Salivary Gland Disorders

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Questions and Answers

What is a common feature of Sjogren's syndrome?

  • Multicystic lymphoepithelial lesions
  • Life time risk for lymphoma (correct)
  • Acute suppurative sialadenitis
  • Increased saliva production

What is a possible manifestation of HCV infection in the oral cavity?

  • Cheilitis glandularis
  • Necrotizing sialometaplasia
  • Kaposi's sarcoma
  • Xerostomia (correct)

What is a characteristic of HIV-related salivary gland disease?

  • Non-Hodgkin's lymphoma
  • Chronic soft parotid enlargement (correct)
  • Chronic hard parotid enlargement
  • Benign lymphoepithelial cysts

What is a feature of histopathologic examination in HIV-related salivary gland disease?

<p>Non-specific histopathologic picture (A)</p> Signup and view all the answers

What is a possible complication of Sjogren's syndrome?

<p>Lymphoma (D)</p> Signup and view all the answers

What is a feature of multicystic lymphoepithelial lesions?

<p>Benign lymphoepithelial cysts (C)</p> Signup and view all the answers

What is a similarity between HCV infection and Sjogren's syndrome?

<p>Both can cause a syndrome with similar features (B)</p> Signup and view all the answers

What is a possible oral manifestation of HIV infection?

<p>Xerostomia (A)</p> Signup and view all the answers

What is the characteristic radiographic appearance of a latent bone cyst?

<p>A round radiolucent area below the inferior alveolar canal (B)</p> Signup and view all the answers

What is the likely cause of mucous extravasation cyst?

<p>Trauma to the excretory duct (B)</p> Signup and view all the answers

What is the term used to describe mucous retention and extravasation cysts in the floor of the mouth?

<p>Ranula (D)</p> Signup and view all the answers

What is the likely cause of acute suppurative parotitis?

<p>Decreased salivary flow (D)</p> Signup and view all the answers

What is the characteristic histological feature of mucous extravasation cyst?

<p>Mucin pool surrounded by granulation tissue (C)</p> Signup and view all the answers

What is the term used to describe inflammation of the salivary glands?

<p>Sialadenitis (A)</p> Signup and view all the answers

What is the likely cause of sialadenitis in patients after abdominal surgery?

<p>Surgical procedure (B)</p> Signup and view all the answers

What is the characteristic clinical feature of acute suppurative parotitis?

<p>Painful swelling of the affected gland (A)</p> Signup and view all the answers

Which condition is characterized by noninflammatory enlargement of the salivary glands?

<p>Sialadenosis (D)</p> Signup and view all the answers

What is a common underlying systemic problem associated with sialadenosis?

<p>Diabetes mellitus (D)</p> Signup and view all the answers

Which gland is most commonly affected by sialolithiasis?

<p>Submandibular gland (A)</p> Signup and view all the answers

Which of the following is a histopathologic feature of HCV-sialadenitis?

<p>Features similar to other chronic inflammatory conditions (C)</p> Signup and view all the answers

What type of lesion is seen in obstructive salivary gland diseases?

<p>Salivary stone (C)</p> Signup and view all the answers

Which symptom is most commonly associated with sialolithiasis during mealtimes?

<p>Pain or swelling of the affected gland (D)</p> Signup and view all the answers

What systemic condition can result in dysregulation of innervation in salivary acini, leading to sialadenosis?

<p>Alcoholism (A)</p> Signup and view all the answers

What gross appearance do salivary stones (sialoliths) exhibit?

<p>Hard masses that are round, oval, or cylindrical, yellow-white calcifications (C)</p> Signup and view all the answers

Which clinical feature is most commonly associated with primary Sjögren's syndrome, also known as sicca syndrome?

<p>Only xerostomia and xerophthalmia (A)</p> Signup and view all the answers

What is considered a key diagnostic clue in identifying Sjögren's syndrome?

<p>Low stimulated parotid salivary flow rate (A)</p> Signup and view all the answers

Which autoantibody is specifically associated with Sjögren's syndrome?

<p>SS-A (Ro) (A)</p> Signup and view all the answers

What imaging pattern in sialography is indicative of Sjögren's syndrome?

<p>Snowflake pattern (C)</p> Signup and view all the answers

What histopathological feature is commonly observed in Sjögren's syndrome?

<p>Lymphocytic infiltration (C)</p> Signup and view all the answers

Which group is most affected by Sjögren's syndrome?

<p>Middle-aged females (D)</p> Signup and view all the answers

What is a direct consequence of xerostomia in Sjögren's syndrome?

<p>Difficulty in speech and swallowing (C)</p> Signup and view all the answers

What is a typical presentation of keratoconjunctivitis sicca in patients with Sjögren's syndrome?

<p>Foreign body sensation in the eyes (A)</p> Signup and view all the answers

What is the most characteristic clinical feature of Cheilitis glandularis?

<p>Red macular appearance of the lower lip (C)</p> Signup and view all the answers

Which is a common predisposing factor for Necrotizing Sialometaplasia?

<p>Traumatic injuries (C)</p> Signup and view all the answers

Among the complications of mumps, what is more likely to affect postpubertal patients?

<p>Orchitis or oophoritis (A)</p> Signup and view all the answers

Which of the following is a secondary complication of Necrotizing Sialometaplasia that can mimic a malignant process?

<p>Squamous metaplasia of the salivary ducts (B)</p> Signup and view all the answers

What is the most effective treatment for Cheilitis glandularis?

<p>Vermilionectomy (B)</p> Signup and view all the answers

In the context of Necrotizing Sialometaplasia, what does the term 'pseudoepitheliomatous hyperplasia' refer to?

<p>Overlying epithelium that resembles a malignant process (B)</p> Signup and view all the answers

Which of the following diseases involves an autoimmune response?

<p>Sjogren syndrome (B)</p> Signup and view all the answers

What is believed to be the primary cause of Necrotizing Sialometaplasia?

<p>Ischemia of salivary tissue (D)</p> Signup and view all the answers

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