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Salivary glands disorder

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Xerostomia is

a)

excess saliva

b)

drooling

c)

dry mouth

d)

burning sensation

2.

True about sjogren syndrome (SS) except

a)

primary SS associated with other connective tissue disease

b)

labial minor salivary gland required for dx

c)

also known as keratoconjunctivitis sicca

d)

positive ANA, SSA and SSB autoantibodies

3.

Sialolithiasis

a)

common in hypercalcemia

b)

parotid is the most common location

c)

causes retrograde sialadenitis

d)

not causing pain

4.

Most common location for salivary gland calculi

a)

parotid gland

b)

submandibular gland

c)

sublingual gland

d)

minor salivary gland

5.

Choose which diagram represent mucous extravasation cyst

a)

1

b)

2

6.

This is NOT a DDX for the lesion

a)

necrotising sialometaplasia

b)

gumma

c)

nasopalatine duct cyst

d)

mucoepidermoid carcinoma

7.

The patient complained of intermittent pain, worsen during meal time. The lesion seen in the photo is most likely to be:

a)

ranula

b)

lipoma

c)

sialolith

d)

neurofibroma

8.

Salivary hypofunction is indicated when

a)

unstimulated salivary flow rate <0.1ml/min

b)

unstimulated salivary flow rate 1ml/min

9.

This is a sialogram of

a)

necrotising sialometaplasis

b)

sialosis

c)

pleomorphic adenoma

d)

sjogren syndrom

10.

Choose the correct statement for pleomorphic adenoma

a)

is encapsulated

b)

is a low grade malignancy

c)

only affects parotid gland

11.

Give the type of salivary gland in the photo

a)

mucous gland

b)

serous gland

12.

Name the cells shown by the arrow

a)

lymphocyte

b)

mucinophages

c)

neutrophil

d)

siderophages

13.

Give diagnosis

a)

pleomorphic adenoma

b)

sialolithiasis

c)

mucocele

d)

sialadenitis

14.

The histopathological findings of necrotising sialometaplasia that rules out OSCC is?

a)

necrotic acinar

b)

squamous metaplasia of ducts

c)

lack of significant cytological atypia

15.

The most common location for salivary gland tumour is

a)

parotid gland

b)

submandibular gland

c)

sublingual gland

d)

minor salivary gland

16.

Majority of tumour that occur in this gland is malignant

a)

parotid gland

b)

submandibular gland

c)

sublingual gland

d)

minor salivary glands

17.

The malignant counterpart of pleomorphic adenoma is

a)

pleomorphic adenocarcinoma

b)

carcinoma ex pleomorphic adenoma

c)

pleomorphic sarcoma

d)

mucoepidermoid carcinoma

18.

Malignant salivary gland that histopathologically demonstrate swiss-cheese appearance

a)

mucoepidermoid carcinoma

b)

adenoid cystic carcinoma

c)

acinic cell carcinoma

d)

polymorphus adenocarcinoma

19.

The histopath feature of low-grade mucoepidermoid carcinoma is

a)

presence of necrosis

b)

High degree of cytological atypia

c)

less cystic formation

d)

Numerous mucous cells

20.

Which entity has a better prognosis

a)

adenoid cystic carcinoma

b)

low grade mucoepidermoid carcinoma

c)

pleomorphic adenoma

d)

acinic cell carcinoma