1. Sjogrens syndrome includes all except

a) Xerostomia
b) Keratoconjunctivitis
c) Arthritis
d) Lymphoma

2. Leafless fruit laden tree or cherry – blossom appearance on a sialogram indicates

a) MEC
b) ACC
c) Sjogrens syndrome
d) Pleomorphic adenoma

3. Sialography of normal salivary gland reveals the ductal architecture as having an appearance of

a) Sausage string
b) Fruit-laden tree
c) Leafless tree
d) Ball in hand

4. Which of the following salivary gland tumors has highest rate of malignant transformation?

a) Parotid
b) Submanidbular
c) Sublingual
d) Minor

5. Sjogren’s syndrome affects

a) Exocrine glands
b) Paracrine glands
c) Endocrine glands
d) Autocrine glands

6. Break up time (BUT) test is done in

a) Sjogren’s syndrome
b) Multiple sclerosis
c) SLE
d) Myasthenia gravis

7. In Xerostomia the salivary pH is:

a) Unaffected
b) Low
c) High
d) Increased in morning and decreases in day

8. Diagnosis of Sjogren syndrome is confirmed by?

a) Lip biopsy
b) Lymph-node biopsy
c) Absence of anti ‘ss’ antibody
d) Positive rheumatoid factor

9. Parotid fatty change is sign of:

a) Aging
b) Alcoholism
c) Malnutrition
d) None of the above

10. Mikulicz’s disease is:

a) An inflammatory disease
b) Neoplastic disease
c) An autoimmune disease
d) Viral infection

Answers with explanations

1. D
Sjögren’s syndrome is an autoimmune condition which Keratoconjunctivitis characterized by xerophthalmia, xerostomia, rheumatoid arthritis.

2. C
Sialography of sjogrens syndrome demonstrate,punctuate, cavitary defects which produce a cherry blossom or branchless fruit laden tree effect.

3. C
On a sialogram of a normal salivary gland,the ductal system appears as tree limbs ,followed by a bloomed appearance after acinar fillings.

4. D

5. A
Sjögren’s syndrome (SS) is an autoimmune inflammatory disorder of exocrine glands. It particularly affects the lacrimal and salivary glands. Dry mouth and dry eyes are frequently the presenting symptoms. Extraglandular manifestations, for example, arthritis and polyneuropathy can also be present
6. A

7.B

8. A

9. B

10. C