Family Nurse Practitioner Exam

Which condition is most commonly associated with chronic use of chewing tobacco?

1. Cheilosis and xerostomia

2. Glossitis

3. A geographic tongue

4. Leukoplakia and oral cancer

The correct answer is: Leukoplakia and oral cancer

The condition most commonly associated with chronic use of chewing tobacco is leukoplakia and oral cancer. Chewing tobacco contains carcinogenic substances that can lead to the development of precancerous leukoplakia, which appears as white patches in the oral cavity. Over time, the continuous exposure to these harmful substances significantly increases the risk of developing oral cancers, making this association particularly strong. Additionally, the irritating nature of tobacco can lead to chronic inflammation and other changes in the oral mucosa, which can further contribute to malignancy. Effective prevention and early detection are crucial, as leukoplakia can sometimes progress to squamous cell carcinoma if left untreated. The importance of education regarding the risks of tobacco use, particularly in terms of oral health and cancer, cannot be overstated. While conditions like cheilosis, glossitis, and geographic tongue can occur within the oral cavity and may have associations with various factors, they do not have the same level of direct correlation with chewing tobacco as leukoplakia and oral cancer do. Therefore, understanding the significant risks posed by chronic use of chewing tobacco serves to highlight the importance of cessation and regular oral examinations.