OSCE PRACTICE EXAM QUESTIONS AND
DETAILED SOLUTIONS 2026
▶ Name the pathology: PALATAL AND MUCCOBUCCAL FOLD LESIONS
ARE OFTEN ASSOICATED WITH THIS. Answer: TOBACCO, SNUFF
▶ Name the pathology: picture of palate with numerous small raised areas
with central red dots caused by pipe smoking
This is not premalignant and is caused by the ____ form the smoke. Not
the chemicals
tx?. Answer: nicotonic stomatitis
heat from the smoke, not the chemicals
is reversible, need to stop smoking
▶ Name the pathology: can be seen on the palate in a pipe smoker.
Answer: nicotonic stomatitis
▶ Name the pathology:
Hepatitis that ca be caused by inoculation(serum, vaccination) iv drug use
and blood transfusions. Answer: hepatitis C
▶ Name the pathology: occurs on the lower lip an lateral tongue borders.
may have a crusted or cauliflower appearance. Answer: Squamous cell
carcinoma
▶ patient comes in with hard palate swelling hat has been there for about 2
years. The patient tells you they had a similiar lesion removed some years
ago
tx?. Answer: surgical removal
,▶ You see a swelling under the tongue on the floor of the mouth (ranula).
What do you do for treatment ?(2). Answer: surgical removal or
masupialize
▶ Dense, firm ulcer with indurated borders is of 4 months duration. It has
been gradually increasing in size and severely restricts tongue movement.
What do you do?. Answer: perform incisional biopsy
▶ You see a hard palate with a midline swelling present for several years.
Pt is concerned about this swelling because there is a family history of
carcinoma. What do you do?. Answer: treatment: leave along and
reassure the patient
▶ Name the pathology: occurs on the face (might see under eyes)
patient has RAISED lesion under the ye present for about 2 years.
TX?. Answer: basal cell carcinoma
biopsy and surgica lremoval
▶ heptatis serum can be acute or chronic , prlonged incubaton 4-26
weeks?. Answer: hep b
▶ hepatitis infectious required from raw steamed shellfish, contaiminated
water or food. Answer: hep A
▶ T/f: a patient who has Hepatitis A over a year ago is okay to treat?
When is Hepatitis A okay to treat: after _____ fro mthe onset of jaundice.
How is it transmitted?. Answer: true, it resolves within a couple of weeks
usually on its own
after one 1
transmitted fecal oral route
▶ Name the pathology: looks like little dialted blood vessels (telangiectasis)
on the tongue. Answer: multiple telangiestasias
,▶ Median Rhomboid Glossitis (Central Papillary Atrophy) is type of ___
infection.
Tx. Answer: candida
nystatin
▶ Hairy tongue : looks nasty. treat by taking the patient of thier medicaitons
, use ___ and improve oral hygiene (brush tongue). Answer: mouthrinses,
medications , and improve OH
▶ Oral hairy leukoplakia (AIDS)
presents as white plaque usually on the lateral border of the tongue that
does not rub off. Associated with __ and ___. Answer: Presents as a white
mucosal plaque that does not rub off, usually on the lateral border of the
tongue; associated with EBV and AIDS
▶ Name the pathology: oral manfestation in aids patients. a malginant
cnacer of the lining of blood vesels on the ______. May present as purple
lesionson the palte. TX: ?. Answer: kaposi sarcoma
hard palate
tx: provide normal dntal treatment but NO invasive treatment
▶ Geographic tongue (migratory glossitis) caused by atrophy of the ___
papillae on tongue
tx: ?. Answer: Pattern of normal coating interspersed with bright red, shiny,
circular bald areas caused by atrophy of the filiform papillae, with raised
pearly borders. Pattern resembles a map and changes with time. Not
significant, and its cause is not known.
tx: ressure patient and leave alone
▶ Fissured tongue aka Scrotal tongue
tx?. Answer: deep furrows on the surface of the tongue that is considered
a normal variant
do nothing
, ▶ leukoplakia on the tongue or buccal mucosa must be ___. Answer:
biopsied
▶ asymptomatic finding on the tongue lateral border with a 5 year history
during which time it has changed appearance repeatedly.
TX?. Answer: reassurance, no treatment
▶ a keratotic linear formation on the tongue lateral border has been
present for about 2.5 years. tx. Answer: biopsy
▶ Name the pathology: can see on PAX with translucent areas due to less
striations in bone, decrease in trabecular bone density, enlarged bone
marrow spaces, and stepladder appearance. Answer: sickle cell anemia
▶ Name the pathology: can see due an obvious step between teeth 24 and
25 on pan. Can show a step down in the occlusal plane. Answer: mildine
mandibule fracture
▶ Name the pathology: idiopathic, can be due to nerves, or nutrition
deficiency. Answer: burning mouth syndrome
▶ t/f: if lingual tonsils enlarged when sick this is pathologic?. Answer: false
▶ a younger teenager with swollen tonsils is an _____ condtion. Answer:
inflammatory
▶ this muscle is the first pillar in front of the tonsils?. Answer:
palatoglossus muscle
▶ t/f: pharngeal space on a pan is normal?. Answer: true
▶ cementoma affects ___ teeth.
TX:?. Answer: vital teeth
Treatment: no treatment, observe
▶ Name the pathology: affects non vital teeth, no radilucnet border,
radiopacity is not seperated from the apex, the clincal expansion is present.
