Salivary Gland Diseases

Question 1

Dome shaped fluctuant swelling few mm to few cms

Answer 1

Mucocele

Question 2

Extravasation of fluid into surrounding tissue after break in continuity of a minor salivary duct

Answer 2

Mucous extravasation cyst

Question 3

Lower lip, painless, smooth, bluish, not a true cyst lacks epithelial lining

Answer 3

Mucous Extravasation cyst

Question 4

Obstructed ductal opening doesn’t let saliva exit, ductal dilation and surface swelling

Answer 4

Mucus retention cyst

Question 5

Asymptomatic swelling without previous injury, bluish color, true developmental cyst, lined by epithelium

Answer 5

Mucus retention cyst

Question 6

Mucocele that occurs in the floor of mouth

Answer 6

Ranula

Question 7

Source sublingual gland, blue fluctuant done shaped swelling, floor of the mouth, larger than mucocele, can elevate tongue

Answer 7

Ranula

Question 8

How to differentiate ranula and dermoid cyst

Answer 8

Ranula located lateral to midline

Question 9

Spilled mucin through mylohyoid muscle, swelling within neck, increase in size before or during meal, decrease in between meals

Answer 9

Plunging or Cervical ranula

Question 10

Well defined, non corticated, smooth, dome shape, radiopaque mass originating from maxillary sinus

Answer 10

Maxillary sinus retention cyst/ Antral pseudocyst

Question 11

Stone within salivary gland

Answer 11

Sialolith

Question 12

Collection of calcium carbonates and calcium phosphates in form of hydroxyapatite around nidus such as bacteria, cellular debris, glycoproteins

Answer 12

Sialolith

Question 13

Pain during salivary stimulation and intensified at mealtime, submandibular gland due to long, torturous, upward path and thick mucous secretions

Answer 13

Sialolith

Question 14

Best radiograph to see sialolith

Answer 14

Occlusal mand

Question 15

Locally destructive inflammatory condition of salivary glands

Answer 15

Necrotizing Sialometaplasia

Question 16

Asymptomatic, necrotic, ulcerated area in palatal mucosa(hard palate )

Answer 16

Necrotizing Sialometaplasia

Question 17

Inflammation of the salivary gland due to bacterial or viral infection

Answer 17

Infectious Sialadenitis

Question 18

Infectious sialadenitis affects

Answer 18

Major glands more, parotid

Question 19

Retrograde infection of the salivary ducts and parenchymal tissues by microorganisms inhabiting the oral cavity secondary to decreased salivary flow or ductal obstruction

Answer 19

Infectious sialadenitis

Question 20

Most common in parotid gland, usually after major surgery, gland swollen and painful and erythematous skin overlying it, low grade fever, trismus, purulent exudate

Answer 20

Acute infectious sialadenitis

Question 21

Recurrent or persistent ductal obstruction, periodic swelling and pain usually at mealtime

Answer 21

Chronic infectious sialadenitis

Question 22

Bacteria that causes infections sialadenitis

Answer 22

Staphylococcus Aureus, Streptococcus

Question 23

Acute viral illness caused by paramyxovirus

Answer 23

Mumps/ Epidemic Parotitis

Question 24

Sudden salivary gland swelling without purulent discharge, 90% in parotid, bilateral, mild fever, malaise and anorexia

Answer 24

Mumps

Question 25

Benign asymptomatic enlargement of salivary and lacrimal glands

Answer 25

Mikulicz’s disease

Question 26

Unilateral, autoimmune, females over 50, gland parenchyma is replaced by lymphocytic infiltrate

Answer 26

Mikulicz’s disease

Question 27

Chronic systemic autoimmune disorder of salivary and lacrimal glands

Answer 27

Sjorgren’s syndrome

Question 28

Xerostomia and keratoconjuctivitis sicca(dry eyes) and possible salivary gland enlargement

Answer 28

Sjögren’s syndrome

Question 29

Sjogren’s associated with another autoimmune disorder like SLE or Rheumatoid arthritis

Answer 29

Secondary form of Sjögren’s syndrome

Question 30

Difficulty in swallowing, altered taste, difficulty wearing dentures, red and tender mucosa, tongue fissured and atrophic, rampant caries

Answer 30

Sjögren’s syndrome

Question 31

Autoantibodies rheumatoid factor, anti nuclear antibodies, anti-SS-A, anti-SS-B

Answer 31

Sjögren’s syndrome

Question 32

Sialography shows fruit laden branchless tree/ cherry blossom tree, histologically lymphocytic infiltration and destruction of acinar cells

Answer 32

Sjögren’s syndrome

Question 33

Multisystem disorder abnormal masses or nodules called granulomas forming in certain organs of body, bilateral non tender smooth swelling around parotid

Answer 33

Sarcoidosis

Question 34

Submucosal mass, an area of granularity or ulceration

Answer 34

Sarcoidosis