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 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. 3 / 15 The most common malignant tumor of minor salivary glands is Mucoepidermoid Adenoid cystic Acinic cell Squamous cell Adenoid cystic carcinoma is most common in minor glands, especially palate. Known for perineural invasion. 4 / 15 The most common complication of submandibular stone removal is Lingual nerve injury Infection Bleeding Duct stricture Lingual nerve injury is most common due to close anatomical relationship in floor of mouth. 5 / 15 Patient presents with rapidly growing parotid mass and facial weakness. Most concerning for? Warthin tumor Pleomorphic adenoma Adenoid cystic carcinoma Mucoepidermoid carcinoma Facial nerve involvement, rapid growth, pain, and fixation strongly suggest malignancy. Requires immediate biopsy. 6 / 15 A woman with dry eyes, dry mouth, joint pain. Most likely diagnosis? Sjögren's syndrome IgG4 disease Lymphoma Arthritis Sjögren's syndrome - autoimmune condition affecting salivary and lacrimal glands. Associated with positive SSA/Ro antibodies. 7 / 15 The most concerning feature of malignant transformation in pleomorphic adenoma is Rapid growth Firmness Pain Facial weakness Rapid growth in longstanding pleomorphic adenoma suggests malignant transformation (carcinoma ex pleomorphic adenoma). 8 / 15 The most appropriate initial imaging for suspected salivary stone is MRI Sialogram Ultrasound CT scan Ultrasound is first-line - no radiation, can visualize stones, assess duct dilation, and guide procedures. 9 / 15 The most reliable test for Sjögren's syndrome diagnosis is Anti-SSA antibodies Salivary flow Minor gland biopsy Schirmer test Minor salivary gland biopsy showing focal lymphocytic sialadenitis has highest specificity for diagnosis. 10 / 15 A patient with HIV presents with bilateral parotid enlargement. The most likely underlying pathology is Bacterial infection Lymphoepithelial cysts Viral sialadenitis Lymphoma HIV-associated lymphoepithelial cysts are common in HIV. Presents as bilateral, painless parotid enlargement. 11 / 15 Which of the following conditions may require immediate surgical treatment? Sialolithiasis Ranula Deep lobe abscess Viral sialadenitis Deep lobe parotid abscess can spread to parapharyngeal space causing airway compromise. Treatment includes broad spectrum antibiotics and drainage. 12 / 15 During parotidectomy, which structure most reliably identifies the facial nerve trunk? Retromandibular vein Tragal pointer 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. 13 / 15 Patient develops xerostomia after starting new medication. Most likely class? Antihypertensives Anticholinergics Antidepressants Antibiotics Anticholinergics are most common cause of drug-induced xerostomia through muscarinic blockade. 14 / 15 A 45-year-old presents with a painless, slowly growing mass in the parotid. What is the most common benign tumor? Warthin tumor Pleomorphic adenoma Basal cell adenoma Oncocytoma Pleomorphic adenoma is the most common benign tumor (80% of benign parotid tumors). Typically presents as painless, slow-growing mobile mass. 15 / 15 Patient post-radiation with severe dry mouth. Best initial treatment? Artificial saliva Antibiotics Pilocarpine Surgery Pilocarpine stimulates residual salivary function. Start with salivary substitutes and maintain oral hygiene. Your score is LinkedIn Facebook Twitter 0% Restart quiz
