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 reliable test for Sjögren's syndrome diagnosis is Schirmer test Minor gland biopsy Anti-SSA antibodies Salivary flow Minor salivary gland biopsy showing focal lymphocytic sialadenitis has highest specificity for diagnosis. 2 / 15 A 45-year-old presents with a painless, slowly growing mass in the parotid. What is the most common benign tumor? Pleomorphic adenoma Warthin tumor 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. 3 / 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. 4 / 15 The most common malignant tumor of minor salivary glands is Squamous cell Mucoepidermoid Acinic cell Adenoid cystic Adenoid cystic carcinoma is most common in minor glands, especially palate. Known for perineural invasion. 5 / 15 The most common complication of submandibular stone removal is Lingual nerve injury Duct stricture Bleeding Infection Lingual nerve injury is most common due to close anatomical relationship in floor of mouth. 6 / 15 Patient post-radiation with severe dry mouth. Best initial treatment? Surgery Artificial saliva Pilocarpine Antibiotics Pilocarpine stimulates residual salivary function. Start with salivary substitutes and maintain oral hygiene. 7 / 15 Which of the following conditions may require immediate surgical treatment? Deep lobe abscess Sialolithiasis Ranula Viral sialadenitis Deep lobe parotid abscess can spread to parapharyngeal space causing airway compromise. Treatment includes broad spectrum antibiotics and drainage. 8 / 15 Child presents with bilateral painful parotid swelling. Most likely cause? Stones Bacterial infection Viral sialadenitis Juvenile recurrent parotitis Viral sialadenitis (commonly mumps) is most common cause of bilateral parotid swelling in children. 9 / 15 A woman with dry eyes, dry mouth, joint pain. Most likely diagnosis? Arthritis Lymphoma Sjögren's syndrome IgG4 disease Sjögren's syndrome - autoimmune condition affecting salivary and lacrimal glands. Associated with positive SSA/Ro antibodies. 10 / 15 The most appropriate initial imaging for suspected salivary stone is Sialogram MRI CT scan Ultrasound Ultrasound is first-line - no radiation, can visualize stones, assess duct dilation, and guide procedures. 11 / 15 Patient presents with rapidly growing parotid mass and facial weakness. Most concerning for? Mucoepidermoid carcinoma Adenoid cystic carcinoma Warthin tumor Pleomorphic adenoma Facial nerve involvement, rapid growth, pain, and fixation strongly suggest malignancy. Requires immediate biopsy. 12 / 15 A patient with HIV presents with bilateral parotid enlargement. The most likely underlying pathology is Viral sialadenitis Lymphoma Bacterial infection Lymphoepithelial cysts HIV-associated lymphoepithelial cysts are common in HIV. Presents as bilateral, painless parotid enlargement. 13 / 15 Patient develops xerostomia after starting new medication. Most likely class? Antidepressants Antihypertensives Antibiotics Anticholinergics Anticholinergics are most common cause of drug-induced xerostomia through muscarinic blockade. 14 / 15 A 50-year-old man has painful submandibular swelling during meals. Most likely diagnosis? Sialolithiasis Ranula Tumor Sialadenitis Sialolithiasis most commonly affects submandibular gland (80-90%) due to tortuous duct and calcium-rich secretions. 15 / 15 The most concerning feature of malignant transformation in pleomorphic adenoma is Rapid growth Pain Firmness Facial weakness Rapid growth in longstanding pleomorphic adenoma suggests malignant transformation (carcinoma ex pleomorphic adenoma). Your score is LinkedIn Facebook Twitter 0% Restart quiz
