MCQs & ANS (4) - 99-102

9 Diseases of
Salivary Glands
1. A mucocele is not a true cyst because

(a) It is lined by epithelium
(b) Its lumen is filled with pus
(c) It occurs as a result of trauma
(d) It is not lined by an epithelium
2. The most common location for occurrence of mucoceles is

(a) Upper lip (b) Floor of mouth
(c) Lower lip (d) Palate
3. Plunging/cervical ranula is a clinical variant of ranula which

occurs when the spilled mucin dissects between the fibers of
_______ muscle.
(a) Anterior belly of digastric
(b) Mylohyoid
(c) Omohyoid
(d) Posterior belly of digastric
4. Which amongst the following cannot be used to describe a
salivary duct cyst?
(a) Mucous retention cyst
(b) Sialocyst
(c) Mucous duct cyst
(d) Mucous extravasation phenomenon
5. Submandibular salivary gland is the most common location for
which one of the following pathologies?
(a) Mucocele
(b) Sjögren’s syndrome
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86 MCQs in Oral Pathology
(c) Sialolithiasis
(d) Necrotizing sialometaplasia
6. Which one out of the following is the most common bacterial

agent responsible for causing acute sialadenitis?
(a) Streptococcus mutans (b) Lactobacillus acidophilus
(c) Staphylococcus aureus (d) Actinomyces israelii
7. Cheilitis glandularis typically occurs on the

(a) Upper lip (b) Lower lip
(c) Soft palate (d) Gingiva
8. Baelz disease is also known as

(a) Keratosis follicularis
(b) Cheilitis glandularis
(c) Cheilitis granulomatosa
(d) Cheilitis follicularis
9. Out of the below mentioned causes, which one is not a cause of

xerostomia?
(a) Medications (b) Diabetes insipidus
(c) Salivary gland aplasia (d) Tobacco chewing
10. Xerostomia is often associated with atrophy of ______ papillae

(a) Filiform (b) Circumvallate
(c) Fungiform (d) Foliate
11. Benign lymphoepithelial lesion usually develops as a component

of which syndrome?
(a) Sjögren’s (b) Grinspan
(c) Rubinstein-Taybi (d) Chédiak-Higashi
12. The characteristic “cherry blossom” or “branchless fruit laden

tree” appearance on sialography is seen in which of the following
conditions?
(a) Melkersson-Rosenthal syndrome
(b) Rubinstein-Taybi syndrome
(c) Necrotizing sialometaplasia
(d) Sjögren’s syndrome
Diseases of Salivary Glands 87
13. Regarding Sjogren’s syndrome, which one of the following

ststements is incorrect?
(a) Primary Sjögren’s is also called as Sicca syndrome
(b) Elevated rheumatoid factor is found
(c) Most commonly occurs in males
(d) Salivary glands show presence of epimyoepithelial islands
14. Microscopic appearance of necrotizing sialometaplasia can be

confused with those of which other lesion?
(a) Pleomorphic adenoma
(b) Warthin’s tumor
(c) Squamous cell carcinoma
(d) Basal cell carcinoma
15. The most frequent site for occurrence of tumors in minor salivary
glands is
(a) Palate (b) Floor of mouth
(c) Buccal mucosa (d) Lower lip
16. The mesenchymal appearing elements in pleomorphic adenoma

are produced by _______ cells.
(a) Myoepithelial (b) Squamous
(c) Serous (d) Ductal
17. Myoepithelial cells in pleomorphic adenoma which appear

rounded, with eosinophilic, hyalinized cytoplasm and having
an eccentric nucleus are called as ______ myoepithelial cells.
(a) Myxoid (b) Adenomatoid
(c) Plasmacytoid (d) Oncocytic
18. All of the following except _____ are mesenchymal elements

commonly seen in a pleomorphic adenoma.
(a) Fat (b) Osteoid
(c) Chondroid (d) Nerve fibers
19. Abundant granularity within the oncocytes in oncocytosis is due
to increased quantity of
(a) Golgi bodies (b) Proteins
(c) Ribosomes (d) Mitochondria
88 MCQs in Oral Pathology
20. Warthin’s tumor is also known as

(a) Papillary cystadenoma lymphomatosum
(b) Intraductal papilloma
(c) Papillary cystadenoma
(d) Sialadenoma papilliferum
21. Myoepithelioma is considered by many to represent one end of

spectrum of
(a) Warthin’s tumor (b) Oncocytoma
(c) Pleomorphic adenoma (d) Ductal papillomas
22. The most common histological variant of basal cell adenoma is

(a) Tubular (b) Solid
(c) Trabecular (d) Membranous
23. Canalicular adenoma most frequently occurs in the intra-oral

accessory salivary glands of
(a) Upper lip (b) Soft palate
(c) Lower lip (d) Floor of mouth
24. Which one of the following is not a variety of ductal papillomas?

