Oral pathology: Warthin tumour: practice question

A Dentistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dentistry · Oral pathology: Warthin tumour

Sample item

An elderly male smoker has bilateral soft cystic parotid swellings showing increased uptake on technetium-99m pertechnetate scan. What is the likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Warthin tumour

Warthin tumour (papillary cystadenoma lymphomatosum) has oncocytic epithelium and lymphoid stroma, is linked to smoking and can be multifocal or bilateral. It takes up pertechnetate.

Option by option

  • A. Adenoid cystic carcinoma

    Adenoid cystic carcinoma is solid and painful.

  • B. Warthin tumour (correct)

    Correct. Findings are classic for Warthin tumour.

  • C. Pleomorphic adenoma

    Pleomorphic adenoma is usually solitary and a cold nodule on scan.

  • D. Acinic cell carcinoma

    Acinic cell carcinoma is uncommon and mostly occurs in women.

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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Questions about this Dentistry question

What is the answer to this Dentistry question?

The best answer is B, Warthin tumour. Warthin tumour (papillary cystadenoma lymphomatosum) has oncocytic epithelium and lymphoid stroma, is linked to smoking and can be multifocal or bilateral.

Why is "Adenoid cystic carcinoma" not the answer?

Adenoid cystic carcinoma is solid and painful.

Why is "Pleomorphic adenoma" not the answer?

Pleomorphic adenoma is usually solitary and a cold nodule on scan.

Why is "Acinic cell carcinoma" not the answer?

Acinic cell carcinoma is uncommon and mostly occurs in women.

What concept does this question test?

It tests Oral pathology: Warthin tumour in Dentistry. It takes up pertechnetate.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral pathology: Warthin tumour?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.