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 has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Systemic antibiotics Topical corticosteroids Add systemic analgesics Add systemic analgesics for severe pain. 2 / 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. 3 / 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. 4 / 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. 5 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Debridement Incisional biopsy immediately Eliminate etiological factor + observe Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 6 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Topical corticosteroids Observation Incisional biopsy Protective dressing Manage as suspected squamous cell carcinoma with incisional biopsy. 7 / 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 Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Eliminate etiological factor (smoking cessation) and observe. 8 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Debridement + systemic antibiotics + systemic analgesics Observation Topical corticosteroids Debridement, systemic antibiotics, and systemic analgesics are indicated. 9 / 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 Incisional biopsy Observation only Systemic antibiotics Eliminate etiological factors and use topical corticosteroids. 10 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Systemic corticosteroids Observation Eliminate etiological factors Debridement Systemic corticosteroids are indicated. 11 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? No treatment Systemic antibiotics Topical corticosteroids Debridement Asymptomatic Erythema Migrans requires no treatment. 12 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Debridement Intralesional corticosteroid injection Systemic corticosteroids Protective dressing Use intralesional corticosteroid injections. 13 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Add medical evaluation Increase antibiotics Protective dressing Topical corticosteroids 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 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. 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 Protective dressing Topical anesthetics Systemic corticosteroids Topical anesthetics are first-line for pain control. 17 / 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? Systemic antivirals + topical anesthetics + systemic analgesics Observation Systemic corticosteroids Topical corticosteroids Add systemic antivirals to topical anesthetics and systemic analgesics. 18 / 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. 19 / 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. 20 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Systemic corticosteroids Incisional biopsy Topical anesthetics + protective dressing Debridement Manage with topical anesthetics and protective dressing if possible. 21 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Incisional biopsy Systemic corticosteroids Debridement Continue observation If no resolution after smoking cessation, perform incisional biopsy. 22 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Systemic corticosteroids Debridement Increase topical dose Add systemic analgesics If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. Your score is 0% Restart quiz
