Uvea: Heerfordt syndrome: practice question

A Ophthalmology 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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Ophthalmology · Uvea: Heerfordt syndrome

Sample item

A young adult has anterior uveitis, bilateral parotid swelling, low-grade fever and a lower motor neuron facial palsy. Which syndrome is this?

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

The answer and the reasoning

A. Heerfordt syndrome

Uveoparotid fever, or Heerfordt syndrome, is a form of sarcoidosis with uveitis, parotid enlargement, fever and facial nerve palsy. A chest radiograph is useful to look for hilar lymphadenopathy.

Option by option

  • A. Heerfordt syndrome (correct)

    Correct. Uveitis with parotid swelling, fever and facial palsy is Heerfordt syndrome.

  • B. Mikulicz syndrome

    Mikulicz syndrome describes enlargement of lacrimal and salivary glands without this combination.

  • C. Sjogren syndrome

    Sjogren syndrome causes dry eyes and dry mouth rather than uveitis with facial palsy.

  • D. Reiter syndrome

    Reiter syndrome causes urethritis, arthritis and conjunctivitis.

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 Ophthalmology question

What is the answer to this Ophthalmology question?

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

Why is "Mikulicz syndrome" not the answer?

Mikulicz syndrome describes enlargement of lacrimal and salivary glands without this combination.

Why is "Sjogren syndrome" not the answer?

Sjogren syndrome causes dry eyes and dry mouth rather than uveitis with facial palsy.

Why is "Reiter syndrome" not the answer?

Reiter syndrome causes urethritis, arthritis and conjunctivitis.

What concept does this question test?

It tests Uvea: Heerfordt syndrome in Ophthalmology. A chest radiograph is useful to look for hilar lymphadenopathy.

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 Uvea: Heerfordt syndrome?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology 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.