Free Oral Mucosal Lesions MCQs with Answers

• A. Sublingual salivary gland
• B. Minor salivary glands
• C. Submandibular salivary gland
• D. Parotid salivary gland

Explanation: Acinic cell carcinoma has a strong predilection for the parotid gland, where it arises from cells showing serous acinar differentiation.

• A. Cholinergic drugs
• B. Anticholinergic drugs
• C. Andrenergic drugs
• D. None of the above

Explanation: Cholinergic stimulation activates parasympathetic secretomotor pathways and increases watery salivary flow.

• A. Partial or complete compression of the salivary acini
• B. Rupture of a salivary duct
• C. Inflammatory changes in the glandular interestitial tissue
• D. Partial or complete obstruction of teh salivary duct by calculus

Explanation: Most mucoceles are extravasation lesions caused by rupture of a minor salivary duct, allowing mucus to enter the surrounding connective…

• A. Actinomycosis
• B. Necrotizing sialometaplasia
• C. Pleomorphic adenoma
• D. Squamous cell carcinoma

Explanation: Necrotizing sialometaplasia commonly presents as a rapidly developing, painful crater-like ulcer on the posterior hard palate and can…

• A. Lingual glands
• B. Parotid gland
• C. Sub lingual glands
• D. Submandibular gland

Explanation: Submandibular sialolithiasis is most common because the gland has a long, tortuous duct, an uphill drainage path, and relatively…

• A. Causalgia
• B. Neuralgia
• C. Neuritis
• D. Temporal arteritis

Explanation: Causalgia is severe, often burning pain that develops after injury to or partial sectioning of a peripheral sensory nerve.

• A. burning sensations in mouth
• B. Dysphagia
• C. Glossodynia
• D. excessive salivation

Explanation: Eagle syndrome results from an elongated styloid process or calcified stylohyoid ligament irritating nearby structures, commonly producing…

• A. valproic acid
• B. Diphen hydantoin
• C. carbamazepine
• D. None of the above

Explanation: Carbamazepine is the classic first-line drug for trigeminal neuralgia because it suppresses the abnormal ectopic firing of the affected…

• A. Swallowing
• B. chewing
• C. Protruding the tongue
• D. Whistling

Explanation: Whistling requires coordinated movement and tight closure of the lips, which are supplied by the muscles of facial expression through…

• A. Seventh cranial nerve
• B. sub mandibular gland
• C. Temporomandibular joint
• D. Glosso pharyngeal nerve

Explanation: Bell palsy is an acute lower motor neuron paralysis of the facial nerve, cranial nerve VII, causing weakness of the muscles on one side of…

• A. X
• B. IX
• C. VII
• D. II

Explanation: Geniculate neuralgia involves the geniculate ganglion and nervus intermedius, which is functionally associated with the facial nerve…

• A. it is unilateral
• B. occurs in bouts
• C. it is triggered by touching cheeks, mucosa etc
• D. it is of throbbing nature

Explanation: Trigeminal neuralgia produces brief, recurrent, electric-shock-like or stabbing attacks, usually on one side, triggered by light touch or…

• A. Trigeminal neuralgia
• B. Multiple sclerosis
• C. Sarcoidosis
• D. Lupus erythematosis

Explanation: Fothergill's disease is the classic name for trigeminal neuralgia, which causes brief, severe, electric-shock-like facial pain along one…

• A. Loss of taste sensation from Ant. 2/3 of tongue
• B. Paralysis of orbicularis oculi muscle
• C. Loss of innervation to stapedius
• D. Loss of lacrimal secretion

Explanation: At the stylomastoid foramen, the facial nerve has already given off the chorda tympani, nerve to stapedius, and greater petrosal nerve…

• A. Stabbing type pain orginate in the tonsillar regions
• B. pain during mandibular movement
• C. Excessive lacrimation
• D. When the jaws are closed the pain subsided

Explanation: Eagle's syndrome usually causes stabbing pain in the tonsillar fossa or throat, worsened by swallowing or mandibular movement.

• A. Carbamazipine
• B. Baclofen
• C. phenytoin sodium
• D. acetaminophen

Explanation: Carbamazepine is the classic first-line drug for trigeminal neuralgia, while phenytoin and baclofen may also help.

• A. Cluster headache
• B. Anaesthesia dolorosa
• C. Giant cell arteritis
• D. Chronic paroxysmal hemicrania

Explanation: Anaesthesia dolorosa is a deafferentation neuropathic pain syndrome that can follow injury to the trigeminal nerve, rather than a vascular…

• A. Morphine administration
• B. Aspirin administration
• C. Breathing oxygen
• D. Sublingual nitroglycerine administration

Explanation: A cluster headache attack can often be rapidly aborted with inhalation of high-flow 100% oxygen.

• A. Oral lichen planus
• B. Oral submucous fibrosis
• C. Aphthous stomatitis
• D. No detectable oral disease

Explanation: Burning mouth syndrome causes persistent burning or scalding discomfort despite a clinically normal-looking oral mucosa and no…

• A. Maily affects young females
• B. is caused by muscle fatigue due to chronic oral habits are grinding and clenching
• C. Treatment involves construction of occlusal guard and stress free emotional condition
• D. The perioral musculature becomes hypotonic

Explanation: Myofascial pain dysfunction syndrome is associated with muscle hyperactivity, fatigue and tenderness from clenching or grinding, so the…