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Pathology · single question

In a patient with Sjögren syndrome, which finding would you NOT expect?

  1. Multiple oral mucosal ulcers as a primary feature
  2. Xerostomia
  3. Increased caries and gingivitis secondary to dry mouth
  4. Difficulty swallowing dry foods
Show answer and explanation

Correct answer: A. Multiple oral mucosal ulcers as a primary feature

  • A. Correct (the EXCEPTION). Sjögren produces dryness (xerostomia, keratoconjunctivitis) and its sequelae, not primary ulceration.
  • B. Incorrect. Xerostomia is a hallmark of Sjögren.
  • C. Incorrect. The dry environment drives rampant caries and gingival inflammation.
  • D. Incorrect. Lack of saliva makes bolus formation and swallowing of dry foods difficult.

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