Uveitis: sarcoidosis: practice question

A Ophthalmology 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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Ophthalmology · Uveitis: sarcoidosis

Sample item

A patient with bilateral hilar lymphadenopathy has granulomatous uveitis. What is a characteristic corneal finding?

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

The answer and the reasoning

A. Large greasy mutton-fat keratic precipitates

Granulomatous uveitis such as sarcoid or tuberculosis shows large mutton-fat precipitates and iris nodules including Koeppe and Busacca nodules. Candle-wax drippings along retinal veins may occur.

Option by option

  • A. Large greasy mutton-fat keratic precipitates (correct)

    Correct. Mutton-fat KPs are typical of granulomatous disease.

  • B. Dendritic ulcer

    Dendritic ulcers are viral.

  • C. Fine stellate keratic precipitates

    Stellate KPs are seen in Fuchs heterochromic cyclitis.

  • D. Kayser-Fleischer ring

    Kayser-Fleischer ring is seen in Wilson disease.

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 Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Large greasy mutton-fat keratic precipitates. Granulomatous uveitis such as sarcoid or tuberculosis shows large mutton-fat precipitates and iris nodules including Koeppe and Busacca nodules.

Why is "Dendritic ulcer" not the answer?

Dendritic ulcers are viral.

Why is "Fine stellate keratic precipitates" not the answer?

Stellate KPs are seen in Fuchs heterochromic cyclitis.

Why is "Kayser-Fleischer ring" not the answer?

Kayser-Fleischer ring is seen in Wilson disease.

What concept does this question test?

It tests Uveitis: sarcoidosis in Ophthalmology. Candle-wax drippings along retinal veins may occur.

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 Uveitis: sarcoidosis?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology 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.