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