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