Uveitis: tuberculosis: 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: tuberculosis

Sample item

A patient from an endemic area has granulomatous panuveitis with choroidal tubercles and positive tuberculin test. What is the principle of treatment?

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

The answer and the reasoning

A. Antitubercular therapy with steroids

Presumed intraocular tuberculosis requires antitubercular therapy, with corticosteroids to limit inflammatory damage. Steroids alone risk disseminating the infection.

Option by option

  • A. Antitubercular therapy with steroids (correct)

    Correct. Treat the infection and the inflammation together.

  • B. Steroids alone

    Steroid monotherapy risks flaring the infection.

  • C. Antivirals

    Antivirals have no effect.

  • D. Observation

    Untreated disease damages the eye.

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.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Antitubercular therapy with steroids. Presumed intraocular tuberculosis requires antitubercular therapy, with corticosteroids to limit inflammatory damage.

Why is "Steroids alone" not the answer?

Steroid monotherapy risks flaring the infection.

Why is "Antivirals" not the answer?

Antivirals have no effect.

Why is "Observation" not the answer?

Untreated disease damages the eye.

What concept does this question test?

It tests Uveitis: tuberculosis in Ophthalmology. Steroids alone risk disseminating the infection.

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: tuberculosis?

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.