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