Rheumatology: oligoarticular juvenile arthritis and uveitis: 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 · Rheumatology: oligoarticular juvenile arthritis and uveitis

Sample item

A 3-year-old girl has had a swollen, non-painful knee for 3 months without fever or rash. ANA is positive and rheumatoid factor is negative. Which complication should be screened for with regular slit-lamp examination?

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

The answer and the reasoning

B. Chronic anterior uveitis

Young girls with oligoarticular juvenile idiopathic arthritis who are ANA positive have a high risk of chronic anterior uveitis, which is often asymptomatic and can cause blindness. Regular slit-lamp screening is mandatory.

Option by option

  • A. Retinal detachment

    Retinal detachment is not a recognised complication of this arthritis.

  • B. Chronic anterior uveitis (correct)

    Correct. Silent anterior uveitis is the major threat to vision in ANA-positive oligoarticular disease.

  • C. Optic neuritis

    Optic neuritis is a feature of demyelinating disease, not of juvenile arthritis.

  • D. Keratoconjunctivitis sicca

    Dry eye from sicca is a feature of Sjogren syndrome.

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 General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Chronic anterior uveitis. Young girls with oligoarticular juvenile idiopathic arthritis who are ANA positive have a high risk of chronic anterior uveitis, which is often asymptomatic and can cause blindness.

Why is "Retinal detachment" not the answer?

Retinal detachment is not a recognised complication of this arthritis.

Why is "Optic neuritis" not the answer?

Optic neuritis is a feature of demyelinating disease, not of juvenile arthritis.

Why is "Keratoconjunctivitis sicca" not the answer?

Dry eye from sicca is a feature of Sjogren syndrome.

What concept does this question test?

It tests Rheumatology: oligoarticular juvenile arthritis and