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