1. A patient who has a history of complaining of big ulcers in his mouth. He is taking a new medication prescribed by his cardiologist. What is that medication?
A. Ramipril
B. Nifedipine
C. Nicorandil
D. Bisoprolol
E. Naproxen
Answer : C
2. A patient presents with a history of increasing obesity and depression
The patient noticed a yellow tinge to the colour of their skin and increasing malaise. In addition, he/she has required their flat to remain heated throughout the year. Which ONE of the following oral manifestations is this patient MOST likely to develop?
A. Macroglossia
B. Median rhomboid glossitis
C. Recurrent oral ulcers
D. Spaced dentition
E. Spontaneous gingival bleeding
Answer : A
Dry skin, thin hair, periorbital puffiness, depression, tiredness, weight gain, muscle ache, being sensitive to cold are clinical features of hypothyroidism. The most likely oral manifestation of this patient will be macroglossia, this is due to increased accumulation of subcutaneous mucopolysaccharides. They can also manifest thickening of lips.
3. A 25 year old pregnant subject in her first trimester presents with recurrent bleeding associated with a soft lump on the facial gingival in the upper canine region. Your provisional diagnosis is a pyogenic granuloma. Which one of the following is the most appropriate management option?
A. Surgical removal of the lesion using a scalpel
B. Prescribe antibiotics and review
C. Refer to her gynaecologist
D. Conservative management until parturition
E. Remove the lesion with an electrocautery
Answer : D
Pyogenic granuloma in pregnant subjects are best managed conservatively until parturition as spontaneous resolution is possible. Removal during pregnancy is associated with a high recurrence rate
4. A 40 year old male presents to you with paroxysmal, sharp, lancination pain affecting one side of the throat and base of the tongue. The pain is precipitated by swallowing, chewing and coughing. The most probable diagnosis in this case is :
A. Trigeminal neuralgia
B. Glossopharyngeal neuralgia
C. Post herpetic neuralgia
D. Giant cell arteritis
E. Frey syndrome
Answer :B