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Dentistry · Oral medicine: oral submucous fibrosis
Sample itemA young man who chews areca nut daily has burning on eating spicy food, a blanched stiff buccal mucosa with fibrous bands, and difficulty opening his mouth. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Oral submucous fibrosis
Oral submucous fibrosis is a chronic scarring disease linked to areca nut chewing, common in South Asia. Fibrous bands cause trismus. It is a potentially malignant disorder.
Option by option
A. Oral lichen planus
Lichen planus shows lacy striae rather than fibrous bands.
B. Oral candidiasis
Candidiasis presents with wipe-off plaques.
C. Oral submucous fibrosis (correct)
Correct. Areca nut, blanching, bands and trismus fit.
D. Homogeneous leukoplakia
Leukoplakia does not cause trismus.
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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