Salivary Gland MCQs for NEET SS Surgery
Practice 25 high-yield MCQs on salivary gland anatomy, parotid tumors, and submandibular gland surgery with detailed explanations.
1. Parasympathetic secretomotor supply to the submandibular gland is via:
A. Glossopharyngeal nerve
B. Chorda tympani nerve
C. Auriculotemporal nerve
D. Greater petrosal nerve
Correct answer: Chorda tympani nerve
Explanation
Preganglionic parasympathetic fibers arise in the **superior salivatory nucleus** in the pons.
They travel through the **facial nerve** and enter the **chorda tympani**, which joins the **lingual nerve** in the infratemporal fossa.
These fibers synapse in the **submandibular ganglion**, and postganglionic fibers supply the **submandibular and sublingual glands**.
Why other options are incorrect
Glossopharyngeal nerve → parasympathetic supply to the **parotid gland** via the otic ganglion.
Auriculotemporal nerve → carries **postganglionic fibers** from the otic ganglion to the parotid gland.
Greater petrosal nerve → parasympathetic supply to the **lacrimal gland**.
Teaching points
Submandibular gland produces nearly **70% of resting salivary secretion**.
2. The Stensen duct opens opposite which tooth?
A. Upper first molar
B. Upper second molar
C. Upper third molar
D. Lower second molar
Correct answer: Upper second molar
Explanation
The **parotid duct (Stensen duct)** crosses the masseter muscle and pierces the buccinator to open in the oral cavity opposite the **upper second molar tooth**.
Why other options are incorrect
Other molars do not correspond to the anatomical opening of the parotid duct.
Teaching points
Parotid duct obstruction may cause **painful swelling during meals**.
3. The most common benign tumor of the parotid gland is:
A. Warthin tumor
B. Pleomorphic adenoma
C. Basal cell adenoma
D. Oncocytoma
Correct answer: Pleomorphic adenoma
Explanation
Pleomorphic adenoma is the **most common salivary gland tumor** and accounts for approximately **60% of parotid tumors**.
Why other options are incorrect
Warthin tumor → second most common benign tumor.
Basal cell adenoma → rare tumor.
Oncocytoma → uncommon tumor.
Teaching points
Pleomorphic adenoma may undergo **malignant transformation** to carcinoma ex pleomorphic adenoma.
4. Which salivary tumor commonly shows perineural invasion?
A. Mucoepidermoid carcinoma
B. Adenoid cystic carcinoma
C. Acinic cell carcinoma
D. Warthin tumor
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5. The marginal mandibular branch of the facial nerve supplies:
A. Buccinator
B. Depressor anguli oris
C. Masseter
D. Genioglossus
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6. Tumor strongly associated with cigarette smoking:
A. Pleomorphic adenoma
B. Warthin tumor
C. Acinic cell carcinoma
D. Basal cell adenoma
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