17.Salivary_Gland_Disease_Tests Flashcards
(14 cards)
A patient has a bluish, fluctuant nodule on the lower lip that bursts and refills.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Ranula (Simple)
D. Ranula (Plunging)
A - Mucocele (Extravasation): traumatic mucous extravasation without epithelial lining
An older adult presents with a painless swelling under the tongue due to duct blockage.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Ranula (Simple)
D. Ranula (Plunging)
B - Mucocele (Retention): mucous retention due to duct obstruction
A teenager shows a translucent swelling on the floor of the mouth that fluctuates in size.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Ranula (Simple)
D. Ranula (Plunging)
C - Ranula (Simple): sublingual gland mucus pseudocyst in floor of mouth
A patient has a neck swelling below the jawline that increases when eating.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Ranula (Simple)
D. Ranula (Plunging)
D - Ranula (Plunging): mucus pseudocyst extending into neck
An incidental radiographic finding shows dome-shaped soft tissue opacity in maxillary sinus.
Which of the following diagnoses best fits this presentation?
A. Maxillary Sinus Retention Cyst
B. Mucocele (Extravasation)
C. Mucocele (Retention)
D. Ranula (Simple)
A - Maxillary Sinus Retention Cyst: antral pseudocyst in maxillary sinus
A patient has painful swelling near the submandibular gland with calcified duct stone on imaging.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Sialolithiasis
C. Mucocele (Retention)
D. Ranula (Simple)
B - Sialolithiasis: salivary gland duct calculus
A patient presents with an ulcerated lesion on the palate following ischemia after biopsy.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Necrotizing Sialometaplasia
D. Ranula (Simple)
C - Necrotizing Sialometaplasia: ischemic necrosis of salivary glands with squamous metaplasia
A patient with acute painful parotid swelling and fever, with purulent discharge from Stensen duct.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Ranula (Simple)
D. Infectious Sialadenitis (Acute)
D - Infectious Sialadenitis (Acute): acute bacterial inflammation of salivary gland
A long history of firm parotid enlargement with pain and occasional flair-ups.
Which of the following diagnoses best fits this presentation?
A. Infectious Sialadenitis (Chronic)
B. Mucocele (Extravasation)
C. Mucocele (Retention)
D. Ranula (Simple)
A - Infectious Sialadenitis (Chronic): chronic inflammation with fibrosis
A child with bilateral parotid swelling and fever, positive mumps IgM antibodies.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mumps / Epidemic Parotitis
C. Mucocele (Retention)
D. Ranula (Simple)
B - Mumps / Epidemic Parotitis: paramyxovirus infection of parotid glands
A patient with bilateral salivary gland enlargement and benign lymphoid infiltration on biopsy.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Mikulicz’s Disease
D. Ranula (Simple)
C - Mikulicz’s Disease: benign lymphoepithelial lesion with salivary enlargement
A middle-aged woman with dry mouth, positive anti-SSA antibodies, and parotid enlargement.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Mucocele (Retention)
C. Ranula (Simple)
D. Sjögren’s Syndrome (Primary)
D - Sjögren’s Syndrome (Primary): autoimmune destruction of salivary and lacrimal glands
A patient with rheumatoid arthritis develops dry eyes and dry mouth with salivary gland biopsy changes.
Which of the following diagnoses best fits this presentation?
A. Sjögren’s Syndrome (Secondary)
B. Mucocele (Extravasation)
C. Mucocele (Retention)
D. Ranula (Simple)
A - Sjögren’s Syndrome (Secondary): Sjögren’s with another autoimmune disease
A patient presents with parotid enlargement and biopsy shows noncaseating granulomas.
Which of the following diagnoses best fits this presentation?
A. Mucocele (Extravasation)
B. Sarcoidosis
C. Mucocele (Retention)
D. Ranula (Simple)
B - Sarcoidosis: noncaseating granulomas in salivary glands
