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