Close Menu
Login
(Sponsored by Sir Tauqeer)
Join Sir Tauqeer Whatsaap group
(Sponsored by Sir Tauqeer)
Join Sir Tauqeer Whatsaap group
(Sponsored by Sir Tauqeer)
Join Sir Tauqeer Whatsaap group
By Diseases of Salivary Glands 2 Comments

In the clinical evaluation, the most significant, finding of the parotid mass may be accompanying_____________?

A. Rapid progressive painless enlargement
B. Nodular consistency
C. Supramental and preauricular lymphadenopathy
D. Facial paralysis

Correct Answer: D. Facial paralysis

Explanation:
Facial paralysis is the most significant and alarming finding in the clinical evaluation of a parotid mass. It suggests potential malignant transformation of the tumor, as malignant parotid tumors often invade the facial nerve.

Benign parotid tumors (e.g., pleomorphic adenomas) typically present as painless, slow-growing, nodular masses and do not cause facial nerve dysfunction.
Facial paralysis is a red flag and warrants urgent investigation, usually with imaging (e.g., MRI/CT) and biopsy, to rule out malignancy.

Related Mcqs:

  1. During examination of parotid gland, parotid duct can be palpated at the following except____________?

    A. Anterior border of masseter
    B. At the opening just opposite to lower second molar
    C. Pierced to the buccinator
    D. A the anterior surface of parotid gland

  2. A 40 year old woman report with the complaint of burning sensation in the mouth. Clinical examination reveals lesions consisting of radiating white striations in a retiform arrangement affecting buccal mucosa, tongue, lips & gingiva bilaterally. An incisional biopsy is suggestive of lichen planus. The following are different clinical forms of lichen planus except:

    A. Atrophic lichen planus
    B. Hypertrophic lichen planus
    C. bullous lichen planus
    D. Verrucous lichen planus

  3. Which of the following parotid malignancy shows perineural spread_______________?

    A. Pleomorphic adenoma
    B. Adenoid cystic carcinoma
    C. Warthin’s tumor
    D. Ductal papilloma

  4. Parotid fatty change is sign of_____________?

    A. Aging
    B. Alcoholism
    C. Malnutrition
    D. None of the above

  5. Most common tumor of parotid gland is______________?

    A. Plemorphic adenoma
    B. Adenoid cystic carcinoma
    C. Cylindroma
    D. Epidermoud carcinoma

  6. Duct of parotid gland crosses over masseter muscle and pierces the___________?

    A. Buccinator muscle
    B. Superior constrictor
    C. Masseter
    D. Zygomaticus major

  7. Surgical excision of parotid gland endangers which of the following structures ______________?

    A. Hypoglossal nerve
    B. Motor nerve of the muscles of mastication
    C. External carotid artery, auriculotemporal nerve, facial nerve
    D. Lesser occipital nerve and spinal accessory nerve

  8. The relation of facial nerve branches to parotid gland is __________________ ?

    A. Deep
    B. Superficial
    C. In the substance of parotid
    D. None

  9. Secretomotor supply of parotid comes from______________?

    A. Greater Petrosal nerve
    B. Auriculotemporal nerve
    C. Maxillary nerve
    D. Chorda Tympani

  10. The orifice of the parotid duct is located______________?

    A. At the hamular notch
    B. In proximity to the incisive papillae
    C. On the buccal mocosa near the maxillary second molar
    D. Slightly posterior to the mandibular central incisors

The correct answer to the question: "In the clinical evaluation, the most significant, finding of the parotid mass may be accompanying_____________?" is "Facial paralysis".

Share.

2 Comments

Leave A Reply

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

The reCAPTCHA verification period has expired. Please reload the page.