Pathology · single question

A 21-year-old with normal oral hygiene reports a 'white stone' in the mouth and had the flu 3 weeks ago. A white calculus-like body in the oropharynx is most likely a:

  1. Salivary mucocele
  2. Tonsillolith (tonsil stone)
  3. Squamous papilloma
  4. Sialolith of the parotid
Show answer and explanation

Correct answer: B. Tonsillolith (tonsil stone)

  • A. Incorrect – a soft bluish fluid-filled lesion, not a hard white stone.
  • B. Correct – debris/bacteria calcify in tonsillar crypts (common after infection/tonsillitis), forming a hard white concretion.
  • C. Incorrect – a soft cauliflower-like growth, not a calcified stone.
  • D. Incorrect – salivary stones lie in glands/ducts, not the tonsillar crypt.

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