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 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. 2 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Systemic antibiotics Topical corticosteroids Debridement No treatment Asymptomatic Erythema Migrans requires no treatment. 3 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Debridement Add systemic analgesics Increase topical dose Systemic corticosteroids If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 4 / 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 Systemic corticosteroids Topical corticosteroids Immediate incisional biopsy Eliminate etiological factor (smoking cessation) and observe. 5 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Observation Topical corticosteroids Debridement + systemic antibiotics + systemic analgesics Debridement, systemic antibiotics, and systemic analgesics are indicated. 6 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Systemic corticosteroids Topical corticosteroids Observation Incisional biopsy Symptomatic Erythema Migrans is treated with topical corticosteroids. 7 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Debridement Topical anesthetics + systemic analgesics Systemic antivirals only Intralesional corticosteroids Symptomatic relief with topical anesthetics and systemic analgesics. 8 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Increase topical anesthetics Observation Add systemic corticosteroids If no improvement, perform debridement and start systemic antibiotics. 9 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Systemic corticosteroids Incisional biopsy Continue observation Topical anesthetics only If not resolved, perform incisional biopsy. 10 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Systemic corticosteroids Incisional biopsy Debridement Continue observation If no resolution after smoking cessation, perform incisional biopsy. 11 / 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 Systemic corticosteroids Debridement only Eliminate etiological factors in chemical burns. 12 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Debridement Protective dressing Systemic corticosteroids Intralesional corticosteroid injection Use intralesional corticosteroid injections. 13 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Systemic corticosteroids Observation Topical anesthetics Perform incisional biopsy to rule out squamous cell carcinoma. 14 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Topical corticosteroids Add medical evaluation Increase antibiotics Protective dressing Add medical evaluation if immunosuppression is present. 15 / 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 Observation only Eliminate etiological factors + topical corticosteroids Incisional biopsy Eliminate etiological factors and use topical corticosteroids. 16 / 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. 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 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. 19 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Systemic corticosteroids Observation Intralesional corticosteroids Topical corticosteroids Start with topical corticosteroids. 20 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Systemic corticosteroids Debridement Incisional biopsy Topical anesthetics + protective dressing Manage with topical anesthetics and protective dressing if possible. 21 / 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. 22 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Systemic antibiotics Topical anesthetics Systemic corticosteroids Protective dressing Topical anesthetics are first-line for pain control. Your score is 0% Restart quiz
