Oral Pathology Mangement 2Dentistry MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. Oral Lesions Management 2 1 / 30 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Systemic antibiotics Topical corticosteroids No treatment Debridement Asymptomatic Erythema Migrans requires no treatment. 2 / 30 A 62-year-old patient presents with persistent oral ulcerations and gingival erythema. Diagnosis: Cicatricial Pemphigoid. What is the most appropriate first-line management? Observation only Debridement + systemic antibiotics Systemic corticosteroids Topical corticosteroids + medical evaluation Initial management involves topical corticosteroids and medical evaluation. 3 / 30 A patient with aphthous ulcers does not improve with topical corticosteroids. What is the next step? Systemic corticosteroids Debridement Intralesional corticosteroid injection Protective dressing Use intralesional corticosteroid injections. 4 / 30 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Eliminate etiological factors Debridement Systemic corticosteroids Observation Systemic corticosteroids are indicated. 5 / 30 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Systemic corticosteroids Protective dressing Systemic antibiotics Topical anesthetics Topical anesthetics are first-line for pain control. 6 / 30 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Add systemic analgesics Topical corticosteroids Systemic antibiotics Protective dressing only Add systemic analgesics for severe pain. 7 / 30 A patient with Cicatricial Pemphigoid has not improved after several weeks of topical corticosteroid use. What is the next appropriate step? Initiate systemic corticosteroids Increase topical corticosteroid dose Eliminate etiological factors Protective dressing only If topical corticosteroids are ineffective, systemic corticosteroids should be initiated. 8 / 30 A patient with a long history of smoking presents with diffuse palatal keratosis and small red dots. Diagnosis: Nicotine Stomatitis. What is the first-line management? Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Systemic corticosteroids Topical corticosteroids Eliminate etiological factor (smoking cessation) and observe. 9 / 30 An ulcer is present but no etiological factor can be identified. What should be the management? Protective dressing Topical corticosteroids Incisional biopsy Observation Manage as suspected squamous cell carcinoma with incisional biopsy. 10 / 30 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Add systemic corticosteroids Observation Debridement + systemic antibiotics Increase topical anesthetics If no improvement, perform debridement and start systemic antibiotics. 11 / 30 A patient with Erythema Multiforme has skin involvement and fever. What should be added to the management plan? Incisional biopsy Systemic corticosteroids Eliminate etiological factors Add medical consultation Erythema Multiforme with skin involvement (major form) requires adding medical consultation. 12 / 30 A patient reports placing aspirin in the vestibule for toothache relief and now has a mucosal burn. What should be included in management? Debridement only Eliminate etiological factors + topical anesthetics Systemic corticosteroids Incisional biopsy Eliminate etiological factors in chemical burns. 13 / 30 A patient with primary herpetic gingivostomatitis presents after the initial 3 symptomatic days. What is the appropriate management? Topical anesthetics + systemic analgesics Debridement Systemic antivirals only Intralesional corticosteroids Symptomatic relief with topical anesthetics and systemic analgesics. 14 / 30 A patient presents with blistering lesions and the diagnosis is unclear between Pemphigus Vulgaris and Cicatricial Pemphigoid. What is the most appropriate immediate management? Eliminate etiological factors Systemic antibiotics Topical corticosteroids Systemic corticosteroids If the diagnosis is unclear between these two conditions, topical corticosteroids should be used initially. 15 / 30 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Systemic corticosteroids Observation Topical anesthetics Perform incisional biopsy to rule out squamous cell carcinoma. 16 / 30 A patient with Erythema Multiforme has lesions triggered by HSV infection. What is the appropriate management plan? Systemic antivirals + topical anesthetics + systemic analgesics Systemic corticosteroids Topical corticosteroids only Debridement + systemic antibiotics When HSV is the trigger, systemic antivirals should be added to topical anesthetics and systemic analgesics. 17 / 30 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Eliminate etiological factor + observe Debridement Systemic corticosteroids Incisional biopsy immediately Remove the cause, observe, and reassess. Use topical anesthetics if needed. 18 / 30 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Debridement Continue observation Incisional biopsy Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 19 / 30 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Add systemic analgesics Increase topical dose Debridement Systemic corticosteroids If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 20 / 30 A traumatic ulcer has not resolved after removing the cause. What is the next step? Incisional biopsy Topical anesthetics only Systemic corticosteroids Continue observation If not resolved, perform incisional biopsy. 21 / 30 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Topical corticosteroids Add medical evaluation Increase antibiotics Protective dressing Add medical evaluation if immunosuppression is present. 22 / 30 A child presents with fever, malaise, and widespread oral ulcers diagnosed within the first 3 days as primary herpetic gingivostomatitis. What is the correct management? Systemic antivirals + topical anesthetics + systemic analgesics Systemic corticosteroids Topical corticosteroids Observation Add systemic antivirals to topical anesthetics and systemic analgesics. 23 / 30 A patient with Erythema Multiforme presents with painful oral ulcers but no known trigger. What is the most appropriate symptomatic management? Debridement + systemic antibiotics Systemic corticosteroids Topical anesthetics + systemic analgesics Topical corticosteroids Pain from ulcers is managed with topical anesthetics and systemic analgesics. 24 / 30 A patient presents with localized erythema and ulceration after using a new mouth rinse. Diagnosis: Allergic Contact Stomatitis. What is the first step in management? Eliminate etiological factors + topical corticosteroids Observation only Incisional biopsy Systemic antibiotics Eliminate etiological factors and use topical corticosteroids. 25 / 30 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Observation Incisional biopsy Systemic corticosteroids Topical corticosteroids Symptomatic Erythema Migrans is treated with topical corticosteroids. 26 / 30 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Topical anesthetics + protective dressing Debridement Systemic corticosteroids Incisional biopsy Manage with topical anesthetics and protective dressing if possible. 27 / 30 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Topical corticosteroids Debridement + systemic antibiotics + systemic analgesics Observation Debridement, systemic antibiotics, and systemic analgesics are indicated. 28 / 30 A patient with Erythema Multiforme develops lesions after starting a new medication. The causative drug is identified. What is the first management step? Intralesional corticosteroid injection Protective dressing Discontinue the drug + topical anesthetics + systemic analgesics Systemic corticosteroids If a causative drug is identified, discontinue it and provide symptomatic relief with topical anesthetics and systemic analgesics. 29 / 30 A patient presents with recurrent aphthous ulcers. What is the first-line management? Observation Intralesional corticosteroids Topical corticosteroids Systemic corticosteroids Start with topical corticosteroids. 30 / 30 A patient presents with widespread painful oral blisters and ulcerations. Diagnosis: Pemphigus Vulgaris. What is the primary management approach? Debridement + systemic antibiotics Observation Topical corticosteroids only Systemic corticosteroids + medical evaluation Pemphigus Vulgaris requires systemic corticosteroids and medical evaluation. Your score is 0% Restart quiz
