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Dentistry · Oral medicine
Sample itemWhich oral lesion requires urgent referral because of possible malignancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Non-healing ulcer persisting longer than three weeks
A persistent unexplained oral ulcer may represent malignancy and needs prompt specialist assessment, especially with induration, red-white change, or neck nodes.
Option by option
A. A traumatic ulcer resolving within several days
Rapidly resolving trauma ulcers are less concerning.
B. Non-healing ulcer persisting longer than three weeks (correct)
Correct: persistence beyond three weeks is a serious red flag.
C. A painless aphthous ulcer healing in one week
Typical aphthae heal spontaneously within days to weeks.
D. Transient bite-line whitening on the cheek
Linea alba is usually a benign frictional change.
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.