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ENT · Salivary glands
Sample itemWhich presentation is most typical of a submandibular duct stone?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Painful gland swelling during meals
A submandibular stone obstructs salivary flow, causing recurrent painful swelling that becomes most evident when salivary secretion increases during meals.
Option by option
A. Vertigo triggered by rolling in bed
Positional vertigo reflects canal dysfunction.
B. Painless parotid enlargement after mumps
Mumps usually causes diffuse viral parotitis.
C. Painful gland swelling during meals (correct)
Correct: meal-related swelling reflects obstructed salivary flow.
D. Hoarseness after intubation
Post-intubation hoarseness concerns laryngeal irritation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.