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