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  #1  
Old 11-02-2012
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Arrow Billy Step 1 Questions # 71

A 17-year-old girl notices a small, sensitive, gray-white area forming along the lateral border of her tongue 2 days before the end of her final examinations. On examination by the physician's assistant, the girl is afebrile. There is a shallow, ulcerated, 0.3-cm lesion with an erythematous rim. No specific therapy is given, and the lesion disappears within 2 weeks. The past history shows that the girl “does not smoke or chew tobacco and does not go out with boys who do.” Which of the following is the most probable cause of this lesion?


□ (A) Aphthous ulcer
□ (B) Oral thrush
□ (C) Herpes simplex stomatitis
□ (D) Leukoplakia
□ (E) Sialadenitis
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Old 11-02-2012
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it's A) apthous ulcer i think..........(due to stress of her exams)
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Old 11-02-2012
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I go with aphthous ulcer too...........thanx.
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Old 11-02-2012
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Quote:
Originally Posted by billy View Post
A 17-year-old girl notices a small, sensitive, gray-white area forming along the lateral border of her tongue 2 days before the end of her final examinations. On examination by the physician's assistant, the girl is afebrile. There is a shallow, ulcerated, 0.3-cm lesion with an erythematous rim. No specific therapy is given, and the lesion disappears within 2 weeks. The past history shows that the girl “does not smoke or chew tobacco and does not go out with boys who do.” Which of the following is the most probable cause of this lesion?


□ (A) Aphthous ulcer
□ (B) Oral thrush
□ (C) Herpes simplex stomatitis
□ (D) Leukoplakia
□ (E) Sialadenitis
I would choose A) Aphthous ulcer
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Old 11-02-2012
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A. aphthous ulcer
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  #6  
Old 11-03-2012
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Default my answer :)

(A) Aphthous ulcer
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Old 11-03-2012
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Correct Answer A is correct

An aphthous ulcer is a common lesion that also is known as a “canker sore.” The lesions are never large, but are annoying and tend to occur during periods of stress. Aphthous ulcers are not infectious; they probably have an
autoimmune origin. Oral thrush is a superficial candidal infection that occurs in diabetic, neutropenic, and immunocompromised patients. Herpetic lesions are typically vesicles that can rupture. Leukoplakia appears as white patches of thicker mucosa from hyperkeratosis. It may be a precursor to squamous cell carcinoma in a few cases. The temperance ditty mentioned in the history is a cautionary note for all young people. Inflammation of a salivary gland (sialadenitis), typically a minor salivary gland in the oral cavity, may produce a localized, tender nodule.
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Old 11-03-2012
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□ (A) Aphthous ulcer
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One day i will infect these microbes and they will search for "Anti-MEbiotic"....
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