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 traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Incisional biopsy Continue observation Systemic corticosteroids If not resolved, perform incisional biopsy. 2 / 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. 3 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Protective dressing Topical anesthetics Systemic antibiotics Systemic corticosteroids Topical anesthetics are first-line for pain control. 4 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Systemic corticosteroids Debridement Incisional biopsy Topical anesthetics + protective dressing Manage with topical anesthetics and protective dressing if possible. 5 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Systemic corticosteroids Topical anesthetics Observation Perform incisional biopsy to rule out squamous cell carcinoma. 6 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Debridement Eliminate etiological factor + observe Systemic corticosteroids Incisional biopsy immediately Remove the cause, observe, and reassess. Use topical anesthetics if needed. 7 / 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 Topical corticosteroids Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Eliminate etiological factor (smoking cessation) and observe. 8 / 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 corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Add systemic antivirals to topical anesthetics and systemic analgesics. 9 / 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. 10 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Systemic corticosteroids Incisional biopsy Topical corticosteroids Observation Symptomatic Erythema Migrans is treated with topical corticosteroids. 11 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Topical corticosteroids Observation Systemic corticosteroids only Debridement + systemic antibiotics + systemic analgesics Debridement, systemic antibiotics, and systemic analgesics are indicated. 12 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Systemic corticosteroids Increase topical dose Add systemic analgesics Debridement If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 13 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Protective dressing Incisional biopsy Topical corticosteroids Observation Manage as suspected squamous cell carcinoma with incisional biopsy. 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 mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Increase topical anesthetics Debridement + systemic antibiotics Add systemic corticosteroids Observation If no improvement, perform debridement and start systemic antibiotics. 16 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Systemic corticosteroids Observation Debridement Eliminate etiological factors Systemic corticosteroids are indicated. 17 / 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 Continue observation Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 18 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Debridement Systemic antivirals only Intralesional corticosteroids Topical anesthetics + systemic analgesics Symptomatic relief with topical anesthetics and systemic analgesics. 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 Incisional biopsy Systemic corticosteroids Eliminate etiological factors in chemical burns. 20 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Debridement Topical corticosteroids Systemic antibiotics No treatment Asymptomatic Erythema Migrans requires no treatment. 21 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Intralesional corticosteroids Observation Systemic corticosteroids Topical corticosteroids Start with topical corticosteroids. 22 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Topical corticosteroids Add systemic analgesics Systemic antibiotics Add systemic analgesics for severe pain. Your score is 0% Restart quiz
