NBDE Quiz # 43
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NBDE Quiz # 43
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1. Question
A 63-year-old male presents with pain and swelling in the floor of mouth and superior neck. PMH: Hyperlipidemia Meds: Lipitor All: NKDA. He notes that the pain is more evident prior to eating. What is the most likely diagnosis based on this history and radiograph?
CorrectThe correct answer is A. The radiograph and clinical correlation of increased pain prior to salivation are pathognomonic for the diagno¬sis of a sialolith (a calcification that is formed within a salivary duct, most common being found within the submandibular duct because of it being a primary mucous secretions gland and anatomic position of the duct). Answer choice B is incorrect, although calcifications of arteries can be noted on radiographic examina¬tion, this does not correlate with the pts present¬ing symptoms. Answer C is incorrect because these are not normal radiographic findings on an occlusal view of the anterior mandible. An¬swer D is incorrect because a supernumerary tooth would not be found outside of the bony confinements of the maxilla or mandible.
IncorrectThe correct answer is A. The radiograph and clinical correlation of increased pain prior to salivation are pathognomonic for the diagno¬sis of a sialolith (a calcification that is formed within a salivary duct, most common being found within the submandibular duct because of it being a primary mucous secretions gland and anatomic position of the duct). Answer choice B is incorrect, although calcifications of arteries can be noted on radiographic examina¬tion, this does not correlate with the pts present¬ing symptoms. Answer C is incorrect because these are not normal radiographic findings on an occlusal view of the anterior mandible. An¬swer D is incorrect because a supernumerary tooth would not be found outside of the bony confinements of the maxilla or mandible.