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Dentistry · Oral medicine and oral cancer: oral submucous fibrosis
Sample itemA 28-year-old man with oral submucous fibrosis has 25 mm mouth opening and burning on eating spicy food. Which advice is the cornerstone of management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Stop areca nut chewing and start jaw-opening exercises
Management of oral submucous fibrosis begins with stopping the areca nut habit. Mouth opening exercises, nutritional support and intralesional agents are added; surgery is for advanced trismus.
Option by option
A. Start antibiotics for 6 weeks
The disease is not infective.
B. Stop areca nut chewing and start jaw-opening exercises (correct)
Correct. Habit cessation and physiotherapy are the cornerstone.
C. Perform tongue resection
Tongue resection is not indicated.
D. Take oral calcium supplements
Calcium supplementation does not influence the fibrosis.
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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