Salivary Glands Multiple Choice Questions
NEET
- Carmalt’s gland is/are
A. Major salivary gland
B. Minor salivary gland (retromolar)
C. Minor salivary gland (lingual)
D. Taste Buds - In the clinical evaluation, the most significant finding of a parotid mass may be accompanying
A. Slow progressive painless enlargement
B. Nodular in consistency
C. Submental & pre-auricular lymphadenopathy
D. Facial paralysis
- Frey’s syndrome can occur following
A. Saggital split osteotomy
B. Caldwell Luc operation
C. Parotidectomy
D. Marsupialization - Dilation of the salivary duct secondary to epithelial atrophy as a result of repeated inflammatory or infectious process is:
A. Sialodochitis
B. Sialadeniti
C. Sialolithiasis
D. Mucocele - Submandibular calculus can be removed by
A. Dilation of the duct
B. Excision of the opening of duct
C. Removal of the gland
D. Incision of the duct and removal of calculus
- Submandibular duct is exposed via intraoral approach by incising the
A. Buccinators
B. Mucous membrane
C. Masseter
D. All of the above - During the medial approach for submandibular gland surgery the nerve least likely to be injured is:
A. Facial nerve
B. Hypoglossal nerve
C. Glossopharyngeal nerve
D. Lingual nerve - Excision of the submandibular gland for calculus or tumors is done by incision below angle of the jaw. Special care should be taken to avoid which nerve?
A. Ansa cervicalis
B. Mandible branch of facial nerve
C. Posterior auricular nerve
D. Submandibular ganglion - Treatment for mucocele is:
A. Marsupialization of the lesion
B. Enucleatin of only the mucocoele without involving the duct of mucous glan
C. Enucleation of mucocele and involving the mucous glan
D. Enucleation of mucocele, involving the mucous gland and surrounding tissue
- Which of the following detects salivary gland duct calculi?
A. Ultrasonography
B. Plain radiography
C. Sialography
D. Xeroradiography - During surgical excision of the parotid gland the following structures may be damaged:
A. Lesser occipital nerve, hypoglossal nerve, chorda tympani
B. Facial nerve and auriculotemporal nerve
C. Submandibular duct
D. Cervical fascia - Treatment of pleomorphic adenoma of parotid is:
A. Total parotidectomy
B. Superficial parotidectomy
C. Deep parotidectomy
D. Radical parotidectomy - Most common site of sialolithiasis:
A. Submandibular duct
B. Sublingual duct
C. Parotid duct
D. Minor saliavry glands - Which of the following is preferred treatment for submandibular salivary duct stones?
A. Vertical incision, removal of stone and suturing of the incison to close the duct.
B. Vertical incision and suturing the ductal margins to the oral mucosa leaving it open.
C. Transverse incision, removal of the stone and closure of the duct.
D. Transverse incision, removal of the stone and suturing the wound, leaving the duct open. - In removal of submandibular gland, which of the following nerves are most likely to be damaged:
A. Facial and glossopharyngeal
B. Lingual and hypoglossal
C. Lingual and glossopharyngeal
D. Hypoglossal and glossopharyngeal - All the following nerves are encountered during submandibular gland resection EXCEPT:
A. Lingual nerve
B. Hypoglossal nerve
C. Accessory nerve
D. Marginal mandibular nerve - A mucocele of the lower lip should be treated by
A. Incision
B. Electro cautery
C. Excision including adjacent minor salivary gland
D. Incision and drainage followed by antibiotics - The recurrent ranula is best treated by
A. Eletrosurgery
B. Cryosurgery
C. Marsupialization
D. Sub-lingual gland excision
- The glands of Blandin and Nuhn are?
A. The posterior lingual glands
B. The anterior lingual glands located near the apex of tongue
C. The glossopalatine glands
D. The palatine glands - Which of the following is true?
A. Parotid – stenson’s duct – pure serous
B. Submandibular – Wharton’s duct – mixed and predominantly serous
C. Sublingual gland – bartholin’s duct – mixed and predominantly mucous
D. All of the above
- Salivary gland stone most commonly involves___________?
A. Submandibular gland
B. Parotid gland
C. Sub lingual glands
D. Lingual glands - Which of the following statement is FALSE?
A. A salivary duct obstruction can cause a unilateral swelling in the floor of the mouth that is largest before a meal and smallest after a meal
B. The lesion termed a ranula is associated with the sublingual salivary gland
C. The sublingual salivary gland is the most common site of salivary gland neoplasia
D. A pleomorphic adenoma is the most common salivary gland neoplasm - The recurrence of pleomorphic adenoma is attributed to___________?
