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