(a) Inverted ductal papilloma
(b) Intraductal papilloma
(c) Sialadenoma papilliferum
(d) Cystadenoma
25. Which one of the following malignant salivary gland neoplasms

demonstrates serous acinar differentiation?
(a) Adenoid cystic carcinoma
(b) Mucoepidermoid carcinoma
(c) Acinic cell adenocarcinoma
(d) Malignant pleomorphic adenoma
26. The most common malignant salivary gland neoplasm is

(a) Acinic cell carcinoma
(b) Malignant pleomorphic adenoma
(c) Adenoid cystic carcinoma
(d) Mucoepidermoid carcinoma
Diseases of Salivary Glands 89
27. Intraosseous/central mucoepidermoid carcinoma is believed to

arise from
(a) Malignant transformation of rests of Malassez
(b) Malignant transformation of epithelial lining of odontogenic
cysts
(c) Malignant transformation of cell rests of Serres
(d) Arises de novo from ectopic mucous cells located intraorally
28. Cribriform, solid and tubular histological patterns of growth of

neoplastic myoepithelial and ductal cells is seen in
(a) Adenoid cystic carcinoma
(b) Polymorphous low-grade adenocarcinoma
(c) Basal cell adenocarcinoma
(d) Papillary cystadenocarcinoma
29. Which amongst the following is the most recently recognized

salivary gland neoplasm?
(a) Polymorphous low-grade adenocarcinoma
(b) Malignant pleomorphic adenoma
(c) Adenoid cystic carcinoma
(d) Mucoepidermoid carcinoma
30. Which cells in mucoepidermoid carcinoma are believed to be

progenitors of both mucous as well as epidermoid cells?
(a) Basaloid cells (b) Intermediate cells
(c) Reserve cells (d) Intercalated duct cells
ANSWERS
1. (d) Mucocele is a common lesion of the oral mucosa that results

from rupture of a salivary gland duct and spillage of mucin
into the surrounding soft tissues and unlike the salivary duct
cyst, mucocele is not a true cyst because it lacks an epithelial
lining.
2. (c) The lower lip is the most common site for a mucocele,
accounting for over 60 percent of all cases. This could be
due to the fact that lower lip region is more prone to trauma.

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9 Diseases of

1. A mucocele is not a true cyst because

2. The most common location for occurrence of mucoceles is

3. Plunging/cervical ranula is a clinical variant of ranula which

6. Which one out of the following is the most common bacterial

7. Cheilitis glandularis typically occurs on the

8. Baelz disease is also known as

9. Out of the below mentioned causes, which one is not a cause of

10. Xerostomia is often associated with atrophy of ______ papillae

11. Benign lymphoepithelial lesion usually develops as a component

12. The characteristic “cherry blossom” or “branchless fruit laden

13. Regarding Sjogren’s syndrome, which one of the following

14. Microscopic appearance of necrotizing sialometaplasia can be

16. The mesenchymal appearing elements in pleomorphic adenoma

17. Myoepithelial cells in pleomorphic adenoma which appear

18. All of the following except _____ are mesenchymal elements

20. Warthin’s tumor is also known as

21. Myoepithelioma is considered by many to represent one end of

22. The most common histological variant of basal cell adenoma is

23. Canalicular adenoma most frequently occurs in the intra-oral

24. Which one of the following is not a variety of ductal papillomas?

25. Which one of the following malignant salivary gland neoplasms

26. The most common malignant salivary gland neoplasm is

27. Intraosseous/central mucoepidermoid carcinoma is believed to

28. Cribriform, solid and tubular histological patterns of growth of

29. Which amongst the following is the most recently recognized

30. Which cells in mucoepidermoid carcinoma are believed to be

1. (d) Mucocele is a common lesion of the oral mucosa that results

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