A. Presence of an incomplete capsule
B. Mixed origin
C. Absence of capsule
D. Perineural spread - Sjorgen’s syndrome includes all of the following, except?
A. Xerostomia
B. Keratoconjunctivitis
C. Arthritis
D. Lymphoma
- Which tumour does not occur in minor salivary gland ?
A. Pleomorphic adenoma
B. Adenocarcinoma
C. Mucoepidermoid carcinoma
D. Warthin’s tumour
- Sialolith in the excretory duct, will result in?
A. Chronic sialadenitis
B. Mucous retention cyst
C. Pleomorphic adenoma
D. Rupture of the duct - Most common complication of mumps ?
A. Myocarditis
B. Orchitis
C. Uveitis
D. Conjunctivits - 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 - Sialography is used to detect anomaly of_______________?
A. Salivary duct only
B. Salivary gland
C. Salivary gland & duct
D. Salivary gland tumours - Which of the following is of salivary gland origin?
A. Acinic cell carcinoma
B. Granular cell myoblastoma
C. Chondrosarcoma
D. All of the above - A condition of the mouth with increase the caries activity in the oral cavity is_________________?
A. Xerostomia
B. Malignancy
C. Hairy tongue
D. Watery saliva - Most common tumor of parotid gland:
A. Plemorphic adenoma
B. Adenoid cystic carcinoma
C. Cylindroma
D. Epidermoud carcinoma - Commonest site for ectopic salivary gland tumor is:
A. Tongue
B. Cheek
C. Palate
D. Neck - Chemical mumps’ is synonymous with:
A. Epidemic parotitis
B. Iodine mumps
C. Nutritional mumps
D. Nonspecific mumps - Salivary duct calculi?
A. produce pain on eating
B. Are commonest in the parotid ducts
C. Are common cause of acute parotitis
D. Are associated with hypercaleaemic states - In Xerostomia, the salivary pH is:
A. Unaffected
B. Low
C. High
D. Increased in morning & decrease in day - Which of the following statements about sjogren’s syndrome is incorrect:
A. MRI shows salt and pepper appearance
B. Lacrimal gland enlargement is common
C. Minor salivary gland biopsy is diagnostic test
D. Pilocarpine is the most useful and convenient drug in its treatment - Intra Oral pleomorphic adenoma usually occurs in:
A. Buccal mucosa
B. Upper lip
C. Floor of the mouth
D. Palate
- Sjogren’s syndrome affects:
A. Exocrine glands
B. Paracrine glands
C. Endocrine glands
D. Autocrine glands - The following are the high grade salivary gland malignancies, EXCEPT:
A. Basal cell adenocarcinoma
B. Mucoepidermoid carcinoma
C. Adenoid Cystic carcinoma
D. Salivary duct carcinoma - Which of the following salivary gland tumors has highest rate of malignant transformation?
A. Patrotid
B. Submanidbular
C. Sublingual
D. Minor
- The following are the high grade salivary gland malignancies, EXCEPT:
A. Basal cell adenocarcinoma
B. Mucoepidermoid carcinoma
C. Adenoid Cystic carcinoma
D. Salivary duct carcinoma - 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 - The most common salivary gland malignant neoplasm in bones?
A. Plemorphic adenoma
B. Adenoid cystic carcinoma
C. Muceopidermoid carcinoma
D. Adenolymphoma - 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 - The common site for narcotizing sialometaplasia:
A. cheeks
B. dorsum of tongue
C. palate
D. gingival - In the clinical evaluation, the most significant, finding of the parotid mass may be accompanying:
A. Rapid progressive painless enlargement
B. Nodular consistency
C. Supramental and preauricular lymphadenopathy
D. Facial paralysis - Salivary gland aplasia is seen in:
A. Hemifacial microstomia
B. LADD syndrome
C. Mandibulo-facial dysostosis (Treacher Collins)
D. All of the above
- All of the following is the extraglandular manifestation of primary sjogren’s syndrome except:
A. Raynaud’s phenomena
B. Arthritis
C. Lymphadenopathy
D. Thrombocytopenia - “Xerostomia” is seen in all of the following EXCEPT in:
A. Anticholinergic drugs
B. Dehydration
C. Sjogren’s syndrome
D. Oral sepsis
- Commonest salivary gland tumour in children:
A. Lymphoma
B. Pleomorphic adenoma
C. Adenoid cystic carcinoma
D. Mucoepidermoid carcinoma
- Spindle cell carcinoma is a variant of:
A. Pleomorphic Adenoma
B. Adenoid cystic carcinoma
C. Basal cell carcinoma
D. Squamous cell carcinoma
- In which one of the following salivary gland tumors, the tumor is composed of ” intermediate cells” histologically?
