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 undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Protective dressing Topical anesthetics Systemic antibiotics Systemic corticosteroids Topical anesthetics are first-line for pain control. 2 / 22 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Continue observation Systemic corticosteroids Debridement Incisional biopsy If no resolution after smoking cessation, perform incisional biopsy. 3 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Topical corticosteroids Observation Incisional biopsy Systemic corticosteroids Symptomatic Erythema Migrans is treated with topical corticosteroids. 4 / 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. 5 / 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 Systemic antivirals + topical anesthetics + systemic analgesics Systemic corticosteroids Topical corticosteroids Add systemic antivirals to topical anesthetics and systemic analgesics. 6 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Protective dressing Topical corticosteroids Observation Incisional biopsy Manage as suspected squamous cell carcinoma with incisional biopsy. 7 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Debridement Systemic corticosteroids Increase topical dose Add systemic analgesics If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 8 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Add systemic analgesics Topical corticosteroids Protective dressing only Systemic antibiotics Add systemic analgesics for severe pain. 9 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Observation Systemic corticosteroids Eliminate etiological factors Debridement Systemic corticosteroids are indicated. 10 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Systemic corticosteroids Intralesional corticosteroids Topical corticosteroids Observation Start with topical corticosteroids. 11 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Systemic corticosteroids Continue observation Incisional biopsy If not resolved, perform incisional biopsy. 12 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Debridement Topical anesthetics + systemic analgesics Intralesional corticosteroids Systemic antivirals only Symptomatic relief with topical anesthetics and systemic analgesics. 13 / 22 A patient reports placing aspirin in the vestibule for toothache relief and now has a mucosal burn. What should be included in management? Debridement only Systemic corticosteroids Eliminate etiological factors + topical anesthetics Incisional biopsy Eliminate etiological factors in chemical burns. 14 / 22 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Systemic antibiotics No treatment Topical corticosteroids Debridement Asymptomatic Erythema Migrans requires no treatment. 15 / 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 Topical corticosteroids Immediate incisional biopsy Eliminate etiological factor (smoking cessation) and observe. 16 / 22 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Increase topical anesthetics Observation Add systemic corticosteroids Debridement + systemic antibiotics If no improvement, perform debridement and start systemic antibiotics. 17 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Debridement Incisional biopsy immediately Eliminate etiological factor + observe Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 18 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Debridement + systemic antibiotics + systemic analgesics Topical corticosteroids Observation Systemic corticosteroids only Debridement, systemic antibiotics, and systemic analgesics are indicated. 19 / 22 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Add medical evaluation Topical corticosteroids Increase antibiotics Protective dressing 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? Intralesional corticosteroid injection Protective dressing Systemic corticosteroids Debridement Use intralesional corticosteroid injections. 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 Topical anesthetics Incisional biopsy 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? Observation only Incisional biopsy Eliminate etiological factors + topical corticosteroids Systemic antibiotics Eliminate etiological factors and use topical corticosteroids. Your score is 0% Restart quiz
