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