Red and White lesions MCQ question

1. Which of the following is a precancerous lesion?

a. Speckled Leukoplakia
b. Benign Migratory Glossitis
c. White Sponge Nevus
d. All of above

2. Which of the following skin lesion have accompanying oral manifestations?

a. Lichen planus
b. Pemphigus vulgaris
c. Erythema multiforme
d. All of the above

3. Leokoplakia is a whitish path or plaque which is

a. Always reversible
b. Maybe due to smoking tobacco
c. Infectious disease
d. Congenital disease

4. Non keratotic white lesion have a characteristic that

a. They can be scrapped off from the mucosa easily
b. They are always leading to cancer
c. They involve thickening og the mucosa
d. All of the above

5. Variations in the structure and the appearance of the normal mucosa include
a. Leukoedema
b. Fordyce’s granules
c. Linea alba
d. All of the above

6. Denture sore mouth is

a. A candidial infection
b. More common in upper denture
c. Associated with burning sensation
d. All of the above

7. Wickham’s strie are seen in

a. Leukoplakia
b. Lichen planus
c. Erythroplakia
d. Carcinoma in situ

8. Lichenoid reaction may be induced by

a. Some antimicrobial drugs
b. Some antipyretic drugs
c. Some antihypertensive drugs
d. All of the above

9. Graft versus host disease is

a. Immunologic phenomenon
b. Seen in immunocompromised patients
c. Seen only in oral cavity
d. None of the above

10. A 65 yr old lady with ill fitting dentures and a very poor oral hygiene undertreatment for
Addison’s disease has generalized inflamed mucosa with some white patches. The blood
tests are normal. It is suggestive of
a. Lichen planus
b. Leukoplakia
c. Candidiasis
d. Oral submucous fibrosis

11. Butterfly rash on nose, dryness of mouth, inflamed areas with tendency to ulcerate in an
adult female is most likely
a. Sub burn
b. Lupus erythematosis
c. Allergic reaction
d. All of the above

12. Target lesion are seen in

a. Pemphigoid
b. Lichen planus
c. Erythema multiforme
d. All of the above

13. Upon oral examination of 59yr old women with extreme gingival tenderness the
following conditions are noted : the maxillary gingival is red; the mandibular gingival has
irregularly outlined red areas; accretions on teeth indicate poor oral hygiene. Exploration
pressure causes gingival hemorrhage. The margin of gingival is located at CEJ. A
membranous layer can be loosened and lifted from gingival leaving hemorrhagic surface. The
diagnosis is
a. Acute periodontitis
b. Erosive lichen planus
c. Herpaticgingivostomatitis
d. Necrotizing ulcerative gingivitis

14. In a 6 month old child thick curd like white patch appears on the buccal mucosa . On
rubbing it leaves an erythematous patch. Most likely diagnosis is
a. Tuberculosis
b. Lichen planus
c. Lupus erythematosis
d. Candidiasis

15. During oral examination of 57 yr old man a large white keratotic patch that covers the
entire palate is noted. Some “red dots” are also seen in this patch. The most probable
explanation is that the patient is a
a. Pipe smoker
b. Snuff smoker
c. Cigar
d. Tobacco chewer
16. Swelling and redness of the orifice of minor salivary glands of palate occurs in
a. Nicotinic stomatitis
b. Leukoplakia
c. Fovea palatine
d. Erythroplakia

17. In AIDS, hairy Leukoplakia is found in which location

a. Hard palate
b. Buccal mucosa
c. Lateral border of tongue
d. Soft palate

18. A boy shows pearly white thickening of the buccal mucosa and has been present for
some years. His younger brother also has the same condition. The condition is most likely to
be
a. Lichen planus
b. White sponge nevus
c. Leukoplakia
d. Submucous fibrosis

19. Infra-epithelial bullae are found in

a. Phemphigous
b. Bullous phemphigous
c. Bullous lichen planus
d. Pemphigoid

20. A malnourished child shows ulceration of gingival and punched out lesion, necrotic
gingival margin
a. Herpatic stomatitis
b. NOMA
c. ANUG
d. Apthous ulceration

21. In which one of the following vesicles and bullae are not seen
a. Pemhigus
b. Hepes zoster
c. Herpes simplex
d. Lupus erythematosis

22. Diffused white patch is present on the palate of a patient, the lesion is asymptomatic
and of unknown etiology. It is likely to be
a. Lichen planus
b. Nicotina stomatitis
c. Leukoplakia
d. Candidiasis

23. Which of the following statement is wrong in relation to denture stomatitis

a. More common in diabetics
b. More common in men
c. Associated with wearing denture at night time too
d. Many patients maybe unaware of it
24. Which one is inherited as an autosomal dominant trait?
a. Lichen planus
b. Bullous pemphigoid
c. Pemphigous vulgaris
d. White sponge nevus

25. Which of the following is most likely to turn malignant

a. Intradermal nevus
b. Junctional nevus
c. Lichen planus
d. Papilloma

MCQ Answer
1. A
2. D
3. B
4. A
5. D
6. D
7. B
8. D
9. A
10. C
11. B
12. C
13. B
14. D
15. A
16. A
17. C
18. B
19. A
20. C
21. D
22. D
23. B
24. D
25. B