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 patient presents with recurrent aphthous ulcers. What is the first-line management? Intralesional corticosteroids Systemic corticosteroids Topical corticosteroids Observation Start with topical corticosteroids. 2 / 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? Topical corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Observation Systemic corticosteroids Add systemic antivirals to topical anesthetics and systemic analgesics. 3 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Observation Debridement + systemic antibiotics Add systemic corticosteroids Increase topical anesthetics If no improvement, perform debridement and start systemic antibiotics. 4 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Add systemic analgesics Topical corticosteroids Systemic antibiotics Add systemic analgesics for severe pain. 5 / 22 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. 6 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Observation Debridement Eliminate etiological factors Systemic corticosteroids Systemic corticosteroids are indicated. 7 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Protective dressing Systemic corticosteroids Intralesional corticosteroid injection Debridement Use intralesional corticosteroid injections. 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? Incisional biopsy Observation only Systemic antibiotics Eliminate etiological factors + topical corticosteroids Eliminate etiological factors and use topical corticosteroids. 9 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Topical anesthetics Systemic corticosteroids Protective dressing Systemic antibiotics Topical anesthetics are first-line for pain control. 10 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Systemic corticosteroids Continue observation Incisional biopsy If not resolved, perform incisional biopsy. 11 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Incisional biopsy Observation Topical corticosteroids Protective dressing Manage as suspected squamous cell carcinoma with incisional biopsy. 12 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Incisional biopsy Systemic corticosteroids Topical anesthetics + protective dressing Debridement Manage with topical anesthetics and protective dressing if possible. 13 / 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? Systemic corticosteroids Topical corticosteroids Immediate incisional biopsy Eliminate etiological factor (smoking cessation) + observe Eliminate etiological factor (smoking cessation) and observe. 14 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Debridement Increase topical dose Systemic corticosteroids Add systemic analgesics If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 15 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Topical corticosteroids Systemic antibiotics Debridement No treatment Asymptomatic Erythema Migrans requires no treatment. 16 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Observation Systemic corticosteroids Topical anesthetics Perform incisional biopsy to rule out squamous cell carcinoma. 17 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Debridement Systemic antivirals only Intralesional corticosteroids Topical anesthetics + systemic analgesics Symptomatic relief with topical anesthetics and systemic analgesics. 18 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Incisional biopsy Topical corticosteroids Systemic corticosteroids Observation Symptomatic Erythema Migrans is treated with topical corticosteroids. 19 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Debridement + systemic antibiotics + systemic analgesics Observation Topical corticosteroids Systemic corticosteroids only Debridement, systemic antibiotics, and systemic analgesics are indicated. 20 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Increase antibiotics Add medical evaluation Topical corticosteroids Protective dressing Add medical evaluation if immunosuppression is present. 21 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Incisional biopsy immediately Debridement Eliminate etiological factor + observe Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 22 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Debridement Systemic corticosteroids Incisional biopsy Continue observation If no resolution after smoking cessation, perform incisional biopsy. Your score is 0% Restart quiz
