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 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. 2 / 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. 3 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Topical anesthetics + systemic analgesics Debridement Systemic antivirals only Intralesional corticosteroids Symptomatic relief with topical anesthetics and systemic analgesics. 4 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Continue observation Systemic corticosteroids Incisional biopsy Topical anesthetics only If not resolved, perform incisional biopsy. 5 / 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. 6 / 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. 7 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Incisional biopsy immediately Debridement Eliminate etiological factor + observe Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 8 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Intralesional corticosteroids Observation Topical corticosteroids Systemic corticosteroids Start with topical corticosteroids. 9 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Systemic antibiotics Topical corticosteroids No treatment Debridement Asymptomatic Erythema Migrans requires no treatment. 10 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Observation Topical corticosteroids Systemic corticosteroids only Debridement + systemic antibiotics + systemic analgesics Debridement, systemic antibiotics, and systemic analgesics are indicated. 11 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Incisional biopsy Observation Systemic corticosteroids Topical corticosteroids Symptomatic Erythema Migrans is treated with topical corticosteroids. 12 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Systemic antibiotics Topical corticosteroids Add systemic analgesics Add systemic analgesics for severe pain. 13 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Incisional biopsy Topical anesthetics + protective dressing Systemic corticosteroids Debridement Manage with topical anesthetics and protective dressing if possible. 14 / 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. 15 / 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. 16 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Debridement Systemic corticosteroids Intralesional corticosteroid injection Protective dressing Use intralesional corticosteroid injections. 17 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Debridement Systemic corticosteroids Increase topical dose Add systemic analgesics If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 18 / 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 Observation Systemic corticosteroids Perform incisional biopsy to rule out squamous cell carcinoma. 19 / 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 Immediate incisional biopsy Eliminate etiological factor (smoking cessation) + observe Systemic corticosteroids Eliminate etiological factor (smoking cessation) and observe. 20 / 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 Topical corticosteroids Observation Systemic corticosteroids Add systemic antivirals to topical anesthetics and systemic analgesics. 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? Systemic antibiotics Incisional biopsy Observation only Eliminate etiological factors + topical corticosteroids Eliminate etiological factors and use topical corticosteroids. 22 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Incisional biopsy Observation Topical corticosteroids Protective dressing Manage as suspected squamous cell carcinoma with incisional biopsy. Your score is 0% Restart quiz
