Sjögren Syndrome

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Questions and Answers

What is the primary characteristic of Sjögren Syndrome?

  • Lymphocytic infiltration of salivary and lacrimal glands (correct)
  • Autoimmune destruction of pancreatic cells
  • Hypertrophy of the thyroid gland
  • Inflammation of synovial joints

Which of the following is a common age range for Sjögren Syndrome diagnosis?

  • 60-70 years
  • 30-40 years
  • 40-50 years (correct)
  • 20-30 years

What is the female-to-male ratio in Sjögren Syndrome prevalence?

  • 5:1
  • 9:1 (correct)
  • 12:1
  • 3:1

What is the hallmark symptom of keratoconjunctivitis sicca in Sjögren Syndrome?

<p>Dry eyes (C)</p> Signup and view all the answers

Which classification of Sjögren Syndrome involves associations with other autoimmune diseases?

<p>Secondary Sjögren Syndrome (D)</p> Signup and view all the answers

Which autoimmune diseases are commonly associated with secondary Sjögren Syndrome?

<p>Rheumatoid arthritis and systemic lupus erythematosus (B)</p> Signup and view all the answers

What is the most commonly used diagnostic test for dry eyes in Sjögren Syndrome?

<p>Schirmer tear test (D)</p> Signup and view all the answers

What histological finding is diagnostic in a salivary gland biopsy for Sjögren Syndrome?

<p>Lymphocytic infiltration (B)</p> Signup and view all the answers

Which antibody is found in approximately 70% of Sjögren Syndrome patients?

<p>Anti-Ro antibody (A)</p> Signup and view all the answers

Which of the following is NOT a clinical manifestation of Sjögren Syndrome?

<p>Hyperthyroidism (A)</p> Signup and view all the answers

Which investigation is primarily used to evaluate renal involvement in Sjögren Syndrome?

<p>24-hour urine collection (C)</p> Signup and view all the answers

What is the primary purpose of hypromellose in managing Sjögren Syndrome?

<p>Treating keratoconjunctivitis sicca (D)</p> Signup and view all the answers

Which of the following is NOT a common extra-glandular manifestation of Sjögren Syndrome?

<p>Cardiac arrhythmias (A)</p> Signup and view all the answers

What is the gold standard for confirming Sjögren Syndrome diagnosis?

<p>Lip or salivary gland biopsy (A)</p> Signup and view all the answers

Which symptom is most commonly associated with interstitial lung disease in Sjögren Syndrome?

<p>Chronic cough (A)</p> Signup and view all the answers

What is the risk of lymphoma in Sjögren Syndrome attributed to?

<p>Lymphocytic infiltration (A)</p> Signup and view all the answers

What condition does the Saxon test evaluate in Sjögren Syndrome patients?

<p>Dry eyes (D)</p> Signup and view all the answers

Which of the following treatments is used for vaginal dryness in Sjögren Syndrome?

<p>Vaginal lubricants (C)</p> Signup and view all the answers

What percentage of Sjögren Syndrome patients typically show positive ANA serology?

<p>70% (D)</p> Signup and view all the answers

Which organ system is primarily targeted in Sjögren Syndrome?

<p>Exocrine glands (A)</p> Signup and view all the answers

Flashcards

What is Sjögren's Syndrome?

Sjögren's Syndrome is an autoimmune disease characterized by the body's immune system attacking and damaging the moisture-producing glands, primarily the salivary and lacrimal glands.

What is the primary characteristic of Sjögren's Syndrome?

The most prominent feature of Sjögren's Syndrome is the lymphocytic infiltration of salivary and lacrimal glands, leading to dryness.

What is the common age range for Sjögren's Syndrome diagnosis?

Sjögren's Syndrome is typically diagnosed between the ages of 40 and 50, making it a disease more commonly seen in middle-aged individuals.

What is the female-to-male ratio in Sjögren's Syndrome prevalence?

Sjögren's Syndrome is significantly more prevalent in women than in men, with a female-to-male ratio of approximately 9:1.

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What is the hallmark symptom of keratoconjunctivitis sicca in Sjögren's Syndrome?

Keratoconjunctivitis sicca, commonly known as dry eye, is a hallmark symptom of Sjögren's Syndrome, causing discomfort and vision issues.

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What is the classification of Sjögren's Syndrome that involves associations with other autoimmune diseases?

Secondary Sjögren's Syndrome occurs when Sjögren's Syndrome coexists with other autoimmune disorders, like rheumatoid arthritis or lupus.

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Which autoimmune diseases are commonly associated with secondary Sjögren's Syndrome?

Rheumatoid arthritis and systemic lupus erythematosus are common autoimmune diseases that are often found in patients with secondary Sjögren's Syndrome.

