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 a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? No treatment Incisional biopsy Topical corticosteroids Systemic antibiotics Perform incisional biopsy. 2 / 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 Systemic antibiotics Systemic corticosteroids Protective dressing Eliminate etiological factors + topical antimicrobials. 3 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Topical corticosteroids Protective dressing Systemic antibiotics Surgical excision (excisional biopsy) If no resolution, surgical excision (excisional biopsy). 4 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Topical anesthetics Eliminate etiological factors Protective dressing Debridement Eliminate etiological factors such as smoking, tobacco, alcohol. 5 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Continue antifungals Incisional biopsy Systemic corticosteroids Protective dressing If no resolution, incisional biopsy (manage as leukoplakia). 6 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Topical corticosteroids Topical antimicrobials + check vertical dimension Incisional biopsy Systemic antibiotics Topical antimicrobials + check vertical dimension. 7 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Incisional biopsy Topical corticosteroids Medical evaluation only Medical evaluation + systemic antivirals Symptomatic HIV+ → medical evaluation + systemic antivirals. 8 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Topical corticosteroids Topical antimicrobials Systemic antibiotics Incisional biopsy Topical antimicrobials (antifungals). 9 / 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 Eliminate etiological factors + observe Incisional biopsy No treatment Eliminate etiological factors and observe. 10 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Topical corticosteroids Observation only Protective dressing Incisional biopsy No identifiable cause → manage as leukoplakia (incisional biopsy). 11 / 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? Protective dressing Topical corticosteroids only Incisional biopsy Topical antimicrobials + eliminate etiological factors (remake denture) Topical antimicrobials + remake denture. 12 / 32 A patient presents with oral lesions and multiple systemic symptoms including joint pain and fatigue. Diagnosis: Systemic Lupus Erythematosus. What is the management? Observe and reassess Protective dressing Topical corticosteroids Systemic corticosteroids + medical evaluation Systemic corticosteroids + medical evaluation. 13 / 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. 14 / 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 Topical corticosteroids Protective dressing Observation Incisional biopsy and eliminate etiological factors if applicable. 15 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Topical corticosteroids + medical evaluation Incisional biopsy Systemic corticosteroids Observation only Topical corticosteroids + medical evaluation. 16 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Intralesional corticosteroids Incisional biopsy Protective dressing Systemic corticosteroids If topical corticosteroids are ineffective, use systemic corticosteroids. 17 / 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. 18 / 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. 19 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Protective dressing Surgical excision Observe and reassess Systemic corticosteroids Dysplasia requires surgical excision. 20 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Topical corticosteroids Incisional biopsy Observe and reassess Systemic corticosteroids Topical corticosteroids. 21 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Topical corticosteroids + change restoration Change restoration only Topical corticosteroids only Systemic corticosteroids Topical corticosteroids + change restoration. 22 / 32 A patient presents with diffuse thickened white patches on the oral mucosa present since childhood. Diagnosis: White Sponge Nevus. What is the management? Topical corticosteroids Systemic antibiotics No treatment Incisional biopsy White Sponge Nevus requires no treatment. 23 / 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? Systemic antivirals Medical evaluation only Topical corticosteroids Incisional biopsy + medical evaluation Immunosuppression signs without HIV diagnosis → incisional biopsy + medical evaluation. 24 / 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 Systemic antibiotics Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors. 25 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Systemic antibiotics Topical corticosteroids Incisional biopsy Continue observation If no resolution, manage as leukoplakia (incisional biopsy). 26 / 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. 27 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Topical corticosteroids Incisional biopsy Systemic antibiotics Topical antimicrobials Topical antimicrobials (antifungals). 28 / 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? Topical corticosteroids No treatment Eliminate etiological factors Incisional biopsy Linea Alba requires no treatment. 29 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Medical evaluation Incisional biopsy Systemic antivirals Topical corticosteroids Asymptomatic HIV+ → medical evaluation. 30 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Incisional biopsy Observe and reassess Topical corticosteroids Systemic corticosteroids Observe and reassess (or no treatment if observe not available). 31 / 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 Topical antimicrobials + observe and reassess Systemic corticosteroids Protective dressing Topical antimicrobials + observe and reassess. 32 / 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). Your score is 0% Restart quiz
