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ENT · Salivary glands
Sample itemWhich feature makes a parotid mass concerning for malignancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Associated facial weakness
Facial weakness with a parotid mass may indicate facial-nerve invasion by malignancy and needs urgent specialist assessment.
Option by option
A. Meal-time swelling only
Meal-time swelling suggests duct obstruction.
B. Associated facial weakness (correct)
Correct: facial-nerve involvement is a malignant warning sign.
C. Small lower-lip mucocele
Mucocele is a benign mucus-retention lesion.
D. Bilateral tenderness with mumps
Mumps usually causes diffuse viral parotitis.
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.