A clinical image shows white pseudomembranous plaques on the oral mucosa that WIPE OFF leaving an erythematous surface. What medication should be prescribed?

Correct answer: B. Miconazole

• A. Clobetasol (potent topical steroid) treats lichen planus/immune lesions, not candidiasis.
• B. Correct. Wipe-off white plaques = pseudomembranous candidiasis (thrush); treat with an antifungal such as miconazole (or nystatin/fluconazole).
• C. Hydrocortisone is a steroid — wrong class and would worsen fungal overgrowth.
• D. Systemic prednisone is immunosuppressive — inappropriate for a fungal infection.