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Question 1

Which of the following is correct regarding squamous cell carcinoma of the oral cavity?

a) There are no well recognized risk factors for the disease.

b) The tip of the tongue is the most common site.

c) Patients often present with cervical lymphadenopathy.

d) The tumour often arises from areas of epithelial metaplasia.

Question 2

Which of the following is correct regarding salivary calculi?

a) Most arise in the sublingual glands.

b) Usually present with persistent pain.

c) Are composed predominantly of magnesium phosphate.

d) Predispose to infection of the involved salivary gland.

Question 3

Which of the following is correct regarding Sjögren's syndrome?

a) The disease is often seen in patients with other autoimmune conditions such as rheumatoid arthritis and systemic lupus erythematosus.

b) A parotid gland biopsy is often performed to aid diagnosis.

c) The presence of anti-Ro and anti-La antibodies is diagnostic.

d) The development of Hodgkin's lymphoma in a salivary gland is a well recognized long term complication.

Question 4

Which of the following is correct regarding salivary gland tumours?

a) Most are malignant.

b) Pleomorphic adenoma is composed of a mixture of epithelial and mesenchymal elements microscopically.

c) Mucoepidermoid carcinomas show a particular propensity to invade nerves.

d) Adenoid cystic carcinoma has a good prognosis.

Question 5

Which of the following is correct regarding infectious mononucleosis?

a) Most people acquire the virus in adolescence.

b) The virus binds to the C3b receptor on the surface of B lymphocytes and epithelial cells.

c) Infected B lymphocytes appear in the peripheral blood as large atypical lymphocytes.

d) Most patients are positive for the Monospot test.

Question 6

Which of the following is correct regarding diseases of the middle ear?

a) Acute otitis media should be considered as a cause of any acute illness in a child.

b) Glue ear (otitis media with effusion) usually follows a recognized episode of acute otitis media.

c) Cholesteatoma is a soft tissue neoplasm which is locally destructive but does not metastasize.

d) Otosclerosis is a condition in which excess amounts of fibrous tissue are laid down in the middle ear causing conductive deafness.

Question 7

Which of the following is correct regarding diseases of the inner ear?

a) Aural pain is the main symptom.

b) Presbyacusis is due to degeneration of hair cells in the semicircular canals.

c) Vestibular schwannoma is a benign neoplasm composed of Schwann cells arising in the vestibular portion of the vestibulocochlear nerve.

d) Ménière's disease is caused by increased perilymphatic pressure.

Question 8

Which of the following is correct regarding neck lumps?

a) The initial investigation of choice is core biopsy of the lump.

b) Thyroid lumps can be distinguished clinically because they move down on swallowing.

c) Squamous cell carcinomas of the oral cavity frequently present with cervical lymphadenopathy.

d) Branchial cysts are fluctuant lumps in the midline of the neck.

Oxford University Press, Online Resource Centre, Chapter 19.

Chapter 19

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