NONNEOPLASTIC LESIONS OF SALIVARY GLANDS

Question 1

Mumps is caused by

Answer 1

Paramyxovirus

Question 2

Mumps is usually seen in

Answer 2

Children

Question 3

Incubation period of paramyxovirus is

Answer 3

2-3 weeks

Question 4

Features of Mumps

Answer 4

Fever
Malaise
Parotid swelling

Question 5

Complications of mumps

Answer 5

Orchitis
Ophtitis
Pancreatitis
Aseptic meningitis
Unilateral Sensorineural hearing loss (sudden)
Thyroiditis
Myocarditis
Nephritis
Arthritis

Question 6

__________ is rare following mumps

Answer 6

Sterility

Question 7

Dx of mumps

Answer 7

Usually clinical
Serum and urinary amylase
IgM and IgG x4 rise indicate recent infection
IgG may also mean past exposure or immunity

Question 8

IgM levels rise by 100% on day _____

Answer 8

5

Question 9

Tx of mumps

Answer 9

Proper hydration
Rest
Analgesics
Cold or hot compresses on parotid
Cold compresses for orchitis

Question 10

Prevention of Mumps

Answer 10

MMR at 15 months
Monovalent or MMR in adults
Immunoglobulin is NOT found to be useful

Question 11

Acute suppurative parotitis is common in

Answer 11

Elder
Dehydrated
Debilitated
Dry mouthed

Question 12

Causative organism in Acute suppurative organism

Answer 12

S. Aureus enters through Stensen’s duct

Question 13

Features of Acute suppurative parotitis?

Answer 13

Pain on moving the jaw
Fever
Enlarged gland
Pus from the duct
Toxemic

Question 14

Dx of Acute Suppurative parotitis

Answer 14

↑ WBCs (PMN)
Culture and sensitivity

Question 15

Tx of Acute suppurative parotits

Answer 15

Antibiotics
Sialogogues
Analgesics
Oral hygiene
Hydration
Surgical drainage

Question 16

Chronic recurrent sialadenitis causative organism and dx

Answer 16

Streptococci and staph
Sialography - normal duct system

Question 17

What is sialectasis?
Findings of sialography?
Causes of sialectasis

Answer 17

Dilatation of ducts - stasis of secretion - infection
Dilated duct on sialography (punctate, globular or cavitary)
Congenital/ Autoimmune/ granulomatous disease

Question 18

Granulomatous diseases involving salivary glands

Answer 18

TB
Sarcoidosis (Uveoparotid fever)
Actinomycosis

Question 19

Findings in TB of salivary gland

Answer 19

Nontender swelling
necrosis
Fistula formed
Antituberculer Drugs for treatment

Question 20

Findings in Sarcoidosis

Answer 20

Uveoparotid fever
Chorioretinitis
Enlargement of parotid and lacrimal glands
CN palsies

Question 21

Features in Actinomycosis

Answer 21

Acute abscess in the gland
Sinus formation
Sulphur like granules
Penicillin and tetracycline for treatment

Question 22

90% of stones form in the ____________

Answer 22

submandibular gland

Question 23

10% of stones form in the __________

Answer 23

parotid gland

Question 24

Features of stones

Answer 24

Intermittent swelling
Pain
Stone is visible at the duct
Xray for Radiopaque
Sialography for Radiolucent

Question 25

Treatment of salivary calculi

Answer 25

Excision or remove it intraorally

Question 26

What is primary Sjogren syndrome?
Which salivary gland is most commonly involved?
It is also known as?

Answer 26

Xerostomia and Xerophthalmia
Parotid
Benign lymphoepithelial lesion or Mikulicz disease
M to F ratio equal

Question 27

What is secondary Sjogren syndrome?
What test is done?
What are the other investigations?

Answer 27

Keratoconjuctivitis sicca
Xerostomia
Autoimmune diseases like RA or SLE
Test = Schirmer test
Other investigations = Biopsy
RF ANA, ESR or SS-A or SS-B Antibodies