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 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. 2 / 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. 3 / 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 Systemic corticosteroids + medical evaluation Topical corticosteroids Systemic corticosteroids + medical evaluation. 4 / 32 A patient presents with an asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Incisional biopsy Systemic corticosteroids Topical corticosteroids Change restoration Change restoration (eliminate etiological factors). 5 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Incisional biopsy Systemic corticosteroids Observation only Topical corticosteroids + medical evaluation Topical corticosteroids + medical evaluation. 6 / 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? Incisional biopsy + medical evaluation Topical corticosteroids Medical evaluation only Systemic antivirals Immunosuppression signs without HIV diagnosis → incisional biopsy + medical evaluation. 7 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Incisional biopsy Topical antimicrobials Topical corticosteroids Systemic antibiotics Topical antimicrobials (antifungals). 8 / 32 A patient presents with a persistent red patch on the lateral tongue. Diagnosis: Erythroplakia. What is the initial management? Systemic antibiotics Topical corticosteroids Observation Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 9 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Incisional biopsy Systemic corticosteroids Continue antifungals Protective dressing If no resolution, incisional biopsy (manage as leukoplakia). 10 / 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 Topical corticosteroids Incisional biopsy Topical antimicrobials + check vertical dimension. 11 / 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 Topical corticosteroids Eliminate etiological factors Incisional biopsy Linea Alba requires no treatment. 12 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Topical corticosteroids + change restoration Change restoration only Systemic corticosteroids Topical corticosteroids only Topical corticosteroids + change restoration. 13 / 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 Systemic antibiotics No treatment White Sponge Nevus requires no treatment. 14 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Observe and reassess Topical corticosteroids Incisional biopsy Systemic corticosteroids Topical corticosteroids. 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 a persistent white patch that cannot be wiped off, suspected to be chronic hyperplastic candidiasis. What is the initial management? Systemic corticosteroids Incisional biopsy immediately Protective dressing Topical antimicrobials + observe and reassess Topical antimicrobials + observe and reassess. 17 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Topical corticosteroids No treatment Incisional biopsy Systemic antibiotics Perform incisional biopsy. 18 / 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 Protective dressing Topical corticosteroids Incisional biopsy + avoid sun exposure/use sunscreen Perform incisional biopsy and advise sun protection. 19 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Systemic antivirals Topical corticosteroids Incisional biopsy Medical evaluation Asymptomatic HIV+ → medical evaluation. 20 / 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 + systemic antivirals Topical corticosteroids Medical evaluation only Symptomatic HIV+ → medical evaluation + systemic antivirals. 21 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Systemic corticosteroids Incisional biopsy Protective dressing Intralesional corticosteroids If topical corticosteroids are ineffective, use systemic corticosteroids. 22 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Systemic antibiotics Topical corticosteroids Protective dressing Surgical excision (excisional biopsy) If no resolution, surgical excision (excisional biopsy). 23 / 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 Topical corticosteroids Incisional biopsy Topical antimicrobials (antifungals). 24 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Observe and reassess Systemic corticosteroids Incisional biopsy Topical corticosteroids Observe and reassess (or no treatment if observe not available). 25 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Observe and reassess Protective dressing Systemic corticosteroids Surgical excision Dysplasia requires surgical excision. 26 / 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). 27 / 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. 28 / 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. 29 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Observation Protective dressing Topical corticosteroids Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors if applicable. 30 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Debridement Eliminate etiological factors Protective dressing Topical anesthetics Eliminate etiological factors such as smoking, tobacco, alcohol. 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 diffuse, milky-white opalescent mucosa on the buccal mucosa that disappears when stretched. Diagnosis: Leukoedema. What is the management? Systemic corticosteroids No treatment Topical corticosteroids Incisional biopsy Leukoedema requires no treatment. Your score is 0% Restart quiz
