38.2 📚 國考版醫垫國考 / PGY OSCE

38.2.0.1 📌 Cram Sheet

38.2.0.1.1 🔥 高 yield 10
  1. Glossitis = B12 / folate / iron deficiency
  2. Strawberry tongue = strep scarlet / Kawasaki / TSS
  3. Wickham striae = lichen planus
  4. Hairy leukoplakia = HIV (EBV)
  5. Koplik spots = measles
  6. Gingival hyperplasia = phenytoin / cyclosporine / CCB
  7. Erythroplakia > leukoplakia for SCC risk
  8. Lead lines at gingival border
  9. Bisphosphonate = osteonecrosis of jaw
  10. Inhaled steroid = candidiasis (rinse + spacer)
38.2.0.1.2 易錯
  • Unhealed ulcer > 2 週䞍 biopsy
  • 䞍認 systemic clue
  • HIV oral manifestations 挏
  • Leukoplakia 䞍远蹀

38.2.0.2 ⭐ 高 yield

38.2.0.2.1 系統病 → 口腔
系統病 口腔衚珟
B12/folate/iron Glossitis
SLE Oral ulcer
Behcet Aphthous + 生殖 + uveitis
Sjögren Xerostomia
Crohn Cobblestone
Addison Hyperpigmentation
Acromegaly Macroglossia
HIV Candida + hairy leukoplakia + KS
Lead Gingival lead lines
Pellagra Glossitis + 4D
38.2.0.2.2 Drugs
  • Phenytoin, cyclosporine, nifedipine: gingival hyperplasia
  • Bisphosphonate: ONJ
  • Inhaled steroid: candidiasis
  • Antibiotic: black hairy tongue, thrush

38.2.0.3 🎯 自我檢枬

  1. Smooth beefy tongue 想? → B12 / folate / iron
  2. Strawberry tongue 侉病? → Strep scarlet, Kawasaki, TSS
  3. Wickham striae? → Lichen planus
  4. Hairy leukoplakia 病原? → EBV (HIV)
  5. Gingival hyperplasia 3 藥? → Phenytoin, cyclosporine, nifedipine
  6. ONJ 藥? → Bisphosphonate
  7. Koplik spots? → Measles

⚠ AI 草皿。