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 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. 2 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Incisional biopsy Debridement Systemic corticosteroids Topical anesthetics + protective dressing Manage with topical anesthetics and protective dressing if possible. 3 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Topical anesthetics Systemic corticosteroids Incisional biopsy Observation Perform incisional biopsy to rule out squamous cell carcinoma. 4 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Systemic antibiotics Systemic corticosteroids Topical anesthetics Protective dressing 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? Debridement Systemic antivirals only Intralesional corticosteroids Topical anesthetics + systemic analgesics Symptomatic relief with topical anesthetics and systemic analgesics. 6 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Debridement Eliminate etiological factors Systemic corticosteroids Observation Systemic corticosteroids are indicated. 7 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Add systemic corticosteroids Increase topical anesthetics Observation Debridement + systemic antibiotics If no improvement, perform debridement and start systemic antibiotics. 8 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Systemic corticosteroids Increase topical dose Debridement Add systemic analgesics If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 9 / 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. 10 / 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 Incisional biopsy Systemic antibiotics Observation only Eliminate etiological factors and use topical corticosteroids. 11 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Intralesional corticosteroids Systemic corticosteroids Observation Topical corticosteroids Start with topical corticosteroids. 12 / 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 Incisional biopsy Eliminate etiological factors + topical anesthetics Debridement only Eliminate etiological factors in chemical burns. 13 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Systemic corticosteroids Observation Incisional biopsy Topical corticosteroids Symptomatic Erythema Migrans is treated with topical corticosteroids. 14 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Topical corticosteroids Observation Systemic corticosteroids only Debridement + systemic antibiotics + systemic analgesics Debridement, systemic antibiotics, and systemic analgesics are indicated. 15 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Add systemic analgesics Protective dressing only Topical corticosteroids Systemic antibiotics Add systemic analgesics for severe pain. 16 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Continue observation Debridement Systemic corticosteroids Incisional biopsy If no resolution after smoking cessation, perform incisional biopsy. 17 / 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 Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Systemic corticosteroids Eliminate etiological factor (smoking cessation) and observe. 18 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Systemic corticosteroids Continue observation Incisional biopsy Topical anesthetics only If not resolved, perform incisional biopsy. 19 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Increase antibiotics Topical corticosteroids Protective dressing Add medical evaluation Add medical evaluation if immunosuppression is present. 20 / 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. 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? Topical corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Systemic corticosteroids Observation Add systemic antivirals to topical anesthetics and systemic analgesics. 22 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Incisional biopsy Observation Protective dressing Topical corticosteroids Manage as suspected squamous cell carcinoma with incisional biopsy. Your score is 0% Restart quiz
