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