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