Professional Documents
Culture Documents
On occasions you may feel that more than one option offers a credible answer. In such
circumstances the examiners are looking for the single answer that is generally accepted to accord
with current best practice or clinical guidelines.
In each theme there are more options than items, so not all the options will be used as answers.
Alternatively a given option may provide the answer to more than one item. For example, for two
different scenarios the most likely diagnosis could be the same. In this case the option would be
used more than once.
The answers are NOT negatively marked and you are therefore advised to attempt all the
questions.
Example EMQs
Example 1 appearances of oral tissue
The options provided below are diagnoses for conditions with characteristic appearances that may
be recognised when examining patients mouths. For each clinical scenario described choose the
single most likely diagnosis from the list of options.
Options list:
A.
B.
C.
D.
E.
F.
G.
H.
Circumvallate papillae
Filiform papillae
Fordyce spots
Leukoedema
Leukoplakia
Lingual tonsils
Mandibular tori
Palatal tori
Clinical scenarios
1. Sebaceous glands visible as white or cream coloured spots up to 0.5mm diameter
usually present in the labial and buccal mucosa.
C
2. Bilateral raised red lumps, which enlarge during viral infections, at the lateral
borders of the base of the tongue.
F
3. A row of 8-12 pink/red lumps on the dorsum of the tongue at the junction of the
A
anterior two thirds and posterior third of the tongue.
4. A milky white translucent whitening of the oral mucosa, commoner in black races
D
which disappears on stretching the mucosa.
5. Bilateral bony hard swellings on the lingual aspect of the mandible in the premolar
regions.
G
Clinical scenarios:
1. A 50-year-old man with a prosthetic heart valve requiring a tooth extraction. There
is no other relevant medical history.
G
2. A 23-year-old woman presents complaining of sore, red, bleeding gums and
halitosis with clinical evidence of loss of interdental papillae and systemic upset.
F
3. A 55-year-old diabetic man with tender buccal and lingual swelling and
lymphadenopathy, associated with a grossly carious mandibular molar tooth. He
is allergic to penicillin.
D
4. An uncooperative 5-year-old child attends, with swelling of the right side of the
face resulting from an abscessed tooth. There is no significant medical history.
A
5. A 30-year-old man presents with acute pericoronitis associated with a left
mandibular third molar tooth. He is pyrexic and has trismus.
F
Example SBAs
Example 1 A patient attends for an extraction of a lower molar tooth. Following the administration
of an inferior alveolar nerve block only, the patient complains of pain during the procedure.
Which one of the following nerves is the most likely to be responsible for the perception of this
pain?
Facial
Incisive
Long buccal
Marginal mandibular
Mental
Example 2
Which one of the following local anaesthetic agents (at the correct dosage) is the most likely to
provide the most prolonged analgesia?
Articaine
Bupivicaine
Lidocaine (lignocaine)
Mepivicaine
Prilocaine
Example 3 - A 51-year-old man with chronic periodontal disease complains of polyuria, thirst and
lethargy at his treatment review.
Which one of the following medical conditions is most likely to be associated with this history?
Angina
Cushings syndrome
Diabetes mellitus
Lymphoma
Tuberculosis
Example 4 - A 4-year-old child experienced trauma to their upper deciduous incisors. Which one of
the following is the most likely permanent consequence for the developing incisors?
Dilacerated tooth
Enamel hypoplasia
Geminated tooth
Hutchinsons incisor
Turners tooth
NOTE: Examples are provided to help familiarise candidates with the format of different
question types and we cannot vouch for the accuracy or currency of the content.