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Dentistry · Oral pathology: ranula
Sample itemA child has a bluish translucent fluctuant swelling lateral to the frenulum in the floor of the mouth. What is the likely lesion?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Ranula
A ranula is a mucus extravasation or retention cyst of the sublingual gland. A plunging ranula extends into the neck through the mylohyoid. Treatment is excision of the gland with the cyst.
Option by option
A. Ranula (correct)
Correct. Blue translucent floor-of-mouth swelling suggests ranula.
B. Thyroglossal cyst
Thyroglossal cysts lie in the midline of the neck.
C. Dermoid cyst
Dermoid cysts are midline and doughy.
D. Cystic hygroma
Cystic hygroma is a lymphatic malformation of the neck.
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.
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