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 presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Topical corticosteroids Debridement + systemic antibiotics + systemic analgesics Systemic corticosteroids only Observation Debridement, systemic antibiotics, and systemic analgesics are indicated. 2 / 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 Topical corticosteroids Observation Add systemic antivirals to topical anesthetics and systemic analgesics. 3 / 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. 4 / 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. 5 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Increase topical anesthetics Add systemic corticosteroids Observation If no improvement, perform debridement and start systemic antibiotics. 6 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Topical corticosteroids Observation Systemic corticosteroids Intralesional corticosteroids Start with topical corticosteroids. 7 / 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 Debridement Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 8 / 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 Topical corticosteroids Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Eliminate etiological factor (smoking cessation) and observe. 9 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Eliminate etiological factor + observe Incisional biopsy immediately Debridement Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 10 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Incisional biopsy Systemic corticosteroids Debridement Topical anesthetics + protective dressing Manage with topical anesthetics and protective dressing if possible. 11 / 22 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Protective dressing Systemic corticosteroids Topical anesthetics Systemic antibiotics Topical anesthetics are first-line for pain control. 12 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Systemic antivirals only Topical anesthetics + systemic analgesics Intralesional corticosteroids Debridement Symptomatic relief with topical anesthetics and systemic analgesics. 13 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Protective dressing Debridement Intralesional corticosteroid injection Systemic corticosteroids Use intralesional corticosteroid injections. 14 / 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. 15 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Topical corticosteroids Protective dressing only Systemic antibiotics Add systemic analgesics Add systemic analgesics for severe pain. 16 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Continue observation Incisional biopsy Systemic corticosteroids If not resolved, perform incisional biopsy. 17 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Add systemic analgesics Debridement Systemic corticosteroids Increase topical dose 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 Observation Incisional biopsy Systemic corticosteroids Perform incisional biopsy to rule out squamous cell carcinoma. 19 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? No treatment Topical corticosteroids Debridement Systemic antibiotics Asymptomatic Erythema Migrans requires no treatment. 20 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Protective dressing Add medical evaluation Topical corticosteroids Increase antibiotics Add medical evaluation if immunosuppression is present. 21 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Eliminate etiological factors Debridement Observation Systemic corticosteroids Systemic corticosteroids are indicated. 22 / 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 Eliminate etiological factors + topical anesthetics Incisional biopsy Debridement only Eliminate etiological factors in chemical burns. 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