DETAILED SOLUTIONS 2026
▶ Name the pathology: PALATAL AND MUCCOBUCCAL FOLD LESIONS
ARE OFTEN ASSOICATED WITH THIS. Answer: TOBACCO, SNUFF
▶ Name the pathology: picture of palate with numerous small raised areas
with central red dots caused by pipe smoking
This is not premalignant and is caused by the ____ form the smoke. Not
the chemicals
tx?. Answer: nicotonic stomatitis
heat from the smoke, not the chemicals
is reversible, need to stop smoking
▶ Name the pathology: can be seen on the palate in a pipe smoker.
Answer: nicotonic stomatitis
▶ Name the pathology:
Hepatitis that ca be caused by inoculation(serum, vaccination) iv drug use
and blood transfusions. Answer: hepatitis C
▶ Name the pathology: occurs on the lower lip an lateral tongue borders.
may have a crusted or cauliflower appearance. Answer: Squamous cell
carcinoma
▶ patient comes in with hard palate swelling hat has been there for about 2
years. The patient tells you they had a similiar lesion removed some years
ago
tx?. Answer: surgical removal
,▶ You see a swelling under the tongue on the floor of the mouth (ranula).
What do you do for treatment ?(2). Answer: surgical removal or
masupialize
▶ Dense, firm ulcer with indurated borders is of 4 months duration. It has
been gradually increasing in size and severely restricts tongue movement.
What do you do?. Answer: perform incisional biopsy
▶ You see a hard palate with a midline swelling present for several years.
Pt is concerned about this swelling because there is a family history of
carcinoma. What do you do?. Answer: treatment: leave along and
reassure the patient
▶ Name the pathology: occurs on the face (might see under eyes)
patient has RAISED lesion under the ye present for about 2 years.
TX?. Answer: basal cell carcinoma
biopsy and surgica lremoval
▶ heptatis serum can be acute or chronic , prlonged incubaton 4-26
weeks?. Answer: hep b
▶ hepatitis infectious required from raw steamed shellfish, contaiminated
water or food. Answer: hep A
▶ T/f: a patient who has Hepatitis A over a year ago is okay to treat?
When is Hepatitis A okay to treat: after _____ fro mthe onset of jaundice.
How is it transmitted?. Answer: true, it resolves within a couple of weeks
usually on its own
after one 1
transmitted fecal oral route
▶ Name the pathology: looks like little dialted blood vessels (telangiectasis)
on the tongue. Answer: multiple telangiestasias
,▶ Median Rhomboid Glossitis (Central Papillary Atrophy) is type of ___
infection.
Tx. Answer: candida
nystatin
▶ Hairy tongue : looks nasty. treat by taking the patient of thier medicaitons
, use ___ and improve oral hygiene (brush tongue). Answer: mouthrinses,
medications , and improve OH
▶ Oral hairy leukoplakia (AIDS)
presents as white plaque usually on the lateral border of the tongue that
does not rub off. Associated with __ and ___. Answer: Presents as a white
mucosal plaque that does not rub off, usually on the lateral border of the
tongue; associated with EBV and AIDS
▶ Name the pathology: oral manfestation in aids patients. a malginant
cnacer of the lining of blood vesels on the ______. May present as purple
lesionson the palte. TX: ?. Answer: kaposi sarcoma
hard palate
tx: provide normal dntal treatment but NO invasive treatment
▶ Geographic tongue (migratory glossitis) caused by atrophy of the ___
papillae on tongue
tx: ?. Answer: Pattern of normal coating interspersed with bright red, shiny,
circular bald areas caused by atrophy of the filiform papillae, with raised
pearly borders. Pattern resembles a map and changes with time. Not
significant, and its cause is not known.
tx: ressure patient and leave alone
▶ Fissured tongue aka Scrotal tongue
tx?. Answer: deep furrows on the surface of the tongue that is considered
a normal variant
do nothing
, ▶ leukoplakia on the tongue or buccal mucosa must be ___. Answer:
biopsied
▶ asymptomatic finding on the tongue lateral border with a 5 year history
during which time it has changed appearance repeatedly.
TX?. Answer: reassurance, no treatment
▶ a keratotic linear formation on the tongue lateral border has been
present for about 2.5 years. tx. Answer: biopsy
▶ Name the pathology: can see on PAX with translucent areas due to less
striations in bone, decrease in trabecular bone density, enlarged bone
marrow spaces, and stepladder appearance. Answer: sickle cell anemia
▶ Name the pathology: can see due an obvious step between teeth 24 and
25 on pan. Can show a step down in the occlusal plane. Answer: mildine
mandibule fracture
▶ Name the pathology: idiopathic, can be due to nerves, or nutrition
deficiency. Answer: burning mouth syndrome
▶ t/f: if lingual tonsils enlarged when sick this is pathologic?. Answer: false
▶ a younger teenager with swollen tonsils is an _____ condtion. Answer:
inflammatory
▶ this muscle is the first pillar in front of the tonsils?. Answer:
palatoglossus muscle
▶ t/f: pharngeal space on a pan is normal?. Answer: true
▶ cementoma affects ___ teeth.
TX:?. Answer: vital teeth
Treatment: no treatment, observe
▶ Name the pathology: affects non vital teeth, no radilucnet border,
radiopacity is not seperated from the apex, the clincal expansion is present.
