Oral Pathology Management QuizDentistry MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. Managing Oral Pathology Conditions 1 1 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Observe and reassess Topical corticosteroids Systemic corticosteroids Incisional biopsy Topical corticosteroids. 2 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Protective dressing Systemic corticosteroids Observe and reassess Surgical excision Dysplasia requires surgical excision. 3 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Systemic antibiotics Surgical excision (excisional biopsy) Protective dressing Topical corticosteroids If no resolution, surgical excision (excisional biopsy). 4 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Eliminate etiological factors Debridement Protective dressing Topical anesthetics Eliminate etiological factors such as smoking, tobacco, alcohol. 5 / 32 A patient presents with a slow-growing warty lesion on the buccal mucosa and uses smokeless tobacco. Diagnosis: Verrucous Carcinoma. What is the management? Systemic antibiotics Incisional biopsy + eliminate etiological factors Topical corticosteroids Protective dressing Incisional biopsy and eliminate etiological factors. 6 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Incisional biopsy Medical evaluation only Medical evaluation + systemic antivirals Topical corticosteroids Symptomatic HIV+ → medical evaluation + systemic antivirals. 7 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Incisional biopsy Systemic antivirals Topical corticosteroids Medical evaluation Asymptomatic HIV+ → medical evaluation. 8 / 32 A patient without an HIV diagnosis presents with white lesions on the tongue and signs of immunosuppression (fever, weight loss). Diagnosis: Hairy Leukoplakia. What is the management? Topical corticosteroids Systemic antivirals Medical evaluation only Incisional biopsy + medical evaluation Immunosuppression signs without HIV diagnosis → incisional biopsy + medical evaluation. 9 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Observation Topical corticosteroids Incisional biopsy + eliminate etiological factors Protective dressing Incisional biopsy and eliminate etiological factors if applicable. 10 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Topical corticosteroids Systemic antibiotics Continue observation Incisional biopsy If no resolution, manage as leukoplakia (incisional biopsy). 11 / 32 A biopsy of a leukoplakia lesion shows no dysplasia. What is the next step? Debridement Surgical excision Systemic corticosteroids Observe and reassess Observe and reassess. 12 / 32 A patient presents with a persistent red patch on the lateral tongue. Diagnosis: Erythroplakia. What is the initial management? Topical corticosteroids Incisional biopsy + eliminate etiological factors Systemic antibiotics Observation Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 13 / 32 A patient presents with a raised white line along the buccal mucosa at the level of the occlusal plane. Diagnosis: Linea Alba. What is the management? Eliminate etiological factors Incisional biopsy No treatment Topical corticosteroids Linea Alba requires no treatment. 14 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Topical antimicrobials Incisional biopsy Systemic antibiotics Topical corticosteroids Topical antimicrobials (antifungals). 15 / 32 A patient presents with oral lesions and multiple systemic symptoms including joint pain and fatigue. Diagnosis: Systemic Lupus Erythematosus. What is the management? Systemic corticosteroids + medical evaluation Observe and reassess Topical corticosteroids Protective dressing Systemic corticosteroids + medical evaluation. 16 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Topical antimicrobials + check vertical dimension Topical corticosteroids Systemic antibiotics Incisional biopsy Topical antimicrobials + check vertical dimension. 17 / 32 A patient presents with papillary growths on the palate under a denture. Diagnosis: Inflammatory Papillary Hyperplasia. What is the initial management? Protective dressing Systemic antibiotics Eliminate etiological factors + topical antimicrobials Systemic corticosteroids Eliminate etiological factors + topical antimicrobials. 18 / 32 A patient has a localized white plaque on the buccal mucosa caused by chronic cheek biting. Diagnosis: Frictional Keratosis. What is the first management step? Incisional biopsy Eliminate etiological factors + observe Topical corticosteroids No treatment Eliminate etiological factors and observe. 19 / 32 A patient presents with an asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Incisional biopsy Change restoration Topical corticosteroids Systemic corticosteroids Change restoration (eliminate etiological factors). 20 / 32 A patient presents with diffuse thickened white patches on the oral mucosa present since childhood. Diagnosis: White Sponge Nevus. What is the management? Incisional biopsy Topical corticosteroids No treatment Systemic antibiotics White Sponge Nevus requires no treatment. 21 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Incisional biopsy Protective dressing Intralesional corticosteroids Systemic corticosteroids If topical corticosteroids are ineffective, use systemic corticosteroids. 22 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Observe and reassess Systemic corticosteroids Topical corticosteroids Incisional biopsy Observe and reassess (or no treatment if observe not available). 23 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Systemic antibiotics Incisional biopsy Topical corticosteroids No treatment Perform incisional biopsy. 24 / 32 A patient presents with diffuse, milky-white opalescent mucosa on the buccal mucosa that disappears when stretched. Diagnosis: Leukoedema. What is the management? No treatment Topical corticosteroids Incisional biopsy Systemic corticosteroids Leukoedema requires no treatment. 25 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Observation only Incisional biopsy Topical corticosteroids + medical evaluation Systemic corticosteroids Topical corticosteroids + medical evaluation. 26 / 32 A patient presents with chronic dryness, cracking, and white discoloration of the lower lip due to sun exposure. Diagnosis: Actinic Cheilitis. What is the management? Systemic antibiotics Incisional biopsy + avoid sun exposure/use sunscreen Protective dressing Topical corticosteroids Perform incisional biopsy and advise sun protection. 27 / 32 A patient presents with a persistent white patch that cannot be wiped off, suspected to be chronic hyperplastic candidiasis. What is the initial management? Topical antimicrobials + observe and reassess Incisional biopsy immediately Systemic corticosteroids Protective dressing Topical antimicrobials + observe and reassess. 28 / 32 A patient with a poorly fitting denture presents with erythematous mucosa under the denture. Diagnosis: Denture stomatitis due to Candidiasis. What is the management? Topical corticosteroids only Topical antimicrobials + eliminate etiological factors (remake denture) Incisional biopsy Protective dressing Topical antimicrobials + remake denture. 29 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Continue antifungals Systemic corticosteroids Protective dressing Incisional biopsy If no resolution, incisional biopsy (manage as leukoplakia). 30 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Topical antimicrobials Systemic antibiotics Incisional biopsy Topical corticosteroids Topical antimicrobials (antifungals). 31 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Observation only Incisional biopsy Protective dressing Topical corticosteroids No identifiable cause → manage as leukoplakia (incisional biopsy). 32 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Topical corticosteroids + change restoration Systemic corticosteroids Change restoration only Topical corticosteroids only Topical corticosteroids + change restoration. Your score is 0% Restart quiz
