Infectious diseases: choroid tubercles in miliary tuberculosis: practice question

A General Medicine 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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General Medicine · Infectious diseases: choroid tubercles in miliary tuberculosis

Sample item

A 30-year-old man has 3 weeks of fever and weight loss. Chest radiograph shows innumerable 1 to 2 mm nodules scattered uniformly through both lungs. Which fundoscopic finding would support the diagnosis?

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

The answer and the reasoning

C. Choroid tubercles

Uniform millet-seed nodules suggest miliary tuberculosis from haematogenous spread. Pale yellow choroidal tubercles on fundoscopy provide supporting evidence and are seen in a proportion of patients.

Option by option

  • A. Papilloedema with flame haemorrhages

    Papilloedema reflects raised intracranial pressure.

  • B. Cherry-red spot at the macula

    A cherry-red spot occurs with central retinal artery occlusion and lysosomal storage diseases.

  • C. Choroid tubercles (correct)

    Correct. Choroid tubercles are a recognised ocular sign of haematogenous tuberculosis.

  • D. Cotton wool spots with Roth spots

    Roth spots are a feature of infective endocarditis and anaemia.

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 General Medicine question

What is the answer to this General Medicine question?

The best answer is C, Choroid tubercles. Uniform millet-seed nodules suggest miliary tuberculosis from haematogenous spread.

Why is "Papilloedema with flame haemorrhages" not the answer?

Papilloedema reflects raised intracranial pressure.

Why is "Cherry-red spot at the macula" not the answer?

A cherry-red spot occurs with central retinal artery occlusion and lysosomal storage diseases.

Why is "Cotton wool spots with Roth spots" not the answer?

Roth spots are a feature of infective endocarditis and anaemia.

What concept does this question test?

It tests Infectious diseases: choroid tubercles in miliary tuberculosis in General Medicine. Pale yellow choroidal tubercles on fundoscopy provide supporting evidence and are seen in a proportion of patients.

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 Infectious diseases: choroid tubercles in miliary tuberculosis?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine 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.