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Dentistry · Oral medicine
Sample itemWhich oral lesion should prompt urgent assessment because it may represent oral malignancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A nonhealing ulcer lasting more than several weeks
A persistent nonhealing oral ulcer, especially with induration, unexplained bleeding, neck nodes, or risk factors, requires prompt assessment because early oral cancer may initially resemble a benign lesion.
Option by option
A. A transient food stain on the tongue
Food staining is temporary and not a tissue lesion.
B. A nonhealing ulcer lasting more than several weeks (correct)
Correct: persistent nonhealing ulceration is an oral cancer red flag.
C. A small aphthous ulcer resolving in a few days
Brief self-limited aphthae are common and usually benign.
D. A painless removable denture mark that resolves overnight
A resolving denture pressure mark is less concerning but should be reviewed if persistent.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.