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Ophthalmology · Uvea: syphilitic chorioretinitis
Sample itemA child with congenital syphilis shows a diffuse mottled fundus appearance with pigment clumps and pale patches. What is this fundus picture?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Salt and pepper fundus
Congenital syphilis and rubella produce a salt and pepper retinopathy with diffuse pigment mottling. Diagnosis is by VDRL and FTA-ABS tests, and treatment is IV penicillin. Tigroid fundus is seen in high myopia.
Option by option
A. Tigroid fundus
Tigroid fundus is high myopia.
B. Pizza pie fundus
Pizza pie is CMV retinitis.
C. Bull's eye maculopathy
Bull's eye maculopathy is chloroquine toxicity.
D. Salt and pepper fundus (correct)
Correct. Salt and pepper fundus is typical.
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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