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 aphthous ulcers does not improve with topical corticosteroids. What is the next step? Debridement Systemic corticosteroids Intralesional corticosteroid injection Protective dressing Use intralesional corticosteroid injections. 2 / 30 An ulcer is present but no etiological factor can be identified. What should be the management? Topical corticosteroids Incisional biopsy Observation Protective dressing Manage as suspected squamous cell carcinoma with incisional biopsy. 3 / 30 A patient has an ulcer caused by a sharp tooth edge. What is the appropriate management? Eliminate etiological factor + observe Debridement Incisional biopsy immediately Systemic corticosteroids Remove the cause, observe, and reassess. Use topical anesthetics if needed. 4 / 30 A patient with Erythema Migrans reports sensitivity and burning sensation. What is the management? Observation Systemic corticosteroids Topical corticosteroids Incisional biopsy Symptomatic Erythema Migrans is treated with topical corticosteroids. 5 / 30 A patient presents with recurrent aphthous ulcers. What is the first-line management? Topical corticosteroids Systemic corticosteroids Observation Intralesional corticosteroids Start with topical corticosteroids. 6 / 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 Topical anesthetics + systemic analgesics Topical corticosteroids Systemic corticosteroids Pain from ulcers is managed with topical anesthetics and systemic analgesics. 7 / 30 A patient undergoing head and neck radiotherapy develops oral ulcerations and pain. Diagnosis: Radiation Mucositis. What is the first-line management? Topical anesthetics Systemic corticosteroids Protective dressing Systemic antibiotics Topical anesthetics are first-line for pain control. 8 / 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 Topical corticosteroids + medical evaluation Observation only Systemic corticosteroids Initial management involves topical corticosteroids and medical evaluation. 9 / 30 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Systemic corticosteroids Add systemic analgesics Debridement Increase topical dose If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 10 / 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. 11 / 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 Observation Topical anesthetics Perform incisional biopsy to rule out squamous cell carcinoma. 12 / 30 A traumatic ulcer has not resolved after removing the cause. What is the next step? Systemic corticosteroids Topical anesthetics only Incisional biopsy Continue observation If not resolved, perform incisional biopsy. 13 / 30 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Debridement Continue observation Incisional biopsy Systemic corticosteroids If no resolution after smoking cessation, perform incisional biopsy. 14 / 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. 15 / 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. 16 / 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? Observation Topical corticosteroids Systemic corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics Add systemic antivirals to topical anesthetics and systemic analgesics. 17 / 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. 18 / 30 A patient has a small superficial mucosal burn from hot food. What is the most appropriate management? Topical anesthetics + protective dressing Debridement Systemic corticosteroids Incisional biopsy Manage with topical anesthetics and protective dressing if possible. 19 / 30 A patient with Erythema Multiforme has lesions triggered by HSV infection. What is the appropriate management plan? Debridement + systemic antibiotics Topical corticosteroids only Systemic corticosteroids Systemic antivirals + topical anesthetics + systemic analgesics When HSV is the trigger, systemic antivirals should be added to topical anesthetics and systemic analgesics. 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 Incisional biopsy Observation only Eliminate etiological factors and use topical corticosteroids. 21 / 30 A patient with Erythema Multiforme has skin involvement and fever. What should be added to the management plan? Incisional biopsy Eliminate etiological factors Systemic corticosteroids Add medical consultation Erythema Multiforme with skin involvement (major form) requires adding medical consultation. 22 / 30 A patient with Necrotizing Mucositis shows signs of immunosuppression. What should be added to the management plan? Add medical evaluation Protective dressing Topical corticosteroids Increase antibiotics Add medical evaluation if immunosuppression is present. 23 / 30 A patient presents with widespread painful oral blisters and ulcerations. Diagnosis: Pemphigus Vulgaris. What is the primary management approach? Debridement + systemic antibiotics Topical corticosteroids only Observation Systemic corticosteroids + medical evaluation Pemphigus Vulgaris requires systemic corticosteroids and medical evaluation. 24 / 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 Initiate systemic corticosteroids Increase topical corticosteroid dose Eliminate etiological factors If topical corticosteroids are ineffective, systemic corticosteroids should be initiated. 25 / 30 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Add systemic corticosteroids Observation Increase topical anesthetics If no improvement, perform debridement and start systemic antibiotics. 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? Systemic corticosteroids Eliminate etiological factors + topical anesthetics Debridement only Incisional biopsy Eliminate etiological factors in chemical burns. 27 / 30 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Observation Systemic corticosteroids Debridement Eliminate etiological factors Systemic corticosteroids are indicated. 28 / 30 A patient with Erythema Multiforme develops lesions after starting a new medication. The causative drug is identified. What is the first management step? Protective dressing Systemic corticosteroids 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. 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? Systemic corticosteroids Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Topical corticosteroids Eliminate etiological factor (smoking cessation) and observe. 30 / 30 A patient is diagnosed with Erythema Migrans and has no symptoms. What is the appropriate management? Topical corticosteroids Debridement Systemic antibiotics No treatment Asymptomatic Erythema Migrans requires no treatment. Your score is 0% Restart quiz
