Pathology · single question

Fissured tongue is most commonly associated with which condition?

  1. Geographic tongue (erythema migrans)
  2. Hairy tongue
  3. Median rhomboid glossitis
  4. Atrophic glossitis (B12 deficiency)
Show answer and explanation

Correct answer: A. Geographic tongue (erythema migrans)

Fissured (scrotal) tongue and geographic tongue frequently co-occur — this is the classic board association. Both are considered benign developmental/normal variants. The co-occurrence of fissured and geographic tongue is one of the most commonly tested associations in dental boards.
  • A. ✅ Geographic tongue and fissured tongue co-occur frequently — the classic board-tested association.
  • B. ❌ Hairy tongue (elongated filiform papillae) is not specifically associated with fissured tongue.
  • C. ❌ Median rhomboid glossitis is a smooth red midline tongue lesion — not associated with fissured tongue.
  • D. ❌ Atrophic glossitis (bald/smooth tongue) is from B12/iron deficiency — unrelated to fissured tongue.

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