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