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