Mouth & Throat

Question 1

Odynophagia

Answer 1

Pain with swallowing

Question 2

Globus hystericus

Answer 2

A constant “lump in the throat” (no anatomical cause)

Question 3

Trismus

Answer 3

Lock jaw (seen in tetanus)

Question 4

Dysphagia

Answer 4

Difficulty swallowing

Question 5

Ageusia

Answer 5

Loss of taste

Question 6

If ageusia (loss of taste) occurs unilaterally, what CN would be suspected?

Answer 6

CN VII - Facial

Question 7

Hypogeusia

Answer 7

Diminished taste

Question 8

Dysgeusia

Answer 8

Unpleasant or obnoxious taste

Question 9

Xerostomia

Answer 9

Loss of salivation (ex: rheumatoid arthritis)

Question 10

If hoarseness accompanies throat pain, what is suspected?

Answer 10

Laryngeal disease

Question 11

“Crowing sound” on inspiration and expiration

Answer 11

Stridor

Question 12

What CN is involved in the patient sticking out their tongue?

Answer 12

CN XII (Facial)

Question 13

The “connection” piece in the middle below the tongue is called?

Answer 13

Frenulum

Question 14

Where is the parotid duct opening?

Answer 14

In cheek back by upper molars

Question 15

The parotid duct opening may also be called?

Answer 15

Stensons

Question 16

Tonsils enlarge naturally until age __

Answer 16

7

Question 17

When checking the gag reflex, you are doing a motor test of CN __ and __

Answer 17

IX, X

Question 18

“Fever Blister” on the lip. Marked most commonly by the eruption of one or more groups of vesicles on the vermilion border of the lips or at the external nares.

Answer 18

Herpes Simplex Virus 1 (HSV1)

Question 19

Aphthous ulcer

Answer 19

Canker sore

Question 20

This lesion is a red ulcer with a red rim. It is very painful and usually inside the mouth.

Answer 20

Canker sore (aphthous ulcer)

Question 21

Commonly used amino acid for canker sores?

Answer 21

L-lysine (or B12)

Question 22

Blotchy hyperpigmentation of the lips and oral mucosa would suggest?

Answer 22

Addison’s disease (adrenocortical insufficiency)

Question 23

Most common oral neoplasm?

Answer 23

Oral cancer

Question 24

Heaped up hard margins w/central ulceration. A chronic sore that doesn’t heal. Bleeds easily. Can be inside or outside mouth.

Answer 24

Oral cancer

Question 25

Appears 10-30 days after exposure to someone with this disease. Raised, hard borders with central ulcer. Usually painless, commonly on upper lip. Sexually transmissible.

Answer 25

Primary chancres of syphilis

Question 26

Scurvy is related to vitamin __ deficiency

Answer 26

C

Question 27

Teeth do not meet correctly

Answer 27

Malocclusion

Question 28

A patchy white lesion found on the mucous membrane of the mouth. Usually in response to chronic irritation (chewing snuff). Considered premalignant

Answer 28

Leukoplakia

Question 29

If a patient has the sudden inability to protrude tongue, what are you thinking?

Answer 29

Malignancy

Question 30

Deviation (and possibly atrophy) of the tongue on one side is related to damage of CN __

Answer 30

XII

Question 31

If a patient has damage to CN XII on the right side, which way will the tongue deviate when protruding?

Answer 31

To the right

Question 32

Beefy red tongue. Occurs in the adult. Causes include folic acid malnutrition or iron deficiency.

Answer 32

Atrophic glossitis

Question 33

Yellowish granulations inside the cheek which are NBD

Answer 33

Fordyce spots

Question 34

Something that "Only occurs in this disease"

Answer 34

Pathognomonic

Question 35

Gray-white spots located in the area of the parotid duct opening. Compared to fordyce spots. Pathognomonic

Answer 35

Koplik spots of measles

Question 36

Inflammation of the throat that can lead to sore, scratchy discomfort. "Sore throat"

Answer 36

Pharyngitis

Question 37

Pus containing

Answer 37

Purulent

Question 38

A childhood condition - upper airway infection that results in swelling around the larynx, trachea and bronchitis. Characteristic BARKING cough, stridor

Answer 38

Croup

Question 39

Croup in an adult is known as ____

Answer 39

Laryngitis

Question 40

Patient has a severe sore throat, fever, difficulty breathing or swallowing and is in the "tripod" position. What is suspected?

Answer 40

Epiglottitis

Question 41

A toothache could be referred from what two things?

Answer 41

Sinus or HEART

Question 42

Chicken pox can be inside or outside the mouth. It is the same virus as?

Answer 42

Shingles