Salivary glands: Heerfordt syndrome: practice question

A ENT 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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ENT · Salivary glands: Heerfordt syndrome

Sample item

A 30-year-old has bilateral parotid swelling, fever, anterior uveitis and facial nerve palsy. Chest film shows bilateral hilar lymphadenopathy. What is the diagnosis?

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

The answer and the reasoning

A. Uveoparotid fever (Heerfordt syndrome) of sarcoidosis

Heerfordt syndrome is a form of sarcoidosis with parotid enlargement, uveitis, fever and cranial nerve palsy, usually facial. Hilar lymphadenopathy supports sarcoid. Mumps rarely produces uveitis or palsy with hilar nodes.

Option by option

  • A. Uveoparotid fever (Heerfordt syndrome) of sarcoidosis (correct)

    Correct. This combination with hilar nodes is uveoparotid fever.

  • B. Sjogren syndrome

    Sjogren syndrome causes dry eyes and mouth with lymphocytic infiltration.

  • C. Mumps

    Mumps is a viral parotitis without hilar adenopathy and uveitis.

  • D. Bilateral Warthin tumours

    Warthin tumours are painless and do not cause uveitis or fever.

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 ENT question

What is the answer to this ENT question?

The best answer is A, Uveoparotid fever (Heerfordt syndrome) of sarcoidosis. Heerfordt syndrome is a form of sarcoidosis with parotid enlargement, uveitis, fever and cranial nerve palsy, usually facial.

Why is "Sjogren syndrome" not the answer?

Sjogren syndrome causes dry eyes and mouth with lymphocytic infiltration.

Why is "Mumps" not the answer?

Mumps is a viral parotitis without hilar adenopathy and uveitis.

Why is "Bilateral Warthin tumours" not the answer?

Warthin tumours are painless and do not cause uveitis or fever.

What concept does this question test?

It tests Salivary glands: Heerfordt syndrome in ENT. Hilar lymphadenopathy supports sarcoid. Mumps rarely produces uveitis or palsy with hilar nodes.

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 Salivary glands: Heerfordt syndrome?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT 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.