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