Salivary gland involvement in conjunction with xerostomia or xerophthalmia are required clinical

findings to establish the diagnosis of which of the following?

A. Sjogren’s syndrome

B. Sialosis

C. Sarcoidosis

D. Lymphoma

Answer: A

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Question:

Which of the following entities is characterized by diffuse bilateral parotid enlargement secondary to

nutritional changes?

A. Sjogren’s syndrome

B. Sarcoidosis

C. Lymphoepithelial lesions

D. Sialosis

Answer: D

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Question:

A black female patient presents with history of easy fatigability, anorexia, and hilar adenopathy with

parotid and lacrimal gland enlargement. The most likely diagnosis is:

A. sarcoidosis.

B. lymphoma.

C. Sjogren’s syndrome.

D. anorexia.

Answer: A

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Question:

Which of the following statements regarding benign lymphoepithelial parotid lesions is true?

A. It is a pre-malignant condition with a high likelihood of malignant transformation.

B. Total parotidectomy is often indicated.

C. May present as an isolated salivary gland abnormality or a manifestation of Sjogren’s disease.

D. It is often associated with a viral infection.

Answer: C

186. A 69 year-old patient presents to your office with a complaint of an enlarging mass of his

palate. He states that the mass has been present for the past year and has recently ulcerated

and became painful. On clinical examination you note a 2 cm raised ulcerated mass at the

junction of the right hard and soft palates. Which of the following diagnoses is most likely

in this case?

A. Acinic cell carcinoma

B. Mucoepidermoid Carcinoma

C. Polymorphous Low-grade Adenocarcinoma

D. Carcinoma ex-pleomorphic adenoma

Answer: B

187. What is the most common salivary gland tumor of the upper lip?

A. Canalicular Adenoma

B. Pleomorphic Adenoma

C. Acinic Cell Carcinoma

D. Mucoepidermoid Carcinoma

Answer: B

188. A 9 year-old patient presents with a mass on her left parotid gland. Your clinical

examination reveals a 2 cm lesion on the left parotid gland. The lesion is attached to the

overlying skin and the skin is erythematous. Her facial nerve is intact with exception of a

slight buccal branch weakness. Which of the following tumors is the most likely diagnosis?

A. Adenoid cystic carcinoma

B. Acinic cell carcinoma

C. Lymphoma

D. Mucoepidermoid carcinoma

Answer: D
189. What is the most common malignant submandibular gland tumor?

A. Mucoepidermoid carcinoma

B. Carcinoma ex-pleomorphic adenona

C. Adenoid Cystic Carcinoma

D. Acinic Cell Carcinoma

Answer: C

190. A 12 year-old patient is brought to your office for evaluation of a swelling on the left

anterior floor of mouth. The examination reveals a dome-shaped, translucent, fluid filled

elevation on the left anterior floor of mouth. On further examination of the head and neck

you note that the swelling extends to the submental region on the same side. Based on your

clinical diagnosis, what is the best treatment to insure that the lesion does not recur?

A. Incision and drainage

B. Marsupialization

C. Partial/total extirpation of pseudocyst

D. Sublingual gland excision

Answer: D

191. A 40 year-old patient presents to the clinic one week after a left nerve sparing superficial

parotidectomy for a pleomorphic adenoma. On exam you note an area of fluctuant swelling

directly underneath the skin overlying the residual parotid bed. You explain to her that she

has a salivary fistula. Which of the following represents the next step?

A. Carryout a wound exploration.

B. Prescribe an anticholinergic agent.

C. Have her return to clinic in 2 weeks for reexamination.

D. Aspirate the area.

Answer: C