In the article, we investigate three classes of fourth-order boundary value problems with dependence on all derivatives in nonlinearities under the boundary conditions involving Stieltjes integrals. A Gronwall-type inequality is employed to get an a priori bound on the third-order derivative term, and the theory of fixed-point index is used on suitable open sets to obtain the existence of positive solutions. The nonlinearities have quadratic growth in the third-order derivative term. Previous results in the literature are not applicable in our case, as shown by our examples.