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