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 an ulcer caused by a sharp tooth edge. What is the appropriate management? Incisional biopsy immediately Eliminate etiological factor + observe Debridement Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 2 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Topical corticosteroids Debridement + systemic antibiotics + systemic analgesics Observation Debridement, systemic antibiotics, and systemic analgesics are indicated. 3 / 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. 4 / 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. 5 / 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? Observation Topical corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Systemic corticosteroids Add systemic antivirals to topical anesthetics and systemic analgesics. 6 / 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. 7 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Topical anesthetics + protective dressing Debridement Systemic corticosteroids Incisional biopsy Manage with topical anesthetics and protective dressing if possible. 8 / 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? Observation only Eliminate etiological factors + topical corticosteroids Incisional biopsy Systemic antibiotics Eliminate etiological factors and use topical corticosteroids. 9 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Add medical evaluation Protective dressing Increase antibiotics Topical corticosteroids Add medical evaluation if immunosuppression is present. 10 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Observation Topical corticosteroids Systemic corticosteroids Intralesional corticosteroids Start with topical corticosteroids. 11 / 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. 12 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Observation Protective dressing Incisional biopsy Topical corticosteroids Manage as suspected squamous cell carcinoma with incisional biopsy. 13 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? No treatment Topical corticosteroids Debridement Systemic antibiotics Asymptomatic Erythema Migrans requires no treatment. 14 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Continue observation Incisional biopsy Systemic corticosteroids Topical anesthetics only If not resolved, perform incisional biopsy. 15 / 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. 16 / 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. 17 / 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 Incisional biopsy Eliminate etiological factors + topical anesthetics Debridement only Eliminate etiological factors in chemical burns. 18 / 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 Eliminate etiological factor (smoking cessation) + observe Topical corticosteroids Immediate incisional biopsy Eliminate etiological factor (smoking cessation) and observe. 19 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Add systemic corticosteroids Increase topical anesthetics Observation If no improvement, perform debridement and start systemic antibiotics. 20 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Topical anesthetics Systemic corticosteroids Observation Perform incisional biopsy to rule out squamous cell carcinoma. 21 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Systemic antibiotics Protective dressing only Add systemic analgesics Topical corticosteroids Add systemic analgesics for severe pain. 22 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Debridement Protective dressing Systemic corticosteroids Intralesional corticosteroid injection Use intralesional corticosteroid injections. Your score is 0% Restart quiz
