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