Exam 2: Ulcerative Conditions

An otherwise healthy 24-year-old man presents with a painful ulcer on his tongue. The lesion is oval and measures approximately 3 mm in diameter. The lesion was not preceded by a blister. This problem has been cyclic (once per month), and the lesions have healed in about 1 week. He most likely has:

A 17-year-old patient presents with three large painful tongue ulcers, each of which measures greater than 0.5 cm in diameter. He has scars in his buccal mucosa from previous lesions. The ulcers generally last several weeks before healing. He most likely has:

Examination of a patient who is an intense smoker revealed a 1 ´ 2 cm indurated red mass in the floor of his mouth. Submandibular lymph nodes on the same side were asymptomatic and indurated. This patient should be suspected of having:

A patient with stage I oral squamous cell carcinoma of the lower lip would be expected to have a _____ prognosis.

A 24-year-old man developed multiple oral ulcers, several penile ulcers, and ocular pain. The lesions were not preceded by blisters. He was taking no medications and had no systemic complaints. This pattern of disease suggests which of the following?

Contact allergies are:

Granulomatous inflammation is characteristically seen in which of the following?

A 52-year-old man presents with an ulcer in the floor of his mouth of 8 weeks' duration. The lesion measures 1 ´ 2 cm, is indurated, and is slightly uncomfortable for the patient. What should the clinician do at this point in time?

A nonpainful, indurated lesion of the floor of the mouth that is present for 6 months best describes which of the following?

Abundant eosinophils and macrophages are characteristically seen in which of the following?

Metastasis from oral squamous cell carcinoma of the posterior lateral border of the tongue is most likely to appear in which of the following sites first?

The etiology of oral aphthous ulcers has been associated with all the following except:

A 28-year-old patient developed a painful 0.5 ´ 0.5 cm oval ulcer in her lower anterior vestibular mucosa. She has had episodes (7 to 10 days' duration) of similar painful ulcers before. This patient most likely has:

Which of the following inflammatory cells characterizes the infiltrate seen microscopically in tuberculosis, histoplasmosis, and other deep fungal infections?

Direct immunofluorescence is a laboratory test that is effective in confirming which of the following?

The combination of malformed permanent incisors and first molars suggests which of the following?

Prognosis for a patient with oral squamous cell carcinoma largely depends on which of the following factors?

The traumatic tongue ulceration seen in infants in association with natal teeth is known as _____ ulceration.

An opportunistic mycotic infection that affects the upper air passages in patients with uncontrolled diabetes is known as:

Iatrogenic injuries are caused by which of the following?