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