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 Bacterial infection Stones Juvenile recurrent parotitis 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? Warthin tumor Oncocytoma Pleomorphic adenoma Basal cell adenoma Pleomorphic adenoma is the most common benign tumor (80% of benign parotid tumors). Typically presents as painless, slow-growing mobile mass. 3 / 15 A woman with dry eyes, dry mouth, joint pain. Most likely diagnosis? Sjögren's syndrome Arthritis Lymphoma IgG4 disease Sjögren's syndrome - autoimmune condition affecting salivary and lacrimal glands. Associated with positive SSA/Ro antibodies. 4 / 15 Patient develops xerostomia after starting new medication. Most likely class? Anticholinergics Antidepressants Antihypertensives Antibiotics Anticholinergics are most common cause of drug-induced xerostomia through muscarinic blockade. 5 / 15 The most common complication of submandibular stone removal is Infection Bleeding Lingual nerve injury Duct stricture Lingual nerve injury is most common due to close anatomical relationship in floor of mouth. 6 / 15 Patient presents with rapidly growing parotid mass and facial weakness. Most concerning for? Warthin tumor Adenoid cystic carcinoma Pleomorphic adenoma Mucoepidermoid carcinoma Facial nerve involvement, rapid growth, pain, and fixation strongly suggest malignancy. Requires immediate biopsy. 7 / 15 The most appropriate initial imaging for suspected salivary stone is Ultrasound CT scan Sialogram MRI Ultrasound is first-line - no radiation, can visualize stones, assess duct dilation, and guide procedures. 8 / 15 The most concerning feature of malignant transformation in pleomorphic adenoma is Firmness Rapid growth Pain Facial weakness Rapid growth in longstanding pleomorphic adenoma suggests malignant transformation (carcinoma ex pleomorphic adenoma). 9 / 15 Which of the following conditions may require immediate surgical treatment? Ranula Sialolithiasis Deep lobe abscess Viral sialadenitis Deep lobe parotid abscess can spread to parapharyngeal space causing airway compromise. Treatment includes broad spectrum antibiotics and drainage. 10 / 15 The most common malignant tumor of minor salivary glands is Mucoepidermoid Squamous cell Adenoid cystic Acinic cell Adenoid cystic carcinoma is most common in minor glands, especially palate. Known for perineural invasion. 11 / 15 During parotidectomy, which structure most reliably identifies the facial nerve trunk? Styloid process Digastric muscle Tragal pointer Retromandibular vein The tragal pointer is a reliable landmark - facial nerve is 1-2cm deep and anterior to it, lying just inferior to the tympanomastoid suture. 12 / 15 A 50-year-old man has painful submandibular swelling during meals. Most likely diagnosis? Tumor Sialolithiasis Ranula Sialadenitis Sialolithiasis most commonly affects submandibular gland (80-90%) due to tortuous duct and calcium-rich secretions. 13 / 15 A patient with HIV presents with bilateral parotid enlargement. The most likely underlying pathology is Viral sialadenitis Bacterial infection Lymphoma Lymphoepithelial cysts HIV-associated lymphoepithelial cysts are common in HIV. Presents as bilateral, painless parotid enlargement. 14 / 15 The most reliable test for Sjögren's syndrome diagnosis is Schirmer test Anti-SSA antibodies Salivary flow Minor gland biopsy Minor salivary gland biopsy showing focal lymphocytic sialadenitis has highest specificity for diagnosis. 15 / 15 Patient post-radiation with severe dry mouth. Best initial treatment? Antibiotics Surgery Pilocarpine Artificial saliva Pilocarpine stimulates residual salivary function. Start with salivary substitutes and maintain oral hygiene. Your score is LinkedIn Facebook Twitter 0% Restart quiz
