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? Viral sialadenitis Juvenile recurrent parotitis Stones Bacterial infection Viral sialadenitis (commonly mumps) is most common cause of bilateral parotid swelling in children. 2 / 15 Patient post-radiation with severe dry mouth. Best initial treatment? Surgery Pilocarpine Artificial saliva Antibiotics Pilocarpine stimulates residual salivary function. Start with salivary substitutes and maintain oral hygiene. 3 / 15 The most reliable test for Sjögren's syndrome diagnosis is Salivary flow Anti-SSA antibodies Schirmer test Minor gland biopsy Minor salivary gland biopsy showing focal lymphocytic sialadenitis has highest specificity for diagnosis. 4 / 15 A patient with HIV presents with bilateral parotid enlargement. The most likely underlying pathology is Viral sialadenitis Bacterial infection Lymphoepithelial cysts Lymphoma HIV-associated lymphoepithelial cysts are common in HIV. Presents as bilateral, painless parotid enlargement. 5 / 15 The most common complication of submandibular stone removal is Infection Duct stricture Bleeding Lingual nerve injury Lingual nerve injury is most common due to close anatomical relationship in floor of mouth. 6 / 15 The most concerning feature of malignant transformation in pleomorphic adenoma is Pain Rapid growth Facial weakness Firmness Rapid growth in longstanding pleomorphic adenoma suggests malignant transformation (carcinoma ex pleomorphic adenoma). 7 / 15 Patient presents with rapidly growing parotid mass and facial weakness. Most concerning for? Adenoid cystic carcinoma Mucoepidermoid carcinoma Warthin tumor Pleomorphic adenoma Facial nerve involvement, rapid growth, pain, and fixation strongly suggest malignancy. Requires immediate biopsy. 8 / 15 A 50-year-old man has painful submandibular swelling during meals. Most likely diagnosis? Sialolithiasis Tumor Sialadenitis Ranula Sialolithiasis most commonly affects submandibular gland (80-90%) due to tortuous duct and calcium-rich secretions. 9 / 15 The most common malignant tumor of minor salivary glands is Acinic cell Adenoid cystic Mucoepidermoid Squamous cell Adenoid cystic carcinoma is most common in minor glands, especially palate. Known for perineural invasion. 10 / 15 The most appropriate initial imaging for suspected salivary stone is MRI Ultrasound CT scan Sialogram Ultrasound is first-line - no radiation, can visualize stones, assess duct dilation, and guide procedures. 11 / 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. 12 / 15 A 45-year-old presents with a painless, slowly growing mass in the parotid. What is the most common benign tumor? Pleomorphic adenoma Oncocytoma Basal cell adenoma Warthin tumor Pleomorphic adenoma is the most common benign tumor (80% of benign parotid tumors). Typically presents as painless, slow-growing mobile mass. 13 / 15 Patient develops xerostomia after starting new medication. Most likely class? Antihypertensives Antidepressants Anticholinergics Antibiotics Anticholinergics are most common cause of drug-induced xerostomia through muscarinic blockade. 14 / 15 Which of the following conditions may require immediate surgical treatment? Viral sialadenitis Ranula Deep lobe abscess Sialolithiasis Deep lobe parotid abscess can spread to parapharyngeal space causing airway compromise. Treatment includes broad spectrum antibiotics and drainage. 15 / 15 During parotidectomy, which structure most reliably identifies the facial nerve trunk? Tragal pointer Retromandibular vein Styloid process Digastric muscle The tragal pointer is a reliable landmark - facial nerve is 1-2cm deep and anterior to it, lying just inferior to the tympanomastoid suture. Your score is LinkedIn Facebook Twitter 0% Restart quiz
