Oral Pathology Mangement 2Dentistry MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. Oral Lesions Management 2 1 / 30 A patient presents with localized erythema and ulceration after using a new mouth rinse. Diagnosis: Allergic Contact Stomatitis. What is the first step in management? Systemic antibiotics Incisional biopsy Eliminate etiological factors + topical corticosteroids Observation only Eliminate etiological factors and use topical corticosteroids. 2 / 30 A patient presents with recurrent aphthous ulcers. What is the first-line management? Topical corticosteroids Observation Systemic corticosteroids Intralesional corticosteroids Start with topical corticosteroids. 3 / 30 A traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Systemic corticosteroids Incisional biopsy Continue observation If not resolved, perform incisional biopsy. 4 / 30 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Add systemic analgesics Protective dressing only Topical corticosteroids Systemic antibiotics Add systemic analgesics for severe pain. 5 / 30 A patient presents with blistering lesions and the diagnosis is unclear between Pemphigus Vulgaris and Cicatricial Pemphigoid. What is the most appropriate immediate management? Topical corticosteroids Systemic antibiotics Eliminate etiological factors Systemic corticosteroids If the diagnosis is unclear between these two conditions, topical corticosteroids should be used initially. 6 / 30 An ulcer is present but no etiological factor can be identified. What should be the management? Protective dressing Topical corticosteroids Observation Incisional biopsy Manage as suspected squamous cell carcinoma with incisional biopsy. 7 / 30 A patient with Erythema Multiforme presents with painful oral ulcers but no known trigger. What is the most appropriate symptomatic management? Systemic corticosteroids Topical corticosteroids Topical anesthetics + systemic analgesics Debridement + systemic antibiotics Pain from ulcers is managed with topical anesthetics and systemic analgesics. 8 / 30 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Intralesional corticosteroid injection Protective dressing Systemic corticosteroids Debridement Use intralesional corticosteroid injections. 9 / 30 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Debridement Incisional biopsy Systemic corticosteroids Continue observation If no resolution after smoking cessation, perform incisional biopsy. 10 / 30 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Observation Topical corticosteroids Systemic corticosteroids Incisional biopsy Symptomatic Erythema Migrans is treated with topical corticosteroids. 11 / 30 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Debridement + systemic antibiotics + systemic analgesics Observation Topical corticosteroids Debridement, systemic antibiotics, and systemic analgesics are indicated. 12 / 30 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Eliminate etiological factor + observe Debridement Systemic corticosteroids Incisional biopsy immediately Remove the cause, observe, and reassess. Use topical anesthetics if needed. 13 / 30 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? No treatment Debridement Topical corticosteroids Systemic antibiotics Asymptomatic Erythema Migrans requires no treatment. 14 / 30 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Topical anesthetics + protective dressing Systemic corticosteroids Debridement Incisional biopsy Manage with topical anesthetics and protective dressing if possible. 15 / 30 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Observation Increase topical anesthetics Add systemic corticosteroids If no improvement, perform debridement and start systemic antibiotics. 16 / 30 A patient with Erythema Multiforme has skin involvement and fever. What should be added to the management plan? Eliminate etiological factors Systemic corticosteroids Add medical consultation Incisional biopsy Erythema Multiforme with skin involvement (major form) requires adding medical consultation. 17 / 30 A child presents with fever, malaise, and widespread oral ulcers diagnosed within the first 3 days as primary herpetic gingivostomatitis. What is the correct management? Topical corticosteroids Systemic corticosteroids Observation Systemic antivirals + topical anesthetics + systemic analgesics Add systemic antivirals to topical anesthetics and systemic analgesics. 18 / 30 A 62-year-old patient presents with persistent oral ulcerations and gingival erythema. Diagnosis: Cicatricial Pemphigoid. What is the most appropriate first-line management? Topical corticosteroids + medical evaluation Systemic corticosteroids Observation only Debridement + systemic antibiotics Initial management involves topical corticosteroids and medical evaluation. 19 / 30 A patient presents with widespread painful oral blisters and ulcerations. Diagnosis: Pemphigus Vulgaris. What is the primary management approach? Systemic corticosteroids + medical evaluation Topical corticosteroids only Debridement + systemic antibiotics Observation Pemphigus Vulgaris requires systemic corticosteroids and medical evaluation. 20 / 30 A patient with Erythema Multiforme has lesions triggered by HSV infection. What is the appropriate management plan? Systemic antivirals + topical anesthetics + systemic analgesics Systemic corticosteroids Debridement + systemic antibiotics Topical corticosteroids only When HSV is the trigger, systemic antivirals should be added to topical anesthetics and systemic analgesics. 21 / 30 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Observation Systemic corticosteroids Debridement Eliminate etiological factors Systemic corticosteroids are indicated. 22 / 30 A patient reports placing aspirin in the vestibule for toothache relief and now has a mucosal burn. What should be included in management? Incisional biopsy Eliminate etiological factors + topical anesthetics Debridement only Systemic corticosteroids Eliminate etiological factors in chemical burns. 23 / 30 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Observation Incisional biopsy Topical anesthetics Systemic corticosteroids Perform incisional biopsy to rule out squamous cell carcinoma. 24 / 30 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Increase topical dose Add systemic analgesics Systemic corticosteroids Debridement If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 25 / 30 A patient with a long history of smoking presents with diffuse palatal keratosis and small red dots. Diagnosis: Nicotine Stomatitis. What is the first-line management? Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Systemic corticosteroids Topical corticosteroids Eliminate etiological factor (smoking cessation) and observe. 26 / 30 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Topical anesthetics + systemic analgesics Debridement Systemic antivirals only Intralesional corticosteroids Symptomatic relief with topical anesthetics and systemic analgesics. 27 / 30 A patient with Erythema Multiforme develops lesions after starting a new medication. The causative drug is identified. What is the first management step? Discontinue the drug + topical anesthetics + systemic analgesics Protective dressing Intralesional corticosteroid injection Systemic corticosteroids If a causative drug is identified, discontinue it and provide symptomatic relief with topical anesthetics and systemic analgesics. 28 / 30 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Increase antibiotics Protective dressing Topical corticosteroids Add medical evaluation Add medical evaluation if immunosuppression is present. 29 / 30 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Protective dressing Topical anesthetics Systemic antibiotics Systemic corticosteroids Topical anesthetics are first-line for pain control. 30 / 30 A patient with Cicatricial Pemphigoid has not improved after several weeks of topical corticosteroid use. What is the next appropriate step? Protective dressing only Increase topical corticosteroid dose Eliminate etiological factors Initiate systemic corticosteroids If topical corticosteroids are ineffective, systemic corticosteroids should be initiated. Your score is 0% Restart quiz
