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Dentistry · Oral medicine: candidiasis
Sample itemA patient using inhaled corticosteroids has sore mouth and creamy white plaques that wipe off, leaving an erythematous surface. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pseudomembranous candidiasis
Pseudomembranous candidiasis presents with wipeable white plaques and is promoted by inhaled corticosteroids, xerostomia, or immunosuppression. Mouth rinsing after inhaled steroid use can reduce risk.
Option by option
A. Aphthous ulceration
Aphthae are painful discrete ulcers, not wipeable plaques.
B. Lichen planus
Lichen planus often has reticular white striae.
C. Pseudomembranous candidiasis (correct)
Correct. Removable creamy plaques are typical of oral thrush.
D. Leukoplakia
Leukoplakia is not usually removable.
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.
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