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 with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Protective dressing Topical corticosteroids Systemic antibiotics Surgical excision (excisional biopsy) If no resolution, surgical excision (excisional biopsy). 2 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Protective dressing Systemic corticosteroids Intralesional corticosteroids Incisional biopsy If topical corticosteroids are ineffective, use systemic corticosteroids. 3 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Incisional biopsy Topical corticosteroids Systemic corticosteroids Observe and reassess Observe and reassess (or no treatment if observe not available). 4 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Incisional biopsy Observation only Protective dressing Topical corticosteroids No identifiable cause → manage as leukoplakia (incisional biopsy). 5 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Incisional biopsy Systemic antibiotics Topical corticosteroids No treatment Perform incisional biopsy. 6 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Systemic corticosteroids Protective dressing Incisional biopsy Continue antifungals If no resolution, incisional biopsy (manage as leukoplakia). 7 / 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? Incisional biopsy immediately Protective dressing Systemic corticosteroids Topical antimicrobials + observe and reassess Topical antimicrobials + observe and reassess. 8 / 32 A patient presents with diffuse, milky-white opalescent mucosa on the buccal mucosa that disappears when stretched. Diagnosis: Leukoedema. What is the management? Topical corticosteroids Incisional biopsy Systemic corticosteroids No treatment Leukoedema requires no treatment. 9 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Observe and reassess Systemic corticosteroids Topical corticosteroids Incisional biopsy Topical corticosteroids. 10 / 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? No treatment Eliminate etiological factors Incisional biopsy Topical corticosteroids Linea Alba requires no treatment. 11 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Protective dressing Observation Incisional biopsy + eliminate etiological factors Topical corticosteroids Incisional biopsy and eliminate etiological factors if applicable. 12 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Topical corticosteroids + medical evaluation Incisional biopsy Observation only Systemic corticosteroids Topical corticosteroids + medical evaluation. 13 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Topical corticosteroids Medical evaluation only Medical evaluation + systemic antivirals Incisional biopsy Symptomatic HIV+ → medical evaluation + systemic antivirals. 14 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Debridement Eliminate etiological factors Topical anesthetics Protective dressing Eliminate etiological factors such as smoking, tobacco, alcohol. 15 / 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? Topical corticosteroids Systemic antibiotics Protective dressing Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors. 16 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Systemic antibiotics Incisional biopsy Topical antimicrobials + check vertical dimension Topical corticosteroids Topical antimicrobials + check vertical dimension. 17 / 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 Incisional biopsy + medical evaluation Medical evaluation only Immunosuppression signs without HIV diagnosis → incisional biopsy + medical evaluation. 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? Topical corticosteroids Incisional biopsy No treatment Eliminate etiological factors + observe Eliminate etiological factors and observe. 19 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Topical corticosteroids Systemic antivirals Medical evaluation Incisional biopsy Asymptomatic HIV+ → medical evaluation. 20 / 32 A patient presents with an asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Change restoration Incisional biopsy Topical corticosteroids Systemic corticosteroids Change restoration (eliminate etiological factors). 21 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Protective dressing Systemic corticosteroids Surgical excision Observe and reassess Dysplasia requires surgical excision. 22 / 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? Incisional biopsy + avoid sun exposure/use sunscreen Systemic antibiotics Protective dressing Topical corticosteroids Perform incisional biopsy and advise sun protection. 23 / 32 A biopsy of a leukoplakia lesion shows no dysplasia. What is the next step? Surgical excision Observe and reassess Debridement Systemic corticosteroids Observe and reassess. 24 / 32 A patient presents with oral lesions and multiple systemic symptoms including joint pain and fatigue. Diagnosis: Systemic Lupus Erythematosus. What is the management? Protective dressing Observe and reassess Topical corticosteroids Systemic corticosteroids + medical evaluation Systemic corticosteroids + medical evaluation. 25 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Topical corticosteroids only Change restoration only Systemic corticosteroids Topical corticosteroids + change restoration Topical corticosteroids + change restoration. 26 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Topical antimicrobials Incisional biopsy Topical corticosteroids Systemic antibiotics Topical antimicrobials (antifungals). 27 / 32 A patient presents with papillary growths on the palate under a denture. Diagnosis: Inflammatory Papillary Hyperplasia. What is the initial management? Eliminate etiological factors + topical antimicrobials Protective dressing Systemic corticosteroids Systemic antibiotics Eliminate etiological factors + topical antimicrobials. 28 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Topical antimicrobials Systemic antibiotics Topical corticosteroids Incisional biopsy Topical antimicrobials (antifungals). 29 / 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 No treatment Topical corticosteroids Systemic antibiotics White Sponge Nevus requires no treatment. 30 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Incisional biopsy Topical corticosteroids Systemic antibiotics Continue observation If no resolution, manage as leukoplakia (incisional biopsy). 31 / 32 A patient presents with a persistent red patch on the lateral tongue. Diagnosis: Erythroplakia. What is the initial management? Incisional biopsy + eliminate etiological factors Observation Topical corticosteroids Systemic antibiotics Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 32 / 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 antimicrobials + eliminate etiological factors (remake denture) Topical corticosteroids only Protective dressing Incisional biopsy Topical antimicrobials + remake denture. Your score is 0% Restart quiz