A. Adenoid cystic carcinoma
B. Mucoepidermoid carcinoma
C. Pleomorphic adenoma
D. Warthin’s tumour - A salivary gland tumour, which histologically shows a double layer of epithelial cells based on a reactive lymphoid stroma is:
A.Pleomorphic adenoma
B. Mucoepidermoid carcinoma
C. Acinic cell tumour
D. Warthin tumour
- Chocolate-coloured fluid is seen in the cystic space of:
A.Dentigerous cyst
B. Odontogenic deratocyst
C. Unicystic ameloblastoma
D. Papillary cystadenoma lymphomatosum
- Pleomorphic adenoma is:
A. a teratomatous tumour of the salivary gland
B. a neuroendocrine cell tumour
C. multiple ectopic tissue proliferating in the salivary gland
D. myoepithelial or ductal reserve cell origin - Sialoliths are stones found in the salivary duct and gland and are primarily composed of:
A. Hydroxyapatitie
B. Potassium cloride
C. Unknown compounds of phosphats
D. Calcium chloride - Break up time (BUT) test is done in:
A. Sjogren’s syndrome
B. Multiple sclerosis
C. SLE
D. Myasthenia gravis - The Commonest site for ectopic salivary gland tumor:
A. Tongue
B. Cheek
C. Palate
D. Neck - Adeno lymphoma refers to:
A. Adeno carcinoma
B. Adeno cystic lymphoma
C. Warthin’s tumour
D. Pleomorphic adenoma - Mixed tumour of the salivary glands are:
A. Most common in submandibular gland
B. Usually malignant
C. Most common in parotid gland
D. Associated with calculi - Acinic cell carcinomas of the salivary gland arise most often in the:
A. Parotid salivary gland
B. Minor salivary glands
C. Submandibular salivary gland\
D. Sublingual salivary gland - Xerostomia, enlargement of salivary and lacrimal glands is seen in:
A. Sicca syndrome
B. Sjogren’s syndrome
C. Mickulicz’s disease
D. None of the above - Saliva is increased by:
A. Cholinergic drugs
B. Anticholinergic drugs
C. Andrenergic drugs
D. None of the above - Tender submandibular swelling is mostly due to:
A. Ludwig’s angina
B. Stone or Sialolithiasis
C. Enlarged lymph nodes
D. All of the above - Leafless fruit laden tree or cherry-blossom appearance on a sialogram indicates:
A. ucoepidermoid cell carcinoma
B. Acinar cell carcinoma
C. Sjogren’s syndrome
D. Pleomorphic adenoma - Parotid fatty change is sign of:
A. Aging
B. Alcoholism
C. Malnutrition
D. None of the above - Adenoid cystic carcinoma is also known as:
A. Cylindroma
B. Pindborg tumor
C. Warthins tumor
D. Pleomorphic adenoma - Mucocele most commonly arise as a result of:
A. Rupture of a salivary duct
B. Partial or complete compression of the salivary acini
C. Inflammatory changes in the glandular interstitial tissue
D. Partial or complete obstruction of teh salivary duct by calculus - Acute non-suppurative sialdenitis is seen in:
A. Acute bacterial sialadenitis
B. Mumps
C. Chronic backerial sialadenitis
D. Necrotizing sialometaplasia - Reduction in flow of saliva is not generally seen in:
A. Elderly diabetics
B. Patient undergoing radiation therapy
C. Patients suffering from parkinsonism
D. Patients on phenothiazine drugs - Which of the following parotid malignancy shows perineural spread:
A. Pleomorphic adenoma
B. Adenoid cystic carcinoma
C. Warthin’s tumor
D. Ductal papilloma - A painful crater like 1.5 cm ulcer develops within one week on the hard palate mucosa of a 40 year old female The most likely diagnosis is:
A. Actinomycosis
B. Squamous cell carcinoma
C. Pleomorphic adenoma
D. Necrotizing sialometaplasia
- Mikulicz’s disease is:
A. An inflammatory disease
B. Neoplastic disease|
C. An autoimmune disease
D. Viral infection - Pleomorphic adenoma arises from:
A. Myoepithelial cells
B. Aciner cells
C. Connective tissue
D. Stem cells - Which of the following statement is FALSE?
A. A salivary duct obstruction can cause a unilateral swelling in the floor of the mouth that is largest before a meal and
smallest after a meal
B. The lesion termed a ranula is associated with the sublingual salivary gland
C. The sublingual salivary gland is the most common site of salivary gland neoplasia
D. A pleomorphic adenoma is the most common salivary gland neoplasm - Salivary gland stone most commonly involves:
A. Submandibular gland
B. Parotid gland
C. Sub lingual glands
D. Lingual glands