Oral Health Assessment: Case Study

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Questions and Answers

What is the most important consideration in the differential diagnosis of all oral white patches?

  • Patient's age and gender
  • Presence of red and white or speckled lesions (correct)
  • History of allergies to certain foods
  • The location of the white patches on the tongue

What is the main risk factor for oral squamous cell carcinoma?

  • Heavy smoking and drinking (correct)
  • Excessive use of teeth whitening products
  • Family history of oral white patches
  • Frequent consumption of spicy foods

Why is the presence of a lesion in a high-risk site, its speckled appearance, and association with smoking worrying?

  • It suggests a potentially malignant disorder (correct)
  • It may lead to autoimmune diseases
  • It indicates a high risk of allergic reactions
  • It could be a result of poor oral hygiene

What is the significance of a red component in potentially malignant disorders?

<p>It suggests a higher risk of malignant transformation (D)</p> Signup and view all the answers

Why is squamous cell carcinoma considered a likely diagnosis despite the patient's young age?

<p>Cases have been seen in younger patients and are increasing in incidence (A)</p> Signup and view all the answers

What is the patient's average daily cigarette consumption?

<p>40 cigarettes (C)</p> Signup and view all the answers

How many units of alcohol (wine) does the patient consume per week?

<p>14 units (D)</p> Signup and view all the answers

Which of the following is NOT a potential cause of the red and white lesion(s) on the tongue?

<p>Lupus erythematosus (D)</p> Signup and view all the answers

Which of the following is a type of idiopathic keratosis (leukoplakia)?

<p>Stomatitis nicotina (smoker’s palate) (B)</p> Signup and view all the answers

What condition is associated with smoker’s keratosis?

<p>Lichenoid reaction (D)</p> Signup and view all the answers

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