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