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Dentistry · Oral medicine and oral cancer: radiation mucositis
Sample itemIn the second week of radiotherapy for oral cancer, a patient has painful confluent erythema and ulceration of the buccal mucosa. Which topical agent is commonly used for symptom relief?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Benzydamine mouthwash
Radiation mucositis is treated with bland rinses, benzydamine and analgesia, and alcohol-containing products are avoided. Antifungals are added only if candidiasis is present.
Option by option
A. Nystatin suspension alone for pain
Nystatin treats candidiasis, not the pain of mucositis.
B. Benzydamine mouthwash (correct)
Correct. Benzydamine is an anti-inflammatory analgesic mouthwash.
C. Alcohol-containing antiseptic mouthwash
Alcohol irritates already damaged mucosa.
D. Hydrogen peroxide gargle
Peroxide gargles irritate ulcerated tissue and delay healing.
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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