MSA May 2020

Question 1

name three histological features that need to be identified in a biopsy if a lesion is suspected to be malignant

Answer 1

abnormal variation in nuclear size
abnormal variation in cell size/ shape
increased and abnormal mitosis

Question 2

list three clinical presentations of oral squamous cell carcinomas

Answer 2

non-healing ulcers
difficulty of speech and mastication
leukoplakia
erythroplakia

Question 3

if a patient is elderly and has high alkaline phosphatase level with a bony expansion of maxilla what disorder are they most likely to have

Answer 3

Pagets disease

Question 4

what disease could a patient have if they have a raised serum calcium level

Answer 4

hyperparathyroidism

Question 5

what would a radiograph showing radiolucency with generalised loss of lamina dura suggest

Answer 5

hypoparathyroidism

Question 6

what would be indicated if a patient presents with bony expansion of maxilla and pigmented spots on their skin and precocious puberty

Answer 6

albrights syndrome

Question 7

what is albrights syndrome

Answer 7

genetic condition affecting bones, skin and endocrine system
gives skin a patchy pigmentation, scar formation on bones and irregular function of growth regulating glands

Question 8

what is the likely diagnosis for a middle aged female patient with constant burning sensation affecting palate, tongue with erythema of the mucosa

Answer 8

oral dysaesthesia (BMS)

Question 9

what is the likely diagnosis for a male patient with recent onset dull throbbing pain over maxilla, worsened by bending over to tie shoe laces

Answer 9

periapical periodontitis

Question 10

what is the likely diagnosis for a young adult female patient with episodic unilateral peri-orbital pain lasting 20 minutes with nasal congestion, the pain being brought on by shaking of the head

Answer 10

maxillary sinusitis