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