Head and neck tumours: lymphoma in Sjogren 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.

Try it

ENT · Head and neck tumours: lymphoma in Sjogren syndrome

Sample item

A 55-year-old woman with long-standing Sjogren syndrome develops rapid, firm, painless enlargement of one parotid gland. Which complication is most likely?

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

The answer and the reasoning

C. Marginal zone (MALT) B-cell lymphoma

Sjogren syndrome carries a markedly increased risk of extranodal marginal zone (MALT) lymphoma, particularly in the parotid. Persistent firm, asymmetric enlargement, new lymphadenopathy or purpura in a patient with Sjogren syndrome should prompt a biopsy.

Option by option

  • A. Acinic cell carcinoma

    Acinic cell carcinoma is a rare epithelial tumour without this link.

  • B. Warthin tumour

    Warthin tumour is not linked to Sjogren syndrome.

  • C. Marginal zone (MALT) B-cell lymphoma (correct)

    Correct. Chronic lymphoepithelial inflammation predisposes to MALT lymphoma.

  • D. Sialolithiasis

    A stone would cause painful meal-related swelling.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is C, Marginal zone (MALT) B-cell lymphoma. Sjogren syndrome carries a markedly increased risk of extranodal marginal zone (MALT) lymphoma, particularly in the parotid.

Why is "Acinic cell carcinoma" not the answer?

Acinic cell carcinoma is a rare epithelial tumour without this link.

Why is "Warthin tumour" not the answer?

Warthin tumour is not linked to Sjogren syndrome.

Why is "Sialolithiasis" not the answer?

A stone would cause painful meal-related swelling.

What concept does this question test?

It tests Head and neck tumours: lymphoma in Sjogren syndrome in ENT. Persistent firm, asymmetric enlargement, new lymphadenopathy or purpura in a patient with Sjogren syndrome should prompt a biopsy.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Head and neck tumours: lymphoma in Sjogren 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.