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 an ulcer caused by a sharp tooth edge. What is the appropriate management? Eliminate etiological factor + observe Systemic corticosteroids Incisional biopsy immediately Debridement Remove the cause, observe, and reassess. Use topical anesthetics if needed. 2 / 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. 3 / 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. 4 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Observation Topical corticosteroids Intralesional corticosteroids Systemic corticosteroids Start with topical corticosteroids. 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 Topical anesthetics Systemic antibiotics Protective dressing Topical anesthetics are first-line for pain control. 6 / 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 Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Topical corticosteroids Eliminate etiological factor (smoking cessation) and observe. 7 / 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. 8 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Systemic corticosteroids Topical anesthetics only Incisional biopsy Continue observation If not resolved, perform incisional biopsy. 9 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Observation Debridement + systemic antibiotics + systemic analgesics Systemic corticosteroids only Topical corticosteroids Debridement, systemic antibiotics, and systemic analgesics are indicated. 10 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Topical corticosteroids Increase antibiotics Protective dressing Add medical evaluation Add medical evaluation if immunosuppression is present. 11 / 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. 12 / 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 Debridement Intralesional corticosteroids Symptomatic relief with topical anesthetics and systemic analgesics. 13 / 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 Systemic corticosteroids Incisional biopsy If no resolution after smoking cessation, perform incisional biopsy. 14 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Topical corticosteroids Add systemic analgesics Protective dressing only Systemic antibiotics Add systemic analgesics for severe pain. 15 / 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. 16 / 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. 17 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Debridement Topical anesthetics + protective dressing Incisional biopsy Systemic corticosteroids Manage with topical anesthetics and protective dressing if possible. 18 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Topical corticosteroids No treatment Systemic antibiotics Debridement Asymptomatic Erythema Migrans requires no treatment. 19 / 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 Debridement only Systemic corticosteroids Eliminate etiological factors in chemical burns. 20 / 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 Systemic antivirals + topical anesthetics + systemic analgesics Observation Add systemic antivirals to topical anesthetics and systemic analgesics. 21 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Systemic corticosteroids Observation Incisional biopsy Topical anesthetics Perform incisional biopsy to rule out squamous cell carcinoma. 22 / 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 Incisional biopsy Observation only Eliminate etiological factors and use topical corticosteroids. Your score is 0% Restart quiz
