Oral Pathology Management 3Dentistry MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. Oral Lesions Management 3 1 / 22 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? Observation Topical corticosteroids Systemic corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Add systemic antivirals to topical anesthetics and systemic analgesics. 2 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Intralesional corticosteroids Systemic antivirals only Debridement Topical anesthetics + systemic analgesics Symptomatic relief with topical anesthetics and systemic analgesics. 3 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Incisional biopsy Continue observation Systemic corticosteroids Debridement If no resolution after smoking cessation, perform incisional biopsy. 4 / 22 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. 5 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Systemic corticosteroids Eliminate etiological factor + observe Debridement Incisional biopsy immediately Remove the cause, observe, and reassess. Use topical anesthetics if needed. 6 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Add systemic corticosteroids Observation Debridement + systemic antibiotics Increase topical anesthetics If no improvement, perform debridement and start systemic antibiotics. 7 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Systemic corticosteroids Observation Debridement Eliminate etiological factors Systemic corticosteroids are indicated. 8 / 22 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 Systemic antibiotics Incisional biopsy Eliminate etiological factors + topical corticosteroids Eliminate etiological factors and use topical corticosteroids. 9 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Systemic antibiotics Add systemic analgesics Topical corticosteroids Add systemic analgesics for severe pain. 10 / 22 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. 11 / 22 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. 12 / 22 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 Debridement only Systemic corticosteroids Eliminate etiological factors + topical anesthetics Eliminate etiological factors in chemical burns. 13 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Continue observation Systemic corticosteroids Incisional biopsy If not resolved, perform incisional biopsy. 14 / 22 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. 15 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Increase topical dose Systemic corticosteroids Debridement Add systemic analgesics If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 16 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Observation Systemic corticosteroids Topical corticosteroids Intralesional corticosteroids Start with topical corticosteroids. 17 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Debridement Topical anesthetics + protective dressing Incisional biopsy Systemic corticosteroids Manage with topical anesthetics and protective dressing if possible. 18 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Add medical evaluation Topical corticosteroids Increase antibiotics Protective dressing Add medical evaluation if immunosuppression is present. 19 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Systemic antibiotics Topical corticosteroids Debridement No treatment Asymptomatic Erythema Migrans requires no treatment. 20 / 22 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. 21 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Topical corticosteroids Protective dressing Observation Incisional biopsy Manage as suspected squamous cell carcinoma with incisional biopsy. 22 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Debridement + systemic antibiotics + systemic analgesics Topical corticosteroids Observation Systemic corticosteroids only Debridement, systemic antibiotics, and systemic analgesics are indicated. Your score is 0% Restart quiz
