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Ophthalmology · Uvea
Sample itemA patient has a painful red eye with photophobia, ciliary congestion, a small irregular pupil and keratic precipitates. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Anterior uveitis
Cells and flare in the anterior chamber, keratic precipitates and a sluggish small pupil with ciliary flush indicate anterior uveitis. Treatment is with topical steroids and cycloplegics.
Option by option
A. Episcleritis
Episcleritis is mild, usually painless redness.
B. Acute angle-closure glaucoma
Angle-closure gives a mid-dilated, fixed pupil and a hard eye.
C. Anterior uveitis (correct)
Correct.
D. Acute conjunctivitis
Conjunctivitis gives a diffuse redness with discharge and normal vision.
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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