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ENT · Pharynx and tonsils: Behcet disease
Sample itemA 28-year-old man from the Silk Route region has recurrent painful oral ulcers, genital ulcers and uveitis. Which disease is it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Behcet disease
Behcet disease is a variable-vessel vasculitis with recurrent oral aphthae, genital ulcers and uveitis, and is associated with HLA-B51. A positive pathergy test supports the diagnosis. Oral ulcers are treated with topical steroids and colchicine.
Option by option
A. Herpes simplex
Herpes simplex gives grouped vesicles and does not cause uveitis.
B. Reiter syndrome
Reactive arthritis presents with urethritis, conjunctivitis and arthritis.
C. Behcet disease (correct)
Correct. The triad is oral and genital ulcers with uveitis.
D. Sjogren syndrome
Sjogren gives dry mouth and dry eyes.
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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