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