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 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 Systemic corticosteroids Immediate incisional biopsy Topical corticosteroids Eliminate etiological factor (smoking cessation) and observe. 2 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Intralesional corticosteroids Systemic corticosteroids Observation Topical corticosteroids Start with topical corticosteroids. 3 / 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 corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Observation Add systemic antivirals to topical anesthetics and systemic analgesics. 4 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Incisional biopsy Continue observation Topical anesthetics only Systemic corticosteroids If not resolved, perform incisional biopsy. 5 / 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 Eliminate etiological factors + topical corticosteroids Incisional biopsy Eliminate etiological factors and use topical corticosteroids. 6 / 22 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. 7 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Topical corticosteroids Systemic corticosteroids Observation Incisional biopsy Symptomatic Erythema Migrans is treated with topical corticosteroids. 8 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Add systemic analgesics Debridement Systemic corticosteroids Increase topical dose If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 9 / 22 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 Debridement only Incisional biopsy Eliminate etiological factors in chemical burns. 10 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Continue observation Incisional biopsy Debridement Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 11 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Systemic corticosteroids Debridement Protective dressing Intralesional corticosteroid injection Use intralesional corticosteroid injections. 12 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Observation Incisional biopsy Topical corticosteroids Protective dressing Manage as suspected squamous cell carcinoma with incisional biopsy. 13 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Observation Add systemic corticosteroids Debridement + systemic antibiotics Increase topical anesthetics If no improvement, perform debridement and start systemic antibiotics. 14 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Topical anesthetics Systemic corticosteroids Observation Perform incisional biopsy to rule out squamous cell carcinoma. 15 / 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. 16 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Systemic antibiotics Systemic corticosteroids Topical anesthetics Protective dressing Topical anesthetics are first-line for pain control. 17 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Add systemic analgesics Protective dressing only Topical corticosteroids Systemic antibiotics Add systemic analgesics for severe pain. 18 / 22 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. 19 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Systemic corticosteroids Debridement Observation Eliminate etiological factors Systemic corticosteroids are indicated. 20 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Increase antibiotics Protective dressing Topical corticosteroids Add medical evaluation Add medical evaluation if immunosuppression is present. 21 / 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. 22 / 22 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. Your score is 0% Restart quiz
