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