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 Patient presents with rapidly growing parotid mass and facial weakness. Most concerning for? Mucoepidermoid carcinoma Pleomorphic adenoma Warthin tumor Adenoid cystic carcinoma Facial nerve involvement, rapid growth, pain, and fixation strongly suggest malignancy. Requires immediate biopsy. 2 / 15 A 50-year-old man has painful submandibular swelling during meals. Most likely diagnosis? Tumor Sialadenitis Sialolithiasis Ranula Sialolithiasis most commonly affects submandibular gland (80-90%) due to tortuous duct and calcium-rich secretions. 3 / 15 A 45-year-old presents with a painless, slowly growing mass in the parotid. What is the most common benign tumor? Basal cell adenoma Pleomorphic adenoma Warthin tumor Oncocytoma Pleomorphic adenoma is the most common benign tumor (80% of benign parotid tumors). Typically presents as painless, slow-growing mobile mass. 4 / 15 Patient develops xerostomia after starting new medication. Most likely class? Antibiotics Anticholinergics Antihypertensives Antidepressants Anticholinergics are most common cause of drug-induced xerostomia through muscarinic blockade. 5 / 15 The most appropriate initial imaging for suspected salivary stone is MRI Sialogram CT scan Ultrasound Ultrasound is first-line - no radiation, can visualize stones, assess duct dilation, and guide procedures. 6 / 15 A woman with dry eyes, dry mouth, joint pain. Most likely diagnosis? IgG4 disease Arthritis Lymphoma Sjögren's syndrome Sjögren's syndrome - autoimmune condition affecting salivary and lacrimal glands. Associated with positive SSA/Ro antibodies. 7 / 15 The most common malignant tumor of minor salivary glands is Acinic cell Mucoepidermoid Squamous cell Adenoid cystic Adenoid cystic carcinoma is most common in minor glands, especially palate. Known for perineural invasion. 8 / 15 A patient with HIV presents with bilateral parotid enlargement. The most likely underlying pathology is Viral sialadenitis Lymphoepithelial cysts Bacterial infection Lymphoma HIV-associated lymphoepithelial cysts are common in HIV. Presents as bilateral, painless parotid enlargement. 9 / 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. 10 / 15 The most concerning feature of malignant transformation in pleomorphic adenoma is Facial weakness Pain Firmness Rapid growth Rapid growth in longstanding pleomorphic adenoma suggests malignant transformation (carcinoma ex pleomorphic adenoma). 11 / 15 The most common complication of submandibular stone removal is Bleeding Lingual nerve injury Duct stricture Infection Lingual nerve injury is most common due to close anatomical relationship in floor of mouth. 12 / 15 Which of the following conditions may require immediate surgical treatment? Sialolithiasis Viral sialadenitis Deep lobe abscess Ranula Deep lobe parotid abscess can spread to parapharyngeal space causing airway compromise. Treatment includes broad spectrum antibiotics and drainage. 13 / 15 Child presents with bilateral painful parotid swelling. Most likely cause? Bacterial infection Juvenile recurrent parotitis Stones Viral sialadenitis Viral sialadenitis (commonly mumps) is most common cause of bilateral parotid swelling in children. 14 / 15 The most reliable test for Sjögren's syndrome diagnosis is Minor gland biopsy Salivary flow Schirmer test Anti-SSA antibodies Minor salivary gland biopsy showing focal lymphocytic sialadenitis has highest specificity for diagnosis. 15 / 15 During parotidectomy, which structure most reliably identifies the facial nerve trunk? Tragal pointer Digastric muscle Retromandibular vein Styloid process 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
