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