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Dentistry · Oral medicine: lichen planus
Sample itemWhat oral appearance is typical of reticular lichen planus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Lacy white striae on buccal mucosa
Reticular oral lichen planus commonly presents with Wickham striae, a lace-like white pattern often on the buccal mucosa. Erosive forms can be painful and require follow-up.
Option by option
A. Honey-colored crusts
Honey-colored crusts suggest impetigo.
B. Lacy white striae on buccal mucosa (correct)
Correct. Wickham striae are characteristic of reticular lichen planus.
C. Wipeable creamy plaques
Wipeable plaques suggest candidiasis.
D. Pearly umbilicated papules
Umbilicated papules suggest molluscum contagiosum.
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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