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