Pathology · single question

Which test is NOT a specific diagnostic test for Sjögren's syndrome?

  1. CBC (Complete Blood Count)
  2. Minor salivary gland (lip) biopsy
  3. Anti-SSA (Ro) / Anti-SSB (La) antibodies
  4. Schirmer test
Show answer and explanation

Correct answer: A. CBC (Complete Blood Count)

  • A. Correct (the exception). CBC is a general, nonspecific lab test and is not part of the specific diagnostic criteria for Sjögren's syndrome.
  • B. Minor salivary gland (lip) biopsy is the gold standard diagnostic test for Sjögren's syndrome, showing focal lymphocytic sialadenitis.
  • C. Anti-SSA/Ro and anti-SSB/La autoantibodies are core serologic diagnostic markers for Sjögren's syndrome.
  • D. The Schirmer test measures tear production and is a standard component of the Sjögren's diagnostic workup (assessing dry eyes).

Note: One exam question presented a list of Sjögren tests in an 'EXCEPT' format; CBC was the exception (not a specific Sjögren's test).

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