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 biopsy of a leukoplakia lesion shows no dysplasia. What is the next step? Observe and reassess Systemic corticosteroids Surgical excision Debridement Observe and reassess. 2 / 32 A patient presents with diffuse thickened white patches on the oral mucosa present since childhood. Diagnosis: White Sponge Nevus. What is the management? No treatment Systemic antibiotics Topical corticosteroids Incisional biopsy White Sponge Nevus requires no treatment. 3 / 32 A patient presents with Frictional Keratosis but no identifiable cause. What is the management? Incisional biopsy Topical corticosteroids Observation only Protective dressing No identifiable cause → manage as leukoplakia (incisional biopsy). 4 / 32 A patient presents with white plaques that can be wiped off, leaving erythematous mucosa. Diagnosis: Candidiasis. What is the management? Topical antimicrobials Topical corticosteroids Systemic antibiotics Incisional biopsy Topical antimicrobials (antifungals). 5 / 32 A patient with Frictional Keratosis has not improved after eliminating the cause. What is the next step? Systemic antibiotics Topical corticosteroids Continue observation Incisional biopsy If no resolution, manage as leukoplakia (incisional biopsy). 6 / 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? Protective dressing Topical antimicrobials + observe and reassess Systemic corticosteroids Incisional biopsy immediately Topical antimicrobials + observe and reassess. 7 / 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. 8 / 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 No treatment Eliminate etiological factors + observe Incisional biopsy Eliminate etiological factors and observe. 9 / 32 A patient with Leukoplakia is a smoker. What additional management should be included? Eliminate etiological factors Topical anesthetics Debridement Protective dressing Eliminate etiological factors such as smoking, tobacco, alcohol. 10 / 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. 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? Incisional biopsy No treatment Topical corticosteroids Eliminate etiological factors Linea Alba requires no treatment. 12 / 32 A chronic hyperplastic candidiasis lesion does not resolve after antifungal therapy. What is the next step? Protective dressing Incisional biopsy Continue antifungals Systemic corticosteroids If no resolution, incisional biopsy (manage as leukoplakia). 13 / 32 A patient presents with a persistent white patch on the tongue. Diagnosis: Leukoplakia. What is the initial management? Incisional biopsy Topical corticosteroids No treatment Systemic antibiotics Perform incisional biopsy. 14 / 32 A patient with Inflammatory Papillary Hyperplasia does not respond to antifungal treatment. What is the next step? Systemic antibiotics Surgical excision (excisional biopsy) Protective dressing Topical corticosteroids If no resolution, surgical excision (excisional biopsy). 15 / 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 Observation Systemic antibiotics Incisional biopsy and eliminate etiological factors if smoker/tobacco/alcohol user. 16 / 32 A patient presents with symptomatic lichenoid reaction adjacent to a restoration. What is the management? Change restoration only Topical corticosteroids + change restoration Topical corticosteroids only Systemic corticosteroids Topical corticosteroids + change restoration. 17 / 32 A biopsy of a leukoplakia lesion shows dysplasia. What is the management? Protective dressing Surgical excision Systemic corticosteroids Observe and reassess Dysplasia requires surgical excision. 18 / 32 A patient diagnosed with HIV presents with asymptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Incisional biopsy Medical evaluation Systemic antivirals Topical corticosteroids Asymptomatic HIV+ → medical evaluation. 19 / 32 A patient presents with an asymptomatic lichenoid reaction adjacent to a metal restoration. What is the management? Incisional biopsy Change restoration Systemic corticosteroids Topical corticosteroids Change restoration (eliminate etiological factors). 20 / 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 Protective dressing Systemic antibiotics Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors. 21 / 32 A patient presents with papillary growths on the palate under a denture. Diagnosis: Inflammatory Papillary Hyperplasia. What is the initial management? Systemic corticosteroids Systemic antibiotics Eliminate etiological factors + topical antimicrobials Protective dressing Eliminate etiological factors + topical antimicrobials. 22 / 32 A patient with erosive lichen planus has not improved with topical corticosteroids. What is the next step? Systemic corticosteroids Intralesional corticosteroids Incisional biopsy Protective dressing If topical corticosteroids are ineffective, use systemic corticosteroids. 23 / 32 A patient presents with a smooth, erythematous, midline dorsal tongue lesion. Diagnosis: Median Rhomboid Glossitis. What is the management? Incisional biopsy Topical antimicrobials Systemic antibiotics Topical corticosteroids Topical antimicrobials (antifungals). 24 / 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) Protective dressing Incisional biopsy Topical antimicrobials + remake denture. 25 / 32 A patient presents with an ulcerated lesion with rolled borders. Diagnosis: Squamous Cell Carcinoma. What is the initial management? Topical corticosteroids Observation Protective dressing Incisional biopsy + eliminate etiological factors Incisional biopsy and eliminate etiological factors if applicable. 26 / 32 A patient diagnosed with HIV presents with symptomatic white lesions on the lateral tongue. Diagnosis: Hairy Leukoplakia. What is the management? Medical evaluation + systemic antivirals Medical evaluation only Incisional biopsy Topical corticosteroids Symptomatic HIV+ → medical evaluation + systemic antivirals. 27 / 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 Incisional biopsy Topical corticosteroids Leukoedema requires no treatment. 28 / 32 A patient with asymptomatic reticular lichen planus is seen. What is the management? Systemic corticosteroids Topical corticosteroids Observe and reassess Incisional biopsy Observe and reassess (or no treatment if observe not available). 29 / 32 A patient presents with oral lesions and skin involvement. Diagnosis: Discoid Lupus Erythematosus. What is the management? Systemic corticosteroids Observation only Incisional biopsy Topical corticosteroids + medical evaluation Topical corticosteroids + medical evaluation. 30 / 32 A patient presents with symptomatic erosive lichen planus. What is the management? Systemic corticosteroids Incisional biopsy Topical corticosteroids Observe and reassess Topical corticosteroids. 31 / 32 A patient presents with erythematous fissures at the corners of the mouth. Diagnosis: Angular Cheilitis. What is the management? Systemic antibiotics Topical corticosteroids Incisional biopsy Topical antimicrobials + check vertical dimension Topical antimicrobials + check vertical dimension. 32 / 32 A patient presents with oral lesions and multiple systemic symptoms including joint pain and fatigue. Diagnosis: Systemic Lupus Erythematosus. What is the management? Topical corticosteroids Protective dressing Observe and reassess Systemic corticosteroids + medical evaluation Systemic corticosteroids + medical evaluation. Your score is 0% Restart quiz
