Oral Lesions

Question 1

brushable white plaques,

sore throat

Answer 1

Oropharyngeal Candidiasis

Nystatin suspension

Question 2

vesicular exanthem,

high fever

Answer 2

Herpangina: Coxsackie A

self-limiting

Question 3

rash, ST, mouth ulcers

Answer 3

Acute Retroviral Syndrome: HIV

Refer

Test: HIV RNA

Question 4

grouped vesicles, erythematous base

Answer 4

Herpes Simplex Virus

ASAP -clovirs meds

Question 5

painful, pale papules: mouth, hands, feet

Answer 5

Hand/Foot/Mouth: Coxsackie A16

self-limiting

Question 6

painful, gray, non-vascular lesions

Answer 6

Aphthae (canker sore)

tx sxs

Question 7

recurrent oral/genital aphthae

Answer 7

Behcet’s

Refer to Rheumatology

Question 8

strep throat sxs; no cough

Answer 8

Mononucleosis: epstein barr

self-limiting; spleen precautions

Question 9

white, unbrushable lesions

Answer 9

Leukoplakia

refer

Question 10

white, lacy lesions

Answer 10

Lichen planus (oral)

tx pain

Test: exfoliative cytology

Question 11

unresolving ulcers, papules

Answer 11

SCC

refer

Question 12

painless chancre

Answer 12

Syphilis: treponema pallidum

Benzathine PCN

Question 13

fluid filled cavities w/ mucous glands

Answer 13

Mucoceles

cryo, excision

Question 14

black, hairy tongue

Answer 14

Lingua Nigra

self-limiting

Question 15

erythematous patches w/ white borders

Answer 15

Geographic tongue

no tx, benign

Question 16

blue-black macule near filling

Answer 16

Amalgam tattoo

no tx, benign

Question 17

painful ulcerations, usu mouth and trunk

Answer 17

Stevens-Johnson syndrome (Erythema Multiforme Major)

life threatening, corticosteroids

*usu drug rxn to sulfa

Question 18

slow onset of tender, flaccid bullae;

Nikolky’s Sign

Answer 18

Pemphigus

corticosteroids, immunosuppressant

Biopsy: + acantholysis

Question 19

pruritic, blisters on flexor surfaces

Answer 19

Bullous Pemphigoid: unknown autoimm

refer