Question 1

Cells with bright pink cytoplasm that contain abundant mitochondria that are seen in aging salivary glands and in some salivary gland tumors are known as:

Accepted Answer

A)  Myoepithelial cells 
B)  Acinar cells 
C)  Macrophages 
D)  Oncocytes 
E)  Basal keratinocytes 
A)  Myoepithelial cells 
B)  Acinar cells 
C)  Macrophages 
D)  Oncocytes 
E)  Basal keratinocytes

Question 2

On routine panographic examination, a uniform round opacity measuring 1.5 cm in diameter was noted in the floor of the maxillary sinus of a 24-year-old man. All normal landmarks in the maxilla appeared intact. The patient had no symptoms and no history of sinus problems. This lesion most likely represents which of the following?

Accepted Answer

A)  Variation of normal 
B)  Necrotizing sialometaplasia 
C)  Sjögren's syndrome 
D)  Maxillary sinus retention cyst 
E)  Carcinoma of the maxillary sinus 
A)  Variation of normal 
B)  Necrotizing sialometaplasia 
C)  Sjögren's syndrome 
D)  Maxillary sinus retention cyst 
E)  Carcinoma of the maxillary sinus

Question 3

An asymptomatic fluctuant mass in the floor of the mouth of a 25-year-old man was biopsied. Microscopically, it was a dilated duct containing mucin. This is a _____ cyst.

Accepted Answer

A)  Dermoid 
B)  Lymphoepithelial 
C)  Branchial 
D)  Thyroglossal tract 
E)  Mucous retention 
A)  Dermoid 
B)  Lymphoepithelial 
C)  Branchial 
D)  Thyroglossal tract 
E)  Mucous retention

Question 4

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Accepted Answer

A)  Primary Sjögren's syndrome 
B)  Proliferative verrucous leukoplakia 
C)  Neurofibromatosis 
D)  MEN III 
E)  All the above 
A)  Primary Sjögren's syndrome 
B)  Proliferative verrucous leukoplakia 
C)  Neurofibromatosis 
D)  MEN III 
E)  All the above

Question 5

Which of the following is the most likely clinical presentation of mixed tumor of minor salivary gland?

Accepted Answer

A)  Painful exudative lesion 
B)  Ulcerative plaque 
C)  Rapidly growing mass 
D)  Red plaque 
E)  Firm submucosal mass 
A)  Painful exudative lesion 
B)  Ulcerative plaque 
C)  Rapidly growing mass 
D)  Red plaque 
E)  Firm submucosal mass

Question 6

A labial salivary gland biopsy showed the replacement of normal parenchyma with granulomas. There was no scarring and no ductal dilatation. This biopsy suggests:

Accepted Answer

A)  Necrotizing sialometaplasia 
B)  Salivary lymphoepithelial lesion 
C)  Mucous extravasation phenomenon 
D)  Mucous retention cyst 
E)  Sarcoidosis 
A)  Necrotizing sialometaplasia 
B)  Salivary lymphoepithelial lesion 
C)  Mucous extravasation phenomenon 
D)  Mucous retention cyst 
E)  Sarcoidosis

Question 7

A patient presents with a lump in the palate that is covered by normal epithelium. Microscopy shows that the mass is an infiltrative neoplasm composed of glandular epithelium. Tumor nests have a cribriform pattern and can be seen surrounding nerve. This describes which of the following?

Accepted Answer

A)  Mixed tumor 
B)  Monomorphic adenoma 
C)  Mucocele 
D)  Adenoid cystic carcinoma 
E)  Mucoepidermoid carcinoma, low grade 
A)  Mixed tumor 
B)  Monomorphic adenoma 
C)  Mucocele 
D)  Adenoid cystic carcinoma 
E)  Mucoepidermoid carcinoma, low grade

Question 8

Biopsy of minor salivary gland of the lip shows a lymphocytic infiltrate that has replaced salivary gland parenchyma without evidence of scar. The patient is 58 years old and has dry eyes and rheumatoid arthritis. She very likely has which of the following?

Accepted Answer

A)  Sarcoidosis 
B)  Adenoid cystic carcinoma 
C)  Sjögren's syndrome 
D)  Chronic sialadenitis 
E)  Gorlin-Goltz syndrome 
A)  Sarcoidosis 
B)  Adenoid cystic carcinoma 
C)  Sjögren's syndrome 
D)  Chronic sialadenitis 
E)  Gorlin-Goltz syndrome

Question 9

Sialolithiasis is a phenomenon that most likely would be associated with which of the following glands?

Accepted Answer

A)  Parotids 
B)  Submandibular glands 
C)  Sublingual glands 
D)  Minor salivary glands 
E)  None of the above 
A)  Parotids 
B)  Submandibular glands 
C)  Sublingual glands 
D)  Minor salivary glands 
E)  None of the above

Question 10

Basal cell adenoma:

Accepted Answer

A)  Is an aggressive neoplasm 
B)  Is more common in the upper lip than in the lower lip 
C)  Often transforms into adenocarcinoma 
D)  Has a relatively high recurrence potential 
E)  None of the above 
A)  Is an aggressive neoplasm 
B)  Is more common in the upper lip than in the lower lip 
C)  Often transforms into adenocarcinoma 
D)  Has a relatively high recurrence potential 
E)  None of the above

Question 11

Mucosal neuroma, pheochromocytoma, and medullary carcinoma of the thyroid constitute which of the following syndromes?

Accepted Answer

A)  Albright's syndrome 
B)  Sjögren's syndrome 
C)  von Recklinghausen's disease of skin 
D)  Peutz-Jeghers syndrome 
E)  None of the above 
A)  Albright's syndrome 
B)  Sjögren's syndrome 
C)  von Recklinghausen's disease of skin 
D)  Peutz-Jeghers syndrome 
E)  None of the above

Question 12

A biopsy of the lower lip salivary glands showed replacement of parenchymal tissue by lymphocytes. The patient also had xerostomia and keratoconjunctivitis sicca. These findings suggest which of the following?

Accepted Answer

A)  Lymphoma 
B)  Crohn's disease 
C)  Mumps 
D)  Sjögren's syndrome 
E)  None of the above 
A)  Lymphoma 
B)  Crohn's disease 
C)  Mumps 
D)  Sjögren's syndrome 
E)  None of the above

Question 13

A 24-year-old patient presents with a persistent firm asymptomatic submucosal mass (1 * 1 cm) in her lower lip. The mass fluctuates in size and occasionally drains a cloudy, sticky fluid. This would most likely be which of the following?

Accepted Answer

A)  Mucous extravasation phenomenon 
B)  Necrotizing sialometaplasia 
C)  Traumatic fibroma 
D)  Soft tissue myxoma 
E)  Ectopic lymphoid tissue 
A)  Mucous extravasation phenomenon 
B)  Necrotizing sialometaplasia 
C)  Traumatic fibroma 
D)  Soft tissue myxoma 
E)  Ectopic lymphoid tissue

Question 14

All the following may develop in minor salivary gland tissue. However, one is rarely seen in major glands. It is:

Accepted Answer

A)  Mixed tumor 
B)  Mucoepidermoid carcinoma 
C)  Adenoid cystic carcinoma 
D)  Polymorphous low-grade adenocarcinoma 
E)  Monomorphic adenoma 
A)  Mixed tumor 
B)  Mucoepidermoid carcinoma 
C)  Adenoid cystic carcinoma 
D)  Polymorphous low-grade adenocarcinoma 
E)  Monomorphic adenoma

Question 15

The circumscribed salivary gland tumor that is composed of a benign mixture of neoplastic ductal epithelium and myoepithelium-derived connective tissue is known as:

Accepted Answer

A)  Pleomorphic adenoma (mixed tumor) 
B)  Monomorphic adenoma 
C)  Mucoepidermoid carcinoma 
D)  Adenoid cystic carcinoma 
E)  Polymorphous low-grade adenocarcinoma 
A)  Pleomorphic adenoma (mixed tumor) 
B)  Monomorphic adenoma 
C)  Mucoepidermoid carcinoma 
D)  Adenoid cystic carcinoma 
E)  Polymorphous low-grade adenocarcinoma

Question 16

A 15-year-old patient had a biopsy of a lower lip mass that was diagnosed as mucous extravasation phenomenon. This was probably related to which of the following?

Accepted Answer

A)  A sialolith 
B)  Trauma 
C)  Bacterial infection 
D)  Viral infection 
E)  Congenital malformation 
A)  A sialolith 
B)  Trauma 
C)  Bacterial infection 
D)  Viral infection 
E)  Congenital malformation

Question 17

A 45-year-old woman developed soft bilateral swelling of her parotids. Her salivary flow was reduced and she had keratoconjunctivitis sicca (dry eyes). She also recently developed painful joints. She should be evaluated for:

Accepted Answer

A)  Chronic alcoholism 
B)  MEN III 
C)  Sjögren's syndrome 
D)  Neurofibromatosis 
E)  Diabetes 
A)  Chronic alcoholism 
B)  MEN III 
C)  Sjögren's syndrome 
D)  Neurofibromatosis 
E)  Diabetes

Question 18

Minor salivary gland malignancies are most commonly seen in which of the following sites?

Accepted Answer

A)  Lower lip 
B)  Upper lip 
C)  Palate 
D)  Tongue 
E)  Gingiva 
A)  Lower lip 
B)  Upper lip 
C)  Palate 
D)  Tongue 
E)  Gingiva

Cells with bright pink cytoplasm that contain abundant mitochondria that are seen in aging salivary glands and in some salivary gland tumors are known as:

An asymptomatic fluctuant mass in the floor of the mouth of a 25-year-old man was biopsied. Microscopically, it was a dilated duct containing mucin. This is a _____ cyst.

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Which of the following is the most likely clinical presentation of mixed tumor of minor salivary gland?

A labial salivary gland biopsy showed the replacement of normal parenchyma with granulomas. There was no scarring and no ductal dilatation. This biopsy suggests:

A patient presents with a lump in the palate that is covered by normal epithelium. Microscopy shows that the mass is an infiltrative neoplasm composed of glandular epithelium. Tumor nests have a cribriform pattern and can be seen surrounding nerve. This describes which of the following?

Biopsy of minor salivary gland of the lip shows a lymphocytic infiltrate that has replaced salivary gland parenchyma without evidence of scar. The patient is 58 years old and has dry eyes and rheumatoid arthritis. She very likely has which of the following?

Sialolithiasis is a phenomenon that most likely would be associated with which of the following glands?

Basal cell adenoma:

Mucosal neuroma, pheochromocytoma, and medullary carcinoma of the thyroid constitute which of the following syndromes?

A biopsy of the lower lip salivary glands showed replacement of parenchymal tissue by lymphocytes. The patient also had xerostomia and keratoconjunctivitis sicca. These findings suggest which of the following?

A 24-year-old patient presents with a persistent firm asymptomatic submucosal mass (1 * 1 cm) in her lower lip. The mass fluctuates in size and occasionally drains a cloudy, sticky fluid. This would most likely be which of the following?

All the following may develop in minor salivary gland tissue. However, one is rarely seen in major glands. It is:

The circumscribed salivary gland tumor that is composed of a benign mixture of neoplastic ductal epithelium and myoepithelium-derived connective tissue is known as:

A 15-year-old patient had a biopsy of a lower lip mass that was diagnosed as mucous extravasation phenomenon. This was probably related to which of the following?

A 45-year-old woman developed soft bilateral swelling of her parotids. Her salivary flow was reduced and she had keratoconjunctivitis sicca (dry eyes). She also recently developed painful joints. She should be evaluated for:

Minor salivary gland malignancies are most commonly seen in which of the following sites?

Vesiculobullous Diseases

Ul-cerative Conditions

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Connective Tissue Lesions

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters

Exam 8: Salivary Gland Diseases

Cells with bright pink cytoplasm that contain abundant mitochondria that are seen in aging salivary glands and in some salivary gland tumors are known as:

An asymptomatic fluctuant mass in the floor of the mouth of a 25-year-old man was biopsied. Microscopically, it was a dilated duct containing mucin. This is a _____ cyst.

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Which of the following is the most likely clinical presentation of mixed tumor of minor salivary gland?

A labial salivary gland biopsy showed the replacement of normal parenchyma with granulomas. There was no scarring and no ductal dilatation. This biopsy suggests:

A patient presents with a lump in the palate that is covered by normal epithelium. Microscopy shows that the mass is an infiltrative neoplasm composed of glandular epithelium. Tumor nests have a cribriform pattern and can be seen surrounding nerve. This describes which of the following?

Biopsy of minor salivary gland of the lip shows a lymphocytic infiltrate that has replaced salivary gland parenchyma without evidence of scar. The patient is 58 years old and has dry eyes and rheumatoid arthritis. She very likely has which of the following?

Sialolithiasis is a phenomenon that most likely would be associated with which of the following glands?

Basal cell adenoma:

Mucosal neuroma, pheochromocytoma, and medullary carcinoma of the thyroid constitute which of the following syndromes?

A biopsy of the lower lip salivary glands showed replacement of parenchymal tissue by lymphocytes. The patient also had xerostomia and keratoconjunctivitis sicca. These findings suggest which of the following?

A 24-year-old patient presents with a persistent firm asymptomatic submucosal mass (1 * 1 cm) in her lower lip. The mass fluctuates in size and occasionally drains a cloudy, sticky fluid. This would most likely be which of the following?

All the following may develop in minor salivary gland tissue. However, one is rarely seen in major glands. It is:

The circumscribed salivary gland tumor that is composed of a benign mixture of neoplastic ductal epithelium and myoepithelium-derived connective tissue is known as:

A 15-year-old patient had a biopsy of a lower lip mass that was diagnosed as mucous extravasation phenomenon. This was probably related to which of the following?

A 45-year-old woman developed soft bilateral swelling of her parotids. Her salivary flow was reduced and she had keratoconjunctivitis sicca (dry eyes). She also recently developed painful joints. She should be evaluated for:

Minor salivary gland malignancies are most commonly seen in which of the following sites?

Vesiculobullous Diseases

Ul-cerative Conditions

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Connective Tissue Lesions

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters