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 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 Medical evaluation only Incisional biopsy + medical evaluation Systemic antivirals Immunosuppression signs without HIV diagnosis → incisional biopsy + medical evaluation. 2 / 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 Systemic antibiotics Observation Topical corticosteroids Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 3 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Protective dressing Observe and reassess Systemic corticosteroids Surgical excision Dysplasia requires surgical excision. 4 / 32 A patient presents with diffuse, milky-white opalescent mucosa on the buccal mucosa that disappears when stretched. Diagnosis: Leukoedema. What is the management? Incisional biopsy No treatment Systemic corticosteroids Topical corticosteroids Leukoedema requires no treatment. 5 / 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 No treatment Incisional biopsy Topical corticosteroids Linea Alba requires no treatment. 6 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Topical corticosteroids + medical evaluation Observation only Incisional biopsy Systemic corticosteroids Topical corticosteroids + medical evaluation. 7 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Topical corticosteroids Incisional biopsy Systemic corticosteroids Observe and reassess Topical corticosteroids. 8 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Systemic antibiotics Topical antimicrobials + check vertical dimension Incisional biopsy Topical corticosteroids Topical antimicrobials + check vertical dimension. 9 / 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 Eliminate etiological factors + topical antimicrobials Systemic antibiotics Eliminate etiological factors + topical antimicrobials. 10 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Systemic antibiotics Topical antimicrobials Incisional biopsy Topical corticosteroids Topical antimicrobials (antifungals). 11 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Protective dressing Incisional biopsy + eliminate etiological factors Topical corticosteroids Observation Incisional biopsy and eliminate etiological factors if applicable. 12 / 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? Systemic corticosteroids Protective dressing Topical antimicrobials + observe and reassess Incisional biopsy immediately Topical antimicrobials + observe and reassess. 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? Systemic antibiotics Topical corticosteroids Incisional biopsy + avoid sun exposure/use sunscreen Protective dressing Perform incisional biopsy and advise sun protection. 14 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Systemic antibiotics Topical corticosteroids Topical antimicrobials Incisional biopsy 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? Protective dressing Topical corticosteroids Systemic corticosteroids + medical evaluation Observe and reassess Systemic corticosteroids + medical evaluation. 16 / 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). 17 / 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. 18 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Incisional biopsy Continue observation Topical corticosteroids Systemic antibiotics If no resolution, manage as leukoplakia (incisional biopsy). 19 / 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 Topical corticosteroids Medical evaluation + systemic antivirals Symptomatic HIV+ → medical evaluation + systemic antivirals. 20 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Topical corticosteroids Protective dressing Surgical excision (excisional biopsy) Systemic antibiotics If no resolution, surgical excision (excisional biopsy). 21 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Topical corticosteroids Observation only Incisional biopsy Protective dressing No identifiable cause → manage as leukoplakia (incisional biopsy). 22 / 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. 23 / 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. 24 / 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. 25 / 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 antimicrobials + eliminate etiological factors (remake denture) Topical corticosteroids only Topical antimicrobials + remake denture. 26 / 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? Eliminate etiological factors + observe Incisional biopsy No treatment Topical corticosteroids Eliminate etiological factors and observe. 27 / 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 Protective dressing Topical corticosteroids Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors. 28 / 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 No treatment Topical corticosteroids Incisional biopsy White Sponge Nevus requires no treatment. 29 / 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). 30 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Protective dressing Systemic corticosteroids Continue antifungals Incisional biopsy If no resolution, incisional biopsy (manage as leukoplakia). 31 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Topical corticosteroids + change restoration Systemic corticosteroids Topical corticosteroids only Change restoration only Topical corticosteroids + change restoration. 32 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Systemic antivirals Incisional biopsy Topical corticosteroids Medical evaluation Asymptomatic HIV+ → medical evaluation. Your score is 0% Restart quiz
