Oral medicine and oral cancer: uveoparotid fever: practice question

A Dentistry 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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Dentistry · Oral medicine and oral cancer: uveoparotid fever

Sample item

A 30-year-old woman has bilateral painless parotid enlargement, anterior uveitis, low-grade fever and a lower motor neuron facial palsy. Which systemic disease explains this?

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

The answer and the reasoning

C. Sarcoidosis

Heerfordt syndrome (uveoparotid fever) is a form of sarcoidosis with parotid enlargement, uveitis, fever and cranial nerve palsy, most often facial. Serum angiotensin converting enzyme and chest imaging showing hilar nodes support the diagnosis. Biopsy shows non-caseating granulomas.

Option by option

  • A. Mumps

    Mumps gives painful acute parotitis with a short course and no uveitis.

  • B. Mikulicz disease due to lymphoma

    A lymphomatous cause is not suggested by this fever, uveitis and palsy pattern.

  • C. Sarcoidosis (correct)

    Correct. Parotid swelling with uveitis and facial palsy is the classic sarcoid syndrome.

  • D. Sjogren syndrome

    Sjogren syndrome produces dry eyes and mouth and does not usually cause uveitis with facial palsy.

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 Dentistry question

What is the answer to this Dentistry question?

The best answer is C, Sarcoidosis. Heerfordt syndrome (uveoparotid fever) is a form of sarcoidosis with parotid enlargement, uveitis, fever and cranial nerve palsy, most often facial.

Why is "Mumps" not the answer?

Mumps gives painful acute parotitis with a short course and no uveitis.

Why is "Mikulicz disease due to lymphoma" not the answer?

A lymphomatous cause is not suggested by this fever, uveitis and palsy pattern.

Why is "Sjogren syndrome" not the answer?

Sjogren syndrome produces dry eyes and mouth and does not usually cause uveitis with facial palsy.

What concept does this question test?

It tests Oral medicine and oral cancer: uveoparotid fever in Dentistry. Serum angiotensin converting enzyme and chest imaging showing hilar nodes support the diagnosis. Biopsy shows non-caseating granulomas.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Oral medicine and oral cancer: uveoparotid fever?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry 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.