Pathology · single question
A radiation therapy patient has severe oral pain NOT from dental disease, associated with mucosal sloughing. What is the most appropriate pain management?
Show answer and explanation
Correct answer: B. Viscous lidocaine (2% topical anesthetic)
Radiation-induced mucositis: viscous lidocaine 2% provides direct topical anesthesia of the oral mucosa, enabling eating and speech. Source confirms: 'viscous lidocaine' over chlorhexidine, antibiotics, and nystatin.
- A. Antibiotics are not indicated for radiation mucositis — not a bacterial infection.
- B. CORRECT. Viscous lidocaine — topical anesthetic rinse for direct mucositis pain relief.
- C. Chlorhexidine is an antiseptic — does NOT provide pain relief for mucositis.
- D. Nystatin treats candidiasis — does NOT address mucositis pain.