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What is the most commonly used diagnostic test for dry eyes in Sjögren's Syndrome?

The Schirmer tear test is a standard diagnostic tool used to assess the dryness of the eyes, a key symptom in Sjögren's Syndrome.

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What histological finding is diagnostic in a salivary gland biopsy for Sjögren's Syndrome?

A salivary gland biopsy reveals lymphocytic infiltration, a characteristic histological finding confirming the diagnosis of Sjögren's Syndrome.

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Which antibody is found in approximately 70% of Sjögren Syndrome patients?

The Anti-Ro antibody, also known as SSA, is found in approximately 70% of Sjögren's Syndrome patients, making it a common serological marker.

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Which of the following is NOT a clinical manifestation of Sjögren Syndrome?

Hyperthyroidism, an overactive thyroid gland, is not a typical symptom of Sjögren's Syndrome. It typically affects moisture-producing glands, not the thyroid.

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Which investigation is primarily used to evaluate renal involvement in Sjögren's Syndrome?

A 24-hour urine collection is a standard test used to evaluate renal involvement in Sjögren's Syndrome, as the disease can affect the kidneys.

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What is the primary purpose of hypromellose in managing Sjögren Syndrome?

Hypromellose is an artificial tear substitute used to manage the dry eye symptom in Sjögren's Syndrome, providing lubrication and relief.

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Which of the following is NOT a common extra-glandular manifestation of Sjögren Syndrome?

Cardiac arrhythmias are not a common extra-glandular manifestation. Sjögren's primarily affects glands and connective tissues.

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What is the gold standard for confirming Sjögren Syndrome diagnosis?

A confirmed diagnosis of Sjögren's Syndrome is achieved through a combination of clinical symptoms, serological tests and a lip or salivary gland biopsy, considered the gold standard.

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Which symptom is most commonly associated with interstitial lung disease in Sjogren's Syndrome?

Chronic cough is a common symptom associated with interstitial lung disease, a potential complication of Sjögren's Syndrome.

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What is the risk of lymphoma in Sjögren's Syndrome attributed to?

The risk of lymphoma in Sjögren's Syndrome stems from the chronic inflammation and lymphocytic infiltration present in the disease, increasing the likelihood of malignancy.

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What condition does the Saxon test evaluate in Sjögren Syndrome patients?

The Saxon test, also known as the modified Schirmer test, helps evaluate the severity of dry eye symptoms, a common issue in Sjögren's Syndrome.

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Which of the following treatments is used for vaginal dryness in Sjögren Syndrome?

Vaginal lubricants are specifically used to address the vaginal dryness associated with Sjögren's Syndrome, providing comfort and relief.

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What percentage of Sjögren Syndrome patients typically show positive ANA serology?

Approximately 90% of patients with Sjögren's Syndrome exhibit positive results in the antinuclear antibody (ANA) serology test, making it a strong indicator.

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Which organ system is primarily targeted in Sjögren Syndrome?

The exocrine glands, responsible for producing fluids and secretions like saliva and tears, are the primary targets of the immune system in Sjögren's Syndrome.

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Study Notes

Sjögren Syndrome MCQs

  • Primary characteristic: Lymphocytic infiltration of salivary and lacrimal glands.
  • Common age range for diagnosis: 40-50 years.
  • Female-to-male prevalence ratio: 9:1.
  • Hallmark symptom of keratoconjunctivitis sicca: Dry eyes.
  • Sjögren Syndrome classification with associations to other autoimmune diseases: Secondary Sjögren Syndrome.
  • Commonly associated autoimmune diseases: Rheumatoid arthritis, and systemic lupus erythematosus; Hyperthyroidism and Graves' disease.
  • Diagnostic test for dry eyes: Schirmer tear test.
  • Diagnostic histological finding in salivary gland biopsy: Lymphocytic infiltration.
  • Antibody commonly found in patients: Anti-La antibody.
  • Not a clinical manifestation: Peripheral neuropathy.
  • Investigation for renal involvement: 24-hour urine collection.
  • Primary purpose of hypromellose: Treating dry mouth and keratoconjunctivitis sicca.
  • Not a common extra-glandular manifestation: Cardiac arrhythmias.
  • Gold standard for diagnosis: Lip or salivary gland biopsy.
  • Symptom associated with interstitial lung disease: Sudden dyspnea.
  • Cause of lymphoma risk: Chronic inflammation.
  • Condition evaluated by the Saxon test: Dry mouth.
  • Treatment for vaginal dryness: Vaginal lubricants.
  • Percentage of patients with positive ANA serology: 70%.
  • Primary target organ system: Exocrine glands.

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