Disease of salivary gland

Single choice questions

1.The largest salivary gland is ( A )
A. parotid gland
B. submandibuar gland
C. sublingual gland
D.none of them
2.Most of salivary calculi happened in ( B )
A. parotid gland
B. submandibuar gland
C. sublingual gland
D.minor salivary gland
3.Which of the clinical features of salivary calculi is wrong ( C )
A.adults are mainly affected
B.theclassica symptom is pain when the smell or taste of food
C.females are affected twice as often as males
D.oftenaccompanied with infection
4.If the submandibular stones are not radiopaque , which method is more
suited to to locate them( B )
A.operation
B.sialography
C.biopsy
D.Magnetic Resonance Imaging
5.Which of the following description about the salivary stones removing
operation is wrong ( B )
A.a temporary suture should be put through the duct behind the calculus
B. an incision may be needed
C.the papilla should be sutured
D.it may have to be excised
6.The most common type of salivary and soft-tissue cyst is ( C )
A.extravasation mucocele of minor glands
B.retention cysts of minor glands
C.extravasationmucocele of parotid gland
D.retention cysts of submandibular gland
7. The typical features of sjogren’s syndrome are not include( D )
A. Dry eyes
B. Dry mouth
C. salivary gland swelling
D. ulceration
8. Which of the following description about the ranula is right ( A )
A. It is arising from the parotid glands
B. It is hard
C. It can be caused by a mucous extravasation cyst
D. Treatment is preferably by marsupialization with removal of the
related gland
Define the following term
SALIVARY CALCULI
Sialolithiasis (also termed salivary calculi, or salivary
stones), is a condition where a calcified mass forms within
a salivary gland, usually in the duct of the submandibular
gland (also termed "Wharton's duct").
Extravasation mucocele
Extravasation mucocele emerge as a result of the
extravasation of salivary gland secretions from the
salivary gland duct into the soft tissues around the gland.
Meanwhile, the obstruction of the salivary gland ducts,
which leads to the reduction or absence of glandular
secretion.
Answer the following questions
• What are the key features of salivary calculi?
• Symptoms usually occur when you try to
eat (since that's when the flow of
• saliva is stimulated) and may subside
within a few hours after eating or
• attempting to eat. This is important to tell
your doctor since it may help
• differentiate sialolithiasis from other
conditions. Symptoms of sialolithiasis
• may include:
• Swelling of the affected saliva glands which
normally occurs with meals
• Difficulty opening the mouth
• Difficulty swallowing
• A painful lump under the tongue
• Gritty or strange tasting saliva
• Dry mouth
• Pain and swelling usually around the ear or
under the jaw
• Severe infections of a salivary gland may cause
profound symptoms including fever, fatigue, and
sometimes noticeable swelling, pain, and redness around
the affected gland.

• 2. What are the principles of management of sjogren’s

syndrome?

The goals of therapy in patients with Sjögren's syndrome

(SS) are to ameliorate symptoms of dry eye and mouth,
prevent complications of mucosal dryness (such as dental
decay, corneal ulceration, or oral candidal infection), and
detect and manage systemic manifestations and glandular
and lympho proliferative disease.
The following general principles apply to the management
of patients with sjogren’s syndrome:
• Rheumatologists, ophthalmologists, oral
medicine specialists, dentists, opticians, optometrists
and other clinicians, including general practitioners,
involved in the management of people with SS.
• Specialist nurses and Allied Health
Professionals (AHPs) involved in the management of
people with SS.
• People with SS.
Equality considerations:
• SS predominantly affects women.