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