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2217 Pathology

A 17-year-old girl notices a small, sensitive, gray-white area forming along the lateral border of her tongue 2 days before the end of her final examinations. On examination by the physician’s assistant, the girl is afebrile. There is a shallow, ulcerated, 0.3-cm lesion with an erythematous rim. No specific therapy is given, and the lesion disappears within 2 weeks. The history shows that the girl does not use tobacco or alcohol. Which of the following is the most probable diagnosis?

AAphthous ulcer
BHerpes simplex stomatitis
CLeukoplakia
DOral thrush
Pathology
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2220 Pathology

A 5-year-old boy has had repeated bouts of earache for 3 years. Each time on examination, the bouts have been accompanied by a red, bulging tympanic membrane, either unilaterally or bilaterally, sometimes with a small amount of yellowish exudate. Laboratory studies have included cultures of Staphylococcus aureus, Pseudomonas aeruginosa, and Moraxella catarrhalis. The most recent examination shows that the right tympanic membrane has perforated. The boy responds to antibiotic therapy. Which of the following complications is most likely to occur as a consequence of these events?

ACholesteatoma
BEosinophilic granuloma
CLabyrinthitis
DOtosclerosis
Pathology
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