Salivary glands

1. Sialography is used to detect anomaly of_______________?

A. Salivary duct only

B. Salivary gland

C. Salivary gland & duct

D. Salivary gland tumours

Key: c

Why: sialography is a diagnostic imaging test that can produce a picture of the ductal system of the
gland

2. Which of the following is of salivary gland origin ?

A. Acinic cell carcinoma

B. Granular cell myoblastoma

C. Chondrosarcoma

D. All of the above

Key: a

Why: it is the malignant neoplasm of glandular origin of salivary glands

3. A condition of the mouth will increase the caries activity in the oral cavity is_________________?

A. Xerostomia

B. Malignancy

C. Hairy tongue

D. Watery saliva
Key: a

Why: reduced buffering of saliva and absence of cleansing affect and antibodies to produce
bacteriostatic action.

4. Most common tumor of parotid gland is______________?

A. Plemorphic adenoma

B. Adenoid cystic carcinoma

C. Cylindroma

D. Epidermoud carcinoma

Key: a

Why: fact

5. Bimanual palpation technique is carried out for____________________?

A. Submandibular gland

B. Sublingual gland

C. Ranula

D. Cervical lymph nodes when they are enlarged due to inflammation

Key: a

Why: one hand is used to push the gland upwards extraorally and the other hand is used to palpate the
gland intraorally.

6. Sialolith in the excretory duct, will result in______________?

A. Chronic sialadenitis

B. Mucous retention cyst

C. Pleomorphic adenoma

D. rupture of the duct

Key: b

Why: the stone will cause obstruction to the outward flow of saliva whih lead to its retention in the duct.

7. The most common complication of mumps is______________?

A. myocarditis

B. Orchitis

C. Uveitis

D. Conjunctivits

Key: b

Why: anatomical location of salivary gland close to ear is favorable

8. Toads belly like swelling in the floor of mouth is most likely:

A. Mucocoele
B. Ranula *
C. Sialolithiasis
D. Hemangioma

Key: b

Why: the swollen cystic appearance of the gland duct in the floor of mouth gives a bluish hue that
appears like a toads belly.

9. Ideal treatment of ranula:

A. Sclerotic agents
B. Incision and drainage
C. Excision of gland
D. Marsupalization *

Key: d

Why: other measures can lead to its recurrence

10. Bilateral tendency shown by which of the following salivary gland tumors:

A. WARTHINS TUMOR *
B. Mucoepidermoid tumor
 C. Acinic cell carcinoma
D. Polymorphic salivary gland tumor

Key: a

Why: fact

11. A cyst occurs under the tongue, caused by obstruction of a salivary gland. Such a cyst is
called_______________?

A. Mucocele

B. Ranula

C. Dermoid cyst

D. Dentigerous cyst

Key: a

Why: pseudocyst lined by ductal epithelium due to retention of saliva

12. “Xerostomia” is seen in all of the following EXCEPT in_______________?

A. Anticholinergic drugs

B. Dehydration

C. Sjogren’s syndrome

D. Oral sepsis

Key: d

Why: oral infection causes an increase in salivation

13. Commonest salivary gland tumour in children______________?

A. Lymphoma

B. Pleomorphic adenoma

C. Adenoid cystic carcinoma

D. Mucoepidermoid carcinoma

Key: c

Why: fact

14. Commonest site for ectopic salivary gland tumour is_______________?

A. Tongue

B. Cheek

C. Palate

D. Neck

Key: c

Why: fact

15. Warthins tumor is_____________?

A. An adenolymphoma of the parotid gland

B. A pleomorphic adenoma of parotid gland

C. Carcinoma of the parotid gland

D. None of the above

Key: a

Why: this tumor also consists of lymphoid cells

16. Salivary gland stone commonly forms in:

a. Parotid gland
b. Submandibular gland
c. Sublingual gland
d. Minor salivary glands

Key: b

Why: the tortuous pathway of duct against the gravity and the thick consistency of saliva can cause
sialolithiasis
17. In clinical evaluation most significant sign related to a tumor is:

a. Rapid progressive painless enlargement

b. Nodular consistency
c. Supramental and prearicular lymphadenopathy
d. Facial paralysis

Key: d

Why: malignant tumors frequently involve the adjacent nerves, invasion on facial nerve integrity by
salivary gland malignant tumorcan lead to facial paralysis

18. Most common site for salivary gland neoplasia:

a. Parotid gland
b. Submandibular gland
c. Sublingual gland
d. Minor salivary glands

Key: a

Why: the most common type of salivary gland tumor is a slow growning bening lesion of parotid gland
around 80% of times

19. Most common salivary gland tumor is:

a. Warthins tumor
b. Acinic cell carcinoma
c. Adenoid cystic carcinoma
d. Pleomorphic adenoma

Key: d

Why: fact

20. A unilateral swelling in the floor of the mouth which increases in size at the site of food or while
eating and then decreases in size is likely:

a. Sialadenitis
b. Salivary gland tumor
c. Salivary gland obstruction
d. All of the above

Key: c
Why: sialolith obstructing the duct retains saliva and causes swelling which worsens when the salivary
flow is stimulated while eating.

21. Ranula is a lesion of:

a. Parotid gland
b. Submandibular gland
c. Sublingual gland
d. Minor salivary gland

Key: c

Why: swelling of sublingual salivary gland duct makes an appaerance of toads belly (rannula)

22. Common site for necrotsiing silometaplasia:

a. cheek
b. Gingiva
c. Palate
d. Tongue

Key: c

Why: a suprabony lesion has comparatively lesser blood supply which increases the chance of necrosis
in case of injury.

23. Pleomorphic adenoma arises from:

a. Myoepithelial cells
b. Clear cells
c. Connective tissue
d. Acinar cells

Key: a

Why: fact

24. Most common salivary gland malignant neoplasm in bones is:

a. Pleomorphic adenoma
b. Adenoid cystic carcinoma
c. Mucoepidermoid carcinoma
d. Adenolymphoma

Key: c
Why: this tumor involves origin of different stem cells and can involve tissue of bone and salivary gland

25. Mikulicz disease is:

a. An infalmmatory disease
b. Neoplastic disease
c. An autoimmune disease
d. Viral infection

key : c

Why: this disease is caused by antibodies against the glands in head and neck region such as lacrimal
and salivary glands leading to their enlargement.

26. Non inflammatory and non neoplastic enlargement of salivary glands is called:

a. Sialadenitis
b. Sialosis
c. Ptyalism
d. Sialorhea

Key: b

Why: this enlargemt is usually a hypertrophic and hyperplastic result of physiologically increased saliavry
flow stimulation

27. A painful crater like ulcer form on the hard palate of a smoker, 40 year old woman a week after she
had Local anaesthesia administered to pakate for a dental procedure, mots likely lesion is:

a. Necrotising sialometaplasia
b. Squamous cell carcinoma
c. Actinomycosis
d. Pleomorphic adenoma

Key: a

Why: this lesion usually has a history of local anaesthesia administration in region of lesion, smoking
makes the situation more likely, a minor salivary gland undergoes necrosis in the palate

28. Which of the salivary gland lesion shows perineural spread:

a. Ductal papilloma
b. Pleomorphic adenoma
c. Adenoid cystic carcinoma
 d. Warthins tumor

Key: c

Why: perineural spread is a feature of malignant tumor only.

29. Parkinsonism does not:

a. Effect salivary flow

b. Affect voluntary movements
c. Affect musle coordination
d. Affect gait

Key: a

Why: it is a disease of motor funtion of viluntary movements

30. Acute non suppurative sialadenitis is seen in:

a. Acute bacterial sialdenitis

b. Mumps
c. Chronic bacteril sialadenitis
d. All of the above

Key: b

Why: mumps is a viral infection of salivary glands of childhood which is extremely painful and febrile
condition that develops within 2-3 days and resolves in a week.

31. Mucocoele most commonly results due to:

a. Rupture of salivary duct

b. Compression of salivary acini
c. Inflammation of salivary gland
d. Stone obstructing the salivary duct

Key: a

Why: mucous extravasation is the most common form of mucocoele