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 reports placing aspirin in the vestibule for toothache relief and now has a mucosal burn. What should be included in management? Eliminate etiological factors + topical anesthetics Incisional biopsy Debridement only Systemic corticosteroids Eliminate etiological factors in chemical burns. 2 / 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 Systemic antibiotics Topical anesthetics Topical anesthetics are first-line for pain control. 3 / 22 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Topical anesthetics + systemic analgesics Intralesional corticosteroids Systemic antivirals only Debridement Symptomatic relief with topical anesthetics and systemic analgesics. 4 / 22 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Add systemic analgesics Systemic corticosteroids Debridement Increase topical dose If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 5 / 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. 6 / 22 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Debridement Systemic corticosteroids Eliminate etiological factors Observation Systemic corticosteroids are indicated. 7 / 22 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Incisional biopsy immediately Eliminate etiological factor + observe Systemic corticosteroids Debridement Remove the cause, observe, and reassess. Use topical anesthetics if needed. 8 / 22 A patient presents with recurrent aphthous ulcers. What is the first-line management? Topical corticosteroids Observation Intralesional corticosteroids Systemic corticosteroids Start with topical corticosteroids. 9 / 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 Incisional biopsy Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 10 / 22 A traumatic ulcer has not resolved after removing the cause. What is the next step? Systemic corticosteroids Continue observation Topical anesthetics only Incisional biopsy If not resolved, perform incisional biopsy. 11 / 22 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Observation Systemic corticosteroids Topical anesthetics Perform incisional biopsy to rule out squamous cell carcinoma. 12 / 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. 13 / 22 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Topical anesthetics + protective dressing Systemic corticosteroids Incisional biopsy Debridement Manage with topical anesthetics and protective dressing if possible. 14 / 22 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Topical corticosteroids Systemic corticosteroids Incisional biopsy Observation Symptomatic Erythema Migrans is treated with topical corticosteroids. 15 / 22 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Topical corticosteroids Debridement + systemic antibiotics + systemic analgesics Observation Debridement, systemic antibiotics, and systemic analgesics are indicated. 16 / 22 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Systemic antibiotics Topical corticosteroids Add systemic analgesics Add systemic analgesics for severe pain. 17 / 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 Observation only Systemic antibiotics Eliminate etiological factors and use topical corticosteroids. 18 / 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. 19 / 22 An ulcer is present but no etiological factor can be identified. What should be the management? Observation Incisional biopsy Protective dressing Topical corticosteroids Manage as suspected squamous cell carcinoma with incisional biopsy. 20 / 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. 21 / 22 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Systemic corticosteroids Protective dressing Intralesional corticosteroid injection Debridement Use intralesional corticosteroid injections. 22 / 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 antivirals + topical anesthetics + systemic analgesics Topical corticosteroids Systemic corticosteroids Observation Add systemic antivirals to topical anesthetics and systemic analgesics. Your score is 0% Restart quiz
