TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 78: Diseases of the Salivary Glands Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient reports painful swelling in the mouth with increased pain at mealtimes. The provider
notes a mass in the salivary gland region. What is the likely cause of these symptoms? a. Basal cell adenoma b. Sialolithiasis c. Sjögren syndrome d. Warthin’s tumor ANS: B
Sialolithiasis is a noninfectious salivary gland disorder characterized by pain at mealtimes caused by blockage of the salivary duct by stones. Basal cell adenoma is a noninfectious cause of salivary gland inflammation that is generally painless. Sjögren syndrome manifests with xerostomia and abnormal taste. Warthin’s tumor causes a painless, unilateral mass. 2. A patient has a chronic swelling of the parotid gland that is unresponsive to antibiotics and
which has not increased in size. Which diagnostic test is indicated? a. Computed tomography b. Fine-needle aspiration c. Magnetic resonance imaging d. Plain film radiography ANS: B
URSINGTorBmalignancies, .COM Chronic lesions may represent N tuberculosis so fine-needle aspiration is indicated to rule out these diseases. Radiological studies are used to identify the extent of disease but are usually not diagnostic. 3. A patient has parotitis and cultures are positive for actinomycosis. What is the initial treatment
for this condition? a. Intravenous (IV) penicillin b. Oral clindamycin (PNC) c. Oral erythromycin d. Topical antibiotics ANS: A
IV penicillin followed by the oral form (Penicillin V) for several months is indicated for actinomycosis; specialist consultation is indicated for patients with penicillin allergy. Clindamycin and erythromycin are used for PCN allergy. Topical antibiotics are not effective.
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