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 Erythema Migrans reports sensitivity and burning sensation. What is the management? Systemic corticosteroids Observation Incisional biopsy Topical corticosteroids Symptomatic Erythema Migrans is treated with topical corticosteroids. 2 / 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 Eliminate etiological factor (smoking cessation) + observe Immediate incisional biopsy Systemic corticosteroids Eliminate etiological factor (smoking cessation) and observe. 3 / 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 corticosteroids Topical anesthetics + systemic analgesics Debridement + systemic antibiotics Pain from ulcers is managed with topical anesthetics and systemic analgesics. 4 / 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. 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 Topical corticosteroids only Observation Debridement + systemic antibiotics 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? Systemic corticosteroids Debridement Topical anesthetics + protective dressing Incisional biopsy Manage with topical anesthetics and protective dressing if possible. 7 / 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. 8 / 30 A patient presents with necrotic gingival tissue and severe oral pain. Diagnosis: Necrotizing Mucositis. What is the management? Systemic corticosteroids only Topical corticosteroids Debridement + systemic antibiotics + systemic analgesics Observation Debridement, systemic antibiotics, and systemic analgesics are indicated. 9 / 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. 10 / 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? Systemic antibiotics Observation only Incisional biopsy Eliminate etiological factors + topical corticosteroids Eliminate etiological factors and use topical corticosteroids. 11 / 30 A patient with Erythema Multiforme develops lesions after starting a new medication. The causative drug is identified. What is the first management step? Systemic corticosteroids Protective dressing Discontinue the drug + topical anesthetics + systemic analgesics Intralesional corticosteroid injection If a causative drug is identified, discontinue it and provide symptomatic relief with topical anesthetics and systemic analgesics. 12 / 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. 13 / 30 A firm ulcerative lesion on the palate is suspected to be Necrotizing Sialometaplasia. What is the most appropriate next step? Incisional biopsy Systemic corticosteroids Topical anesthetics Observation Perform incisional biopsy to rule out squamous cell carcinoma. 14 / 30 A patient with Nicotine Stomatitis does not show resolution of the palatal lesion after smoking cessation. What is the next step? Incisional biopsy Systemic corticosteroids Debridement Continue observation If no resolution after smoking cessation, perform incisional biopsy. 15 / 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. 16 / 30 A patient presents with recurrent aphthous ulcers. What is the first-line management? Systemic corticosteroids Topical corticosteroids Observation Intralesional corticosteroids Start with topical corticosteroids. 17 / 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. 18 / 30 A patient with Cicatricial Pemphigoid has not improved after several weeks of topical corticosteroid use. What is the next appropriate step? Increase topical corticosteroid dose Eliminate etiological factors Protective dressing only Initiate systemic corticosteroids If topical corticosteroids are ineffective, systemic corticosteroids should be initiated. 19 / 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. 20 / 30 A patient with aphthous ulcers has not improved with topical or intralesional corticosteroids. What is the next step? Eliminate etiological factors Systemic corticosteroids Debridement Observation Systemic corticosteroids are indicated. 21 / 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 Incisional biopsy Eliminate etiological factors + topical anesthetics Debridement only Eliminate etiological factors in chemical burns. 22 / 30 A mucosal burn is not responding to topical anesthetics and protective dressings. What is the next step? Debridement + systemic antibiotics Observation Increase topical anesthetics Add systemic corticosteroids If no improvement, perform debridement and start systemic antibiotics. 23 / 30 An ulcer is present but no etiological factor can be identified. What should be the management? Observation Incisional biopsy Topical corticosteroids Protective dressing Manage as suspected squamous cell carcinoma with incisional biopsy. 24 / 30 A patient with Erythema Multiforme has skin involvement and fever. What should be added to the management plan? Incisional biopsy Systemic corticosteroids Add medical consultation Eliminate etiological factors Erythema Multiforme with skin involvement (major form) requires adding medical consultation. 25 / 30 A patient with Radiation Mucositis is not responding to topical anesthetics. What is the next step? Debridement Systemic corticosteroids Add systemic analgesics Increase topical dose If topical anesthetics are ineffective, systemic analgesics such as IV morphine are used. 26 / 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. 27 / 30 A traumatic ulcer has not resolved after removing the cause. What is the next step? Topical anesthetics only Incisional biopsy Systemic corticosteroids Continue observation If not resolved, perform incisional biopsy. 28 / 30 A patient has a deep, large mucosal burn causing severe pain. What should be added to the management plan? Protective dressing only Systemic antibiotics Add systemic analgesics Topical corticosteroids Add systemic analgesics for severe pain. 29 / 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. 30 / 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 Systemic antivirals + topical anesthetics + systemic analgesics Observation Add systemic antivirals to topical anesthetics and systemic analgesics. 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