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