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