Free Oral Mucosal Lesions MCQs with Answers

• A. 55-60 yrs. of age
• B. 12-15 yrs. of age
• C. 25-30 yrs. of age
• D. < 10 yrs. of age

Explanation: Primary herpes simplex infection commonly occurs during childhood, often before 10 years of age, and may present as acute herpetic…

• A. Coxsackie virus
• B. Herpes simplex virus
• C. Measles virus
• D. Varicella zoster virus

Explanation: Herpangina is an acute enteroviral infection caused mainly by Coxsackie A viruses.

• A. Herpes zoster
• B. Hand, Mouth & foot disease
• C. Small pox
• D. Measles

Explanation: Coxsackievirus, especially Coxsackie A16, causes hand, foot, and mouth disease, with oral vesicles or ulcers accompanied by lesions on the…

• A. Ciprofloxacin
• B. Penicillin
• C. Tetracycline
• D. Acyclovir

Explanation: Acyclovir inhibits herpesvirus DNA polymerase and is used for clinically significant HSV lesions, particularly when started early.

• A. Recurrent herpes labialis
• B. Syphilis
• C. Carcinoma
• D. Traumatic aphthous ulcer

Explanation: Recurrent herpes labialis shows site specificity because recurrences characteristically appear at or near the same mucocutaneous junction…

• A. chicken pox
• B. Herpes zoster
• C. Herpes simplex
• D. Poliomyelitis

Explanation: Varicella-zoster virus remains latent in sensory root or cranial nerve ganglia after chickenpox.

• A. It is preceded by prodromal symptoms
• B. It is unilateral in nature
• C. Ulcers relationship seen on the anterior faucial pillars
• D. Viral etiology

Explanation: Herpangina mainly affects the posterior oral cavity, including the soft palate, uvula and anterior faucial pillars, whereas primary…

• A. pemphigoid
• B. erythema multiforme
• C. pemphigus
• D. Viral fever

Explanation: A short prodrome of fever and constitutional symptoms commonly precedes viral illnesses by about one to two days.

• A. May cause Dysphagia
• B. May lead to high grade fever
• C. May lead to vesicles formation in Anterior part of mouth around 20-30 in number
• D. Anterior portion of mouth have only minor vesicles

Explanation: Herpangina can produce high fever, sore throat and dysphagia, with multiple small vesicles or ulcers in the posterior mouth.

• A. Ziduvidine
• B. Acyclovir
• C. Kenalog in orabase
• D. All of the above

Explanation: Early systemic acyclovir can reduce the duration and severity of primary herpetic gingivostomatitis by inhibiting viral DNA replication.

• A. Etiological agents differ
• B. The acute form occurs only inversely immuno compromised individuals
• C. The patient has received antibodies during intrauterine life and the antibodies have persisted
• D. The primary infection was subclinical

Explanation: The initial HSV infection is often subclinical or so mild that the patient does not remember having primary herpetic gingivostomatitis.

• A. Herpes zoster
• B. Herpes simplex
• C. Uveoparotid fever
• D. Aphthous stomatitis

Explanation: Herpes zoster results from reactivation of varicella-zoster virus in a sensory ganglion, causing inflammation and a painful vesicular…

• A. First manifestation of measles
• B. Is first manifestation but seldom seen
• C. Are seen 2-3 days after cutaneous rashes
• D. Rarely seen in measles

Explanation: Koplik spots are an early mucosal sign of measles, appearing on the buccal mucosa shortly before the skin rash; they may be missed because…

• A. Bacteriophages
• B. Negri bodies
• C. Lipschutz bodies
• D. Donavan bodies

Explanation: Lipschütz bodies are intranuclear inclusion bodies associated with herpesvirus infection, reflecting viral replication within infected…

• A. Sub epidermal bullous formation
• B. Severe burning pain
• C. Prominent crusting vesicles
• D. Unilateral occurrence

Explanation: Herpes zoster typically follows the distribution of one sensory nerve and therefore produces a unilateral vesicular eruption that does not…

• A. Lymphangioma and granular cell myoblastoma
• B. Lipoma and fibroma
• C. Neuroblastoma and lipoma
• D. Lymphangioma and fibroma

Explanation: The tongue is a frequent site for lymphangioma and granular cell tumour because it contains abundant lymphatic tissue and skeletal muscle.

• A. Erythema migrans
• B. Median rhomboid glossitis
• C. Apthous ulcer
• D. Chemical brun

Explanation: Median rhomboid glossitis appears as a sharply demarcated, red or rhomboid area of depapillation on the midline dorsum just anterior to…

• A. Fungiform papillae
• B. Circumvallate papillae
• C. Filiform papillae
• D. Taste buds

Explanation: Hairy tongue results from elongation and enlargement of the filiform papillae, which retain debris, bacteria and pigment and create a…

• A. Excision of the lesion
• B. Penicillin therapy
• C. Topical application of Nystatin
• D. Routine observation at recall time

Explanation: Geographic tongue is benign and usually asymptomatic, so reassurance and routine observation are appropriate.

• A. Pain in the tongue
• B. Burning of the tongue
• C. Swelling of the tongue
• D. White patch on tongue

Explanation: Glossodynia literally means pain in the tongue and may be experienced as soreness or burning.