NMS Q&A Family Medicine

SECTION IIOtoophthalmolaryngologychapter 2The Oral Cavity in Primary CareExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 A 33-year-old man complains of “canker sores,” presentfor about a week. Physical examination shows a4-mm ulcerated area on the left side of the oral buccalmucosa. You prescribe fluocinonide in the adhesiveointment Orabase, which he may apply asneeded with no limit on the frequency of applications.You advise him that the painful stage shouldlast 7 to 10 days, and he should be healed within3 weeks. Six weeks later, he returns and says the ulceris still present and just as irritating. Each of the followingmay be associated with persistent aphthousulcers except(A) Erythema multiforme(B) Scleroderma(C) Drug allergies(D) Pemphigus(E) Herpes simplex2 A 36-year-old male comes to his family doctor withirritating sores in his mouth, which have been presenton and off for 6 weeks. Examination reveals awhite plaque or membrane on the base of the righttonsillar pillar. There are no enlarged or tender lymphnodes. The membrane is easily rubbed off, leaving anerythematous base. Which of the following is themost likely diagnosis of the finding?(A) Leukoplakia(B) Aphthous ulcer(C) Candidiasis(D) Infectious mononucleosis(E) Streptococcal pharyngitis3 Your 45-year-old pipe-smoking male patientrecently decided (and succeeded) to quit smokingand is now motivated to be alert to oral cancer.Which of the following is most likely to be a sign ofmouth cancer?(A) Nonhealing sore in the mouth(B) Leukoplakia(C) White pseudo-membrane that is removed withdifficulty(D) Erythroplakia(E) Persistent earache or sore throat.4 Which of the following is the best reason to consultthe patient’s personal dentist prior to initiating radiationtherapy to the head and neck area?9