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 aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Debridement Systemic corticosteroids Eliminate etiological factors Observation Systemic corticosteroids are indicated. 2 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Incisional biopsy Systemic corticosteroids Topical corticosteroids Observation 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? Add medical evaluation Protective dressing Topical corticosteroids Increase antibiotics Add medical evaluation if immunosuppression is present. 4 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Systemic corticosteroids Debridement Incisional biopsy immediately Eliminate etiological factor + observe Remove the cause, observe, and reassess. Use topical anesthetics if needed. 5 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Systemic corticosteroids Systemic antibiotics Protective dressing Topical anesthetics Topical anesthetics are first-line for pain control. 6 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Observation Debridement + systemic antibiotics + systemic analgesics Topical corticosteroids Debridement, systemic antibiotics, and systemic analgesics are indicated. 7 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Debridement Systemic corticosteroids Incisional biopsy Continue observation If no resolution after smoking cessation, perform incisional biopsy. 8 / 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. 9 / 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 corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Observation Topical corticosteroids Add systemic antivirals to topical anesthetics and systemic analgesics. 10 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? No treatment Systemic antibiotics Debridement Topical corticosteroids Asymptomatic Erythema Migrans requires no treatment. 11 / 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? Observation only Incisional biopsy Systemic antibiotics Eliminate etiological factors + topical corticosteroids Eliminate etiological factors and use topical corticosteroids. 12 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Systemic corticosteroids Debridement Add systemic analgesics Increase topical dose If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 13 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Add systemic corticosteroids Increase topical anesthetics Observation If no improvement, perform debridement and start systemic antibiotics. 14 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Observation Systemic corticosteroids Topical corticosteroids Intralesional corticosteroids Start with topical corticosteroids. 15 / 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. 16 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Incisional biopsy Topical anesthetics only Systemic corticosteroids Continue observation If not resolved, perform incisional biopsy. 17 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Topical corticosteroids Systemic antibiotics Add systemic analgesics Protective dressing only 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? Debridement only Eliminate etiological factors + topical anesthetics Systemic corticosteroids Incisional biopsy Eliminate etiological factors in chemical burns. 19 / 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. 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? Systemic corticosteroids Immediate incisional biopsy Eliminate etiological factor (smoking cessation) + observe Topical corticosteroids Eliminate etiological factor (smoking cessation) and observe. 21 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Topical anesthetics + systemic analgesics Systemic antivirals only Intralesional corticosteroids Debridement Symptomatic relief with topical anesthetics and systemic analgesics. 22 / 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. Your score is 0% Restart quiz
