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 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). 2 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Incisional biopsy Systemic corticosteroids Protective dressing Intralesional corticosteroids If topical corticosteroids are ineffective, use systemic corticosteroids. 3 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Protective dressing Observe and reassess Surgical excision Systemic corticosteroids Dysplasia requires surgical excision. 4 / 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? Incisional biopsy Topical corticosteroids only Topical antimicrobials + eliminate etiological factors (remake denture) Protective dressing Topical antimicrobials + remake denture. 5 / 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? Incisional biopsy No treatment Eliminate etiological factors Topical corticosteroids Linea Alba requires no treatment. 6 / 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 Protective dressing Topical corticosteroids Incisional biopsy + avoid sun exposure/use sunscreen Perform incisional biopsy and advise sun protection. 7 / 32 A patient presents with papillary growths on the palate under a denture. Diagnosis: Inflammatory Papillary Hyperplasia. What is the initial management? Protective dressing Systemic antibiotics Systemic corticosteroids Eliminate etiological factors + topical antimicrobials Eliminate etiological factors + topical antimicrobials. 8 / 32 A biopsy of a leukoplakia lesion shows no dysplasia. What is the next step? Observe and reassess Systemic corticosteroids Debridement Surgical excision Observe and reassess. 9 / 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 Incisional biopsy immediately Protective dressing Systemic corticosteroids Topical antimicrobials + observe and reassess. 10 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Incisional biopsy Protective dressing Systemic corticosteroids Continue antifungals If no resolution, incisional biopsy (manage as leukoplakia). 11 / 32 A patient presents with an asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Systemic corticosteroids Incisional biopsy Change restoration Topical corticosteroids Change restoration (eliminate etiological factors). 12 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Topical antimicrobials Systemic antibiotics Incisional biopsy Topical corticosteroids Topical antimicrobials (antifungals). 13 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Systemic corticosteroids Topical corticosteroids Observe and reassess Incisional biopsy Topical corticosteroids. 14 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Incisional biopsy Topical corticosteroids No treatment Systemic antibiotics Perform incisional biopsy. 15 / 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. 16 / 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 Systemic corticosteroids + medical evaluation Observe and reassess Protective dressing Systemic corticosteroids + medical evaluation. 17 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Systemic antibiotics Topical corticosteroids Surgical excision (excisional biopsy) Protective dressing If no resolution, surgical excision (excisional biopsy). 18 / 32 A patient presents with diffuse, milky-white opalescent mucosa on the buccal mucosa that disappears when stretched. Diagnosis: Leukoedema. What is the management? Topical corticosteroids Systemic corticosteroids No treatment Incisional biopsy Leukoedema requires no treatment. 19 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Incisional biopsy Continue observation Systemic antibiotics Topical corticosteroids If no resolution, manage as leukoplakia (incisional biopsy). 20 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Systemic corticosteroids Change restoration only Topical corticosteroids + change restoration Topical corticosteroids only Topical corticosteroids + change restoration. 21 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Topical corticosteroids Topical antimicrobials Systemic antibiotics Incisional biopsy Topical antimicrobials (antifungals). 22 / 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? Eliminate etiological factors + observe No treatment Topical corticosteroids Incisional biopsy Eliminate etiological factors and observe. 23 / 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 Incisional biopsy + eliminate etiological factors Systemic antibiotics Topical corticosteroids Incisional biopsy and eliminate etiological factors. 24 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Medical evaluation Incisional biopsy Systemic antivirals Topical corticosteroids Asymptomatic HIV+ → medical evaluation. 25 / 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 Topical corticosteroids Protective dressing Observation Incisional biopsy and eliminate etiological factors if applicable. 26 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Topical corticosteroids Incisional biopsy Topical antimicrobials + check vertical dimension Systemic antibiotics Topical antimicrobials + check vertical dimension. 27 / 32 A patient presents with diffuse thickened white patches on the oral mucosa present since childhood. Diagnosis: White Sponge Nevus. What is the management? Systemic antibiotics Topical corticosteroids No treatment Incisional biopsy White Sponge Nevus requires no treatment. 28 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Topical anesthetics Debridement Eliminate etiological factors Protective dressing Eliminate etiological factors such as smoking, tobacco, alcohol. 29 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Systemic corticosteroids Incisional biopsy Observe and reassess Topical corticosteroids Observe and reassess (or no treatment if observe not available). 30 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Medical evaluation + systemic antivirals Medical evaluation only Topical corticosteroids Incisional biopsy Symptomatic HIV+ → medical evaluation + systemic antivirals. 31 / 32 A patient presents with a persistent red patch on the lateral tongue. Diagnosis: Erythroplakia. What is the initial management? Systemic antibiotics Topical corticosteroids Observation Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 32 / 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. Your score is 0% Restart quiz
