Uvea: post-chikungunya uveitis: 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 · Uvea: post-chikungunya uveitis

Sample item

Three weeks after a febrile illness with severe joint pains during the monsoon, a woman has granulomatous anterior uveitis. Which preceding infection is most likely?

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

The answer and the reasoning

C. Chikungunya

Chikungunya can be followed by anterior uveitis, optic neuritis and retinitis, weeks after fever with polyarthralgia. Steroids and cycloplegics treat the uveitis. The severe joint pain pattern is distinctive.

Option by option

  • A. Japanese encephalitis

    Japanese encephalitis is a neurological illness with no joint pain.

  • B. Malaria

    Malaria rarely causes uveitis and does not feature severe arthralgia.

  • C. Chikungunya (correct)

    Correct. Fever with severe polyarthralgia followed by uveitis suggests chikungunya.

  • D. Scrub typhus

    Scrub typhus gives an eschar and a rash, and a different ocular picture.

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 C, Chikungunya. Chikungunya can be followed by anterior uveitis, optic neuritis and retinitis, weeks after fever with polyarthralgia.

Why is "Japanese encephalitis" not the answer?

Japanese encephalitis is a neurological illness with no joint pain.

Why is "Malaria" not the answer?

Malaria rarely causes uveitis and does not feature severe arthralgia.

Why is "Scrub typhus" not the answer?

Scrub typhus gives an eschar and a rash, and a different ocular picture.

What concept does this question test?

It tests Uvea: post-chikungunya uveitis in Ophthalmology. Steroids and cycloplegics treat the uveitis. The severe joint pain pattern is distinctive.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Uvea: post-chikungunya uveitis?

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.