A 32-year-old woman is at the clinic for "little white bumps in my mouth." During the assessment, the nurse notes that she has a 0.5 cm white, nontender papule under her tongue and one on the mucosa of her right cheek
What would the nurse tell the patient?
a.
"These spots indicate an infection such as strep throat."
b.
"These bumps could be indicative of a serious lesion, so I will refer you to a specialist."
c.
"This condition is called leukoplakia and can be caused by chronic irritation such as with smoking."
d.
"These bumps are Fordyce granules, which are sebaceous cysts and are not a serious condition."
ANS: D
Fordyce granules are small, isolated white or yellow papules on the mucosa of the cheek, tongue, and lips. These little sebaceous cysts are painless and are not significant. Chalky, white raised patches would indicate leukoplakia. In strep throat, the examiner would see tonsils that are bright red, swollen, and may have exudates or white spots.
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