Pance review Questions and Answers A+
Guide 2024
A 26-year-old female presents with a whitish coating on her tongue and lips.
When you attempt to rub the plaque with a tongue depressor, a small
amount of bleeding is noted from the oral mucosa. Her past medical history
includes asthma. What diagnostic test would you perform to confirm your
diagnosis?
A A culture and sensitivity
B A wet mount potassium hydroxide preparation
C A gram stain
D A rapid step test - correct answers✅✅( B) The history and physical are
consistent with oral thrush. A wet mount potassium hydroxide preparation
will reveal fungal spores and nonseptated mycelia.
A 63-year-old male presents with an asymptomatic lesion in his mouth that
was discovered by his dentist at a check-up. It is ill marginated with pigment
ranging from medium brown to black. Parts of the lesion are raised. What is
the next appropriate step in management?
A Have the patient return in 30 days to see if the lesion resolves on its own.
B KOH prep of the lesion
C Biopsy
D Call your supervising physician - correct answers✅✅(C) Oropharyngeal
melanoma is characterized by varying pigment occurring in an irregularly
shaped lesion. Although this is a rarely occur in melanoma, a biopsy should
be done and any pigmented oral lesion should be excised. Areas which are
raised within the lesion usually indicate sites of invasion
A 60-year-old male presents with complaints of irritation and a white plaque
on his tongue. He denies pain. During physical exam you are unable to
remove the white plaque from the mucosa with a tongue depressor. What is
the most likely diagnosis, represented as follows?
A Glossitis
B Geographic tongue
Guide 2024
A 26-year-old female presents with a whitish coating on her tongue and lips.
When you attempt to rub the plaque with a tongue depressor, a small
amount of bleeding is noted from the oral mucosa. Her past medical history
includes asthma. What diagnostic test would you perform to confirm your
diagnosis?
A A culture and sensitivity
B A wet mount potassium hydroxide preparation
C A gram stain
D A rapid step test - correct answers✅✅( B) The history and physical are
consistent with oral thrush. A wet mount potassium hydroxide preparation
will reveal fungal spores and nonseptated mycelia.
A 63-year-old male presents with an asymptomatic lesion in his mouth that
was discovered by his dentist at a check-up. It is ill marginated with pigment
ranging from medium brown to black. Parts of the lesion are raised. What is
the next appropriate step in management?
A Have the patient return in 30 days to see if the lesion resolves on its own.
B KOH prep of the lesion
C Biopsy
D Call your supervising physician - correct answers✅✅(C) Oropharyngeal
melanoma is characterized by varying pigment occurring in an irregularly
shaped lesion. Although this is a rarely occur in melanoma, a biopsy should
be done and any pigmented oral lesion should be excised. Areas which are
raised within the lesion usually indicate sites of invasion
A 60-year-old male presents with complaints of irritation and a white plaque
on his tongue. He denies pain. During physical exam you are unable to
remove the white plaque from the mucosa with a tongue depressor. What is
the most likely diagnosis, represented as follows?
A Glossitis
B Geographic tongue
