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 diffuse thickened white patches on the oral mucosa present since childhood. Diagnosis: White Sponge Nevus. What is the management? Systemic antibiotics Topical corticosteroids Incisional biopsy No treatment White Sponge Nevus requires no treatment. 2 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Incisional biopsy Observation only Systemic corticosteroids Topical corticosteroids + medical evaluation Topical corticosteroids + medical evaluation. 3 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Systemic antibiotics Protective dressing Topical corticosteroids Surgical excision (excisional biopsy) If no resolution, surgical excision (excisional biopsy). 4 / 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? No treatment Topical corticosteroids Incisional biopsy Eliminate etiological factors + observe Eliminate etiological factors and observe. 5 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Topical corticosteroids Systemic corticosteroids Incisional biopsy Observe and reassess Observe and reassess (or no treatment if observe not available). 6 / 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. 7 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Incisional biopsy Systemic corticosteroids Protective dressing Intralesional corticosteroids If topical corticosteroids are ineffective, use systemic corticosteroids. 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 asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Systemic corticosteroids Incisional biopsy Change restoration Topical corticosteroids Change restoration (eliminate etiological factors). 10 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Protective dressing Eliminate etiological factors Topical anesthetics Debridement Eliminate etiological factors such as smoking, tobacco, alcohol. 11 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Surgical excision Systemic corticosteroids Observe and reassess Protective dressing Dysplasia requires surgical excision. 12 / 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 Incisional biopsy Medical evaluation Asymptomatic HIV+ → medical evaluation. 13 / 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. 14 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Systemic antibiotics Incisional biopsy Topical antimicrobials Topical corticosteroids Topical antimicrobials (antifungals). 15 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Topical antimicrobials Topical corticosteroids Incisional biopsy Systemic antibiotics Topical antimicrobials (antifungals). 16 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Observation only Protective dressing Topical corticosteroids Incisional biopsy No identifiable cause → manage as leukoplakia (incisional biopsy). 17 / 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 Incisional biopsy Systemic corticosteroids Topical corticosteroids Leukoedema requires no treatment. 18 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Incisional biopsy + eliminate etiological factors Observation Topical corticosteroids Protective dressing Incisional biopsy and eliminate etiological factors if applicable. 19 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Incisional biopsy Systemic antibiotics Continue observation Topical corticosteroids If no resolution, manage as leukoplakia (incisional biopsy). 20 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Change restoration only Topical corticosteroids + change restoration Systemic corticosteroids Topical corticosteroids only Topical corticosteroids + change restoration. 21 / 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? Incisional biopsy Protective dressing Topical corticosteroids only Topical antimicrobials + eliminate etiological factors (remake denture) Topical antimicrobials + remake denture. 22 / 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? Protective dressing Topical corticosteroids Incisional biopsy + eliminate etiological factors Systemic antibiotics Incisional biopsy and eliminate etiological factors. 23 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Topical corticosteroids Incisional biopsy Medical evaluation + systemic antivirals Medical evaluation only Symptomatic HIV+ → medical evaluation + systemic antivirals. 24 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Observe and reassess Systemic corticosteroids Topical corticosteroids Incisional biopsy Topical corticosteroids. 25 / 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. 26 / 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 corticosteroids Systemic antibiotics Eliminate etiological factors + topical antimicrobials Eliminate etiological factors + topical antimicrobials. 27 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Topical corticosteroids No treatment Systemic antibiotics Incisional biopsy Perform incisional biopsy. 28 / 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 Systemic antibiotics Incisional biopsy Topical corticosteroids Topical antimicrobials + check vertical dimension. 29 / 32 A patient presents with a persistent red patch on the lateral tongue. Diagnosis: Erythroplakia. What is the initial management? Observation Incisional biopsy + eliminate etiological factors Systemic antibiotics Topical corticosteroids Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 30 / 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? Protective dressing Systemic antibiotics Topical corticosteroids Incisional biopsy + avoid sun exposure/use sunscreen Perform incisional biopsy and advise sun protection. 31 / 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). 32 / 32 A biopsy of a leukoplakia lesion shows no dysplasia. What is the next step? Surgical excision Systemic corticosteroids Debridement Observe and reassess Observe and reassess. Your score is 0% Restart quiz
