Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What is a typical feature of Plummer-Vinson syndrome?

Swollen lymph nodes
Tongue papilla atrophy
Lip swelling
Gingival hyperplasia

The correct answer is: Tongue papilla atrophy

Plummer-Vinson syndrome, also known as Paterson-Brown-Kelly syndrome, is characterized by a triad of symptoms, which includes iron deficiency anemia, dysphagia (difficulty swallowing), and esophageal webs. A notable feature associated with this condition is tongue papilla atrophy. Individuals with this syndrome often exhibit atrophic changes on the tongue due to deficiencies in iron, which can affect the health of oral tissues. This atrophy leads to a smooth, beefy red appearance of the tongue as the filiform papillae become diminished. The presence of tongue papilla atrophy can have implications for a patient’s overall health and nutritional status since it is indicative of a deficiency that can affect their ability to properly eat, leading to further systemic issues. Recognizing this symptom is essential for healthcare providers in diagnosing and managing Plummer-Vinson syndrome effectively.