Uvea: sarcoid 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: sarcoid uveitis

Sample item

A patient with bilateral granulomatous uveitis, bilateral hilar lymphadenopathy and perivenous sheathing described as candle-wax drippings most likely has:

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

The answer and the reasoning

C. Sarcoidosis

Sarcoid uveitis is granulomatous, with mutton-fat KPs, iris nodules (Koeppe and Busacca) and periphlebitis with candle-wax drippings. Chest imaging shows bilateral hilar adenopathy. Treatment is with steroids.

Option by option

  • A. Behcet disease

    Behcet gives hypopyon and occlusive vasculitis.

  • B. Toxoplasmosis

    Toxoplasma causes focal necrotising retinochoroiditis.

  • C. Sarcoidosis (correct)

    Correct. Candle-wax drippings and hilar nodes point to sarcoidosis.

  • D. Tuberculosis

    TB can be granulomatous but candle-wax periphlebitis is classic for sarcoid.

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 C, Sarcoidosis. Sarcoid uveitis is granulomatous, with mutton-fat KPs, iris nodules (Koeppe and Busacca) and periphlebitis with candle-wax drippings.

Why is "Behcet disease" not the answer?

Behcet gives hypopyon and occlusive vasculitis.

Why is "Toxoplasmosis" not the answer?

Toxoplasma causes focal necrotising retinochoroiditis.

Why is "Tuberculosis" not the answer?

TB can be granulomatous but candle-wax periphlebitis is classic for sarcoid.

What concept does this question test?

It tests Uvea: sarcoid uveitis in Ophthalmology. Chest imaging shows bilateral hilar adenopathy. Treatment is with steroids.

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 Uvea: sarcoid 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.