Salivary Gland MCQs | Level IDentistry MCQs Oral Pathology MCQs 0% Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. 123456789101112131415 Salivary Gland Disease | Level I 1 / 15 Child presents with bilateral painful parotid swelling. Most likely cause? Juvenile recurrent parotitis Stones Bacterial infection Viral sialadenitis Viral sialadenitis (commonly mumps) is most common cause of bilateral parotid swelling in children. 2 / 15 A 45-year-old presents with a painless, slowly growing mass in the parotid. What is the most common benign tumor? Oncocytoma Basal cell adenoma Warthin tumor Pleomorphic adenoma Pleomorphic adenoma is the most common benign tumor (80% of benign parotid tumors). Typically presents as painless, slow-growing mobile mass. 3 / 15 The most reliable test for Sjögren's syndrome diagnosis is Salivary flow Anti-SSA antibodies Minor gland biopsy Schirmer test Minor salivary gland biopsy showing focal lymphocytic sialadenitis has highest specificity for diagnosis. 4 / 15 The most common malignant tumor of minor salivary glands is Acinic cell Adenoid cystic Squamous cell Mucoepidermoid Adenoid cystic carcinoma is most common in minor glands, especially palate. Known for perineural invasion. 5 / 15 A 50-year-old man has painful submandibular swelling during meals. Most likely diagnosis? Sialadenitis Sialolithiasis Ranula Tumor Sialolithiasis most commonly affects submandibular gland (80-90%) due to tortuous duct and calcium-rich secretions. 6 / 15 A woman with dry eyes, dry mouth, joint pain. Most likely diagnosis? Arthritis IgG4 disease Sjögren's syndrome Lymphoma Sjögren's syndrome - autoimmune condition affecting salivary and lacrimal glands. Associated with positive SSA/Ro antibodies. 7 / 15 Which of the following conditions may require immediate surgical treatment? Sialolithiasis Viral sialadenitis Ranula Deep lobe abscess Deep lobe parotid abscess can spread to parapharyngeal space causing airway compromise. Treatment includes broad spectrum antibiotics and drainage. 8 / 15 Patient develops xerostomia after starting new medication. Most likely class? Anticholinergics Antibiotics Antihypertensives Antidepressants Anticholinergics are most common cause of drug-induced xerostomia through muscarinic blockade. 9 / 15 Patient presents with rapidly growing parotid mass and facial weakness. Most concerning for? Mucoepidermoid carcinoma Adenoid cystic carcinoma Warthin tumor Pleomorphic adenoma Facial nerve involvement, rapid growth, pain, and fixation strongly suggest malignancy. Requires immediate biopsy. 10 / 15 During parotidectomy, which structure most reliably identifies the facial nerve trunk? Digastric muscle Styloid process Retromandibular vein Tragal pointer The tragal pointer is a reliable landmark - facial nerve is 1-2cm deep and anterior to it, lying just inferior to the tympanomastoid suture. 11 / 15 The most common complication of submandibular stone removal is Duct stricture Infection Lingual nerve injury Bleeding Lingual nerve injury is most common due to close anatomical relationship in floor of mouth. 12 / 15 A patient with HIV presents with bilateral parotid enlargement. The most likely underlying pathology is Lymphoma Lymphoepithelial cysts Bacterial infection Viral sialadenitis HIV-associated lymphoepithelial cysts are common in HIV. Presents as bilateral, painless parotid enlargement. 13 / 15 The most appropriate initial imaging for suspected salivary stone is CT scan Ultrasound Sialogram MRI Ultrasound is first-line - no radiation, can visualize stones, assess duct dilation, and guide procedures. 14 / 15 Patient post-radiation with severe dry mouth. Best initial treatment? Artificial saliva Surgery Pilocarpine Antibiotics Pilocarpine stimulates residual salivary function. Start with salivary substitutes and maintain oral hygiene. 15 / 15 The most concerning feature of malignant transformation in pleomorphic adenoma is Rapid growth Facial weakness Pain Firmness Rapid growth in longstanding pleomorphic adenoma suggests malignant transformation (carcinoma ex pleomorphic adenoma). Your score is LinkedIn Facebook Twitter 0% Restart quiz
