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10163 Surgery

A 60-year-old female complains of dry mouth and a gritty sensation in her eyes. She states it is sometimes difficult to speak for more than a few minutes. There is no history of diabetes mellitus or neurologic disease. The patient is on no medications. On exam, the buccal mucosa appears dry and the salivary glands are enlarged bilaterally. The next step in evaluation is

ALip biopsy
BSchirmer test and measurement of auto antibodies
CIgG antibody to mumps virus
DUse of coicosteroids
Surgery
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