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