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

Exam 8: Salivary Gland Diseases

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:

(Multiple Choice)

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Question 21

Which of the following benign lesions is known to have potential to undergo malignant transformation?

(Multiple Choice)

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Question 22

Ranula is the clinical designation of a salivary gland lesion that occurs in which of the following locations?

(Multiple Choice)

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Question 23

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?

(Multiple Choice)

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Question 24

Mixed tumor of salivary glands:

(Multiple Choice)

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Question 25

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?

(Multiple Choice)

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Question 26

An adult patient complained of a 1 ´ 1 cm slightly tender nonulcerated mass in his lower lip. The patient believes that the lesion developed after he bit his lip several weeks ago. This would most likely be which of the following?

(Multiple Choice)

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Question 27

Trauma is the cause of which of the following?

(Multiple Choice)

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Question 28

Which of the following is a common cause of xerostomia in the elderly?

(Multiple Choice)

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Question 29

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

(Multiple Choice)

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Question 30

Necrotizing sialometaplasia:

(Multiple Choice)

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Question 31

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:

(Multiple Choice)

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Question 32

Basal cell adenoma:

(Multiple Choice)

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Question 33

The management of maxillary sinus retention cysts that are typically discovered during routine panoramic radiographic examinations is:

(Multiple Choice)

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Question 34

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

(Multiple Choice)

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Question 35

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?

(Multiple Choice)

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Question 36

The 5-year survival rate of one of the following salivary gland tumors is fair, but at 15 years it is very poor. Which of the following exhibits this slow, but unrelenting behavior?

(Multiple Choice)

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Question 37

A patient presents with a chronic palatal ulcer. On biopsy there is evidence of salivary gland infarction and squamous metaplasia of salivary ducts. This is:

(Multiple Choice)

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Question 38

Showing 21 - 38 of 38

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:

Which of the following benign lesions is known to have potential to undergo malignant transformation?

Ranula is the clinical designation of a salivary gland lesion that occurs in which of the following locations?

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?

Mixed tumor of salivary glands:

An adult patient complained of a 1 ´ 1 cm slightly tender nonulcerated mass in his lower lip. The patient believes that the lesion developed after he bit his lip several weeks ago. This would most likely be which of the following?

Trauma is the cause of which of the following?

Which of the following is a common cause of xerostomia in the elderly?

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

Necrotizing sialometaplasia:

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:

Basal cell adenoma:

The management of maxillary sinus retention cysts that are typically discovered during routine panoramic radiographic examinations is:

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 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?

The 5-year survival rate of one of the following salivary gland tumors is fair, but at 15 years it is very poor. Which of the following exhibits this slow, but unrelenting behavior?

A patient presents with a chronic palatal ulcer. On biopsy there is evidence of salivary gland infarction and squamous metaplasia of salivary ducts. This is:

Vesiculobullous Diseases

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