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 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. 2 / 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 Debridement only Incisional biopsy Eliminate etiological factors + topical anesthetics Eliminate etiological factors in chemical burns. 3 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Debridement Observation Systemic corticosteroids Eliminate etiological factors Systemic corticosteroids are indicated. 4 / 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? Topical corticosteroids Systemic corticosteroids Observation Systemic antivirals + topical anesthetics + systemic analgesics Add systemic antivirals to topical anesthetics and systemic analgesics. 5 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Observation Increase topical anesthetics Debridement + systemic antibiotics Add systemic corticosteroids If no improvement, perform debridement and start systemic antibiotics. 6 / 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 Add systemic analgesics Systemic antibiotics Add systemic analgesics for severe pain. 7 / 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 Topical corticosteroids Eliminate etiological factor (smoking cessation) + observe Systemic corticosteroids Eliminate etiological factor (smoking cessation) and observe. 8 / 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. 9 / 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 Eliminate etiological factors + topical corticosteroids Observation only Incisional biopsy Eliminate etiological factors and use topical corticosteroids. 10 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Systemic corticosteroids Increase topical dose Add systemic analgesics Debridement If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 11 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Observation Topical anesthetics Incisional biopsy Systemic corticosteroids Perform incisional biopsy to rule out squamous cell carcinoma. 12 / 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. 13 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Protective dressing Systemic corticosteroids Debridement Intralesional corticosteroid injection Use intralesional corticosteroid injections. 14 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Topical corticosteroids Incisional biopsy Observation Systemic corticosteroids Symptomatic Erythema Migrans is treated with topical corticosteroids. 15 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Topical corticosteroids Observation Protective dressing Incisional biopsy 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? Continue observation Systemic corticosteroids Incisional biopsy Topical anesthetics only If not resolved, perform incisional biopsy. 17 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Debridement Eliminate etiological factor + observe Incisional biopsy immediately Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 18 / 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 Incisional biopsy Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 19 / 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. 20 / 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. 21 / 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 corticosteroids Protective dressing Systemic antibiotics Topical anesthetics are first-line for pain control. 22 / 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. Your score is 0% Restart quiz
