Oral Pathology Management QuizDentistry MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. Managing Oral Pathology Conditions 1 1 / 32 A patient presents with chronic dryness, cracking, and white discoloration of the lower lip due to sun exposure. Diagnosis: Actinic Cheilitis. What is the management? Systemic antibiotics Incisional biopsy + avoid sun exposure/use sunscreen Protective dressing Topical corticosteroids Perform incisional biopsy and advise sun protection. 2 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Protective dressing Continue antifungals Systemic corticosteroids Incisional biopsy If no resolution, incisional biopsy (manage as leukoplakia). 3 / 32 A patient without an HIV diagnosis presents with white lesions on the tongue and signs of immunosuppression (fever, weight loss). Diagnosis: Hairy Leukoplakia. What is the management? Incisional biopsy + medical evaluation Medical evaluation only Topical corticosteroids Systemic antivirals Immunosuppression signs without HIV diagnosis → incisional biopsy + medical evaluation. 4 / 32 A patient presents with oral lesions and multiple systemic symptoms including joint pain and fatigue. Diagnosis: Systemic Lupus Erythematosus. What is the management? Topical corticosteroids Observe and reassess Systemic corticosteroids + medical evaluation Protective dressing Systemic corticosteroids + medical evaluation. 5 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Incisional biopsy Observation only Topical corticosteroids + medical evaluation Systemic corticosteroids Topical corticosteroids + medical evaluation. 6 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Observe and reassess Surgical excision Systemic corticosteroids Protective dressing Dysplasia requires surgical excision. 7 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Topical corticosteroids Systemic antibiotics Incisional biopsy Topical antimicrobials Topical antimicrobials (antifungals). 8 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Incisional biopsy Topical antimicrobials + check vertical dimension Topical corticosteroids Systemic antibiotics Topical antimicrobials + check vertical dimension. 9 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Topical corticosteroids Protective dressing Surgical excision (excisional biopsy) Systemic antibiotics If no resolution, surgical excision (excisional biopsy). 10 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Topical corticosteroids Observation only Incisional biopsy Protective dressing No identifiable cause → manage as leukoplakia (incisional biopsy). 11 / 32 A patient with a poorly fitting denture presents with erythematous mucosa under the denture. Diagnosis: Denture stomatitis due to Candidiasis. What is the management? Topical corticosteroids only Incisional biopsy Protective dressing Topical antimicrobials + eliminate etiological factors (remake denture) Topical antimicrobials + remake denture. 12 / 32 A patient presents with papillary growths on the palate under a denture. Diagnosis: Inflammatory Papillary Hyperplasia. What is the initial management? Systemic corticosteroids Eliminate etiological factors + topical antimicrobials Systemic antibiotics Protective dressing Eliminate etiological factors + topical antimicrobials. 13 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Systemic antibiotics Incisional biopsy Topical corticosteroids Continue observation If no resolution, manage as leukoplakia (incisional biopsy). 14 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Topical corticosteroids Topical antimicrobials Systemic antibiotics Incisional biopsy Topical antimicrobials (antifungals). 15 / 32 A biopsy of a leukoplakia lesion shows no dysplasia. What is the next step? Surgical excision Systemic corticosteroids Observe and reassess Debridement Observe and reassess. 16 / 32 A patient presents with a raised white line along the buccal mucosa at the level of the occlusal plane. Diagnosis: Linea Alba. What is the management? No treatment Topical corticosteroids Incisional biopsy Eliminate etiological factors Linea Alba requires no treatment. 17 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Incisional biopsy Topical corticosteroids Medical evaluation only Medical evaluation + systemic antivirals Symptomatic HIV+ → medical evaluation + systemic antivirals. 18 / 32 A patient presents with an asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Topical corticosteroids Change restoration Systemic corticosteroids Incisional biopsy Change restoration (eliminate etiological factors). 19 / 32 A patient presents with a slow-growing warty lesion on the buccal mucosa and uses smokeless tobacco. Diagnosis: Verrucous Carcinoma. What is the management? Protective dressing Systemic antibiotics Topical corticosteroids Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors. 20 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Systemic corticosteroids Protective dressing Incisional biopsy Intralesional corticosteroids If topical corticosteroids are ineffective, use systemic corticosteroids. 21 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Systemic corticosteroids Topical corticosteroids Incisional biopsy Observe and reassess Topical corticosteroids. 22 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Topical corticosteroids Incisional biopsy Systemic antibiotics No treatment Perform incisional biopsy. 23 / 32 A patient presents with a persistent red patch on the lateral tongue. Diagnosis: Erythroplakia. What is the initial management? Observation Incisional biopsy + eliminate etiological factors Topical corticosteroids Systemic antibiotics Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 24 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Topical corticosteroids Systemic corticosteroids Observe and reassess Incisional biopsy Observe and reassess (or no treatment if observe not available). 25 / 32 A patient presents with diffuse thickened white patches on the oral mucosa present since childhood. Diagnosis: White Sponge Nevus. What is the management? No treatment Topical corticosteroids Systemic antibiotics Incisional biopsy White Sponge Nevus requires no treatment. 26 / 32 A patient presents with a persistent white patch that cannot be wiped off, suspected to be chronic hyperplastic candidiasis. What is the initial management? Topical antimicrobials + observe and reassess Systemic corticosteroids Incisional biopsy immediately Protective dressing Topical antimicrobials + observe and reassess. 27 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Medical evaluation Systemic antivirals Incisional biopsy Topical corticosteroids Asymptomatic HIV+ → medical evaluation. 28 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Topical anesthetics Eliminate etiological factors Debridement Protective dressing Eliminate etiological factors such as smoking, tobacco, alcohol. 29 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Incisional biopsy + eliminate etiological factors Observation Protective dressing Topical corticosteroids Incisional biopsy and eliminate etiological factors if applicable. 30 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Change restoration only Topical corticosteroids only Topical corticosteroids + change restoration Systemic corticosteroids Topical corticosteroids + change restoration. 31 / 32 A patient has a localized white plaque on the buccal mucosa caused by chronic cheek biting. Diagnosis: Frictional Keratosis. What is the first management step? No treatment Incisional biopsy Eliminate etiological factors + observe Topical corticosteroids Eliminate etiological factors and observe. 32 / 32 A patient presents with diffuse, milky-white opalescent mucosa on the buccal mucosa that disappears when stretched. Diagnosis: Leukoedema. What is the management? Incisional biopsy No treatment Systemic corticosteroids Topical corticosteroids Leukoedema requires no treatment. Your score is 0% Restart quiz
