ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 17 / 20

Salivary Glands & Oral Lesions

Assess meal-related swelling, gland infection and persistent oral abnormalities.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Painful salivary swelling during meals suggests what? A. Isolated presbycusisB. Simple nasal allergyC. Vocal fold paralysisD. Duct obstruction

Question 02. Which investigation may help assess a salivary stone or mass? A. Pure-tone audiometry aloneB. Visual field testing aloneC. Ultrasound in the appropriate pathwayD. Tympanometry alone

Question 03. Fever with tender gland swelling and purulent duct discharge suggests what? A. Uncomplicated glue earB. BPPVC. SialadenitisD. Simple presbyopia

Question 04. Which salivary presentation requires urgent escalation? A. Stable mild dry mouth aloneB. A resolved brief meal-related acheC. Normal gland examinationD. Rapid swelling with airway symptoms

Question 05. A painless persistent parotid mass should be handled how? A. Investigate through an appropriate specialist pathwayB. Assume benignity without reviewC. Ignore unless fever developsD. Treat indefinitely with decongestants

Question 06. Which finding with a parotid mass increases concern? A. Stable corrected myopiaB. Mild seasonal sneezing aloneC. A healed ankle scarD. Facial weakness

Question 07. Which factor can contribute to dry mouth? A. Medication effectsB. Only ageing in every caseC. Only earwaxD. Only nasal trauma

Question 08. Why include dental care in persistent xerostomia? A. Dry mouth prevents decayB. Dental care replaces investigationC. Saliva has no protective roleD. Reduced saliva increases oral and dental problems

Question 09. An unexplained oral ulcer persisting beyond three weeks needs what? A. Indefinite observation without reviewB. Assessment through the suspected-cancer pathwayC. Automatic reassurance as traumaD. Ear drops

Question 10. What should happen when an assumed traumatic ulcer does not heal? A. Keep assuming trauma foreverB. Ignore the lesion if painlessC. Reassess the diagnosis and arrange appropriate reviewD. Stop documenting it

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.