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