and inside of lips with the fingers for any abnormalities. Look for any:
- Trauma
- Cold sores
- Ulcers
- Mucocele
- Fordyce spots
- Swelling
-
Buccal Mucosa: Use thumb and fingers to feel the buccal mucosa for:
- Smoothness, moisture and pinkness
- Trauma
- White/lacy patches,
- Ulcerations
- Cheek biting
- Burns
- Granulomas
-
Vestibules and Fauces: Use a mirror to push down on the back of the tongue and check the fauces while patient says "ahh". Look for:
- Ulcerations
- Abnormal frenulum
- Tonsillar calcification
- Swelling
Other Intra Oral Considerations
-
Hard and Soft Palate: Evaluate for:
- Dentures/appliance removal for examination (if present)
- Thrush
- Ulceration
- Stomatitis
- Tori (benign bony growths)
-
Tongue: Check for:
- Colour
- Breaks
- Lumps/vessels
- Textures
- Geographic tongue
- Additional points for evaluation and documentation for irregularities are present
- Size
- Location
- Duration
- Pain assessment
- Any other abnormalities
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Description
Test your knowledge on conducting extra and intra oral examinations and the key questions to ask during the assessment. This quiz covers essential steps for evaluating the patient's condition and recognizing abnormalities during the examination process.
