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