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ENT · Salivary glands: Sjogren syndrome
Sample itemA middle-aged woman has dry eyes, dry mouth and bilateral parotid enlargement. Which autoantibodies are characteristic?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Anti-Ro (SSA) and anti-La (SSB)
Sjogren syndrome features lymphocytic infiltration of lacrimal and salivary glands with anti-Ro and anti-La antibodies. There is an increased risk of MALT lymphoma, and the Schirmer test is abnormal.
Option by option
A. Anti-centromere only
Anti-centromere relates to limited scleroderma.
B. Anti-Scl-70
Anti-Scl-70 relates to diffuse scleroderma.
C. Anti-Jo-1
Anti-Jo-1 relates to polymyositis.
D. Anti-Ro (SSA) and anti-La (SSB) (correct)
Correct. Anti-Ro and anti-La are typical.
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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