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</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</p> Signup and view all the answers

    What is the patient's average daily cigarette consumption?

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

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

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

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

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

    What condition is associated with smoker’s keratosis?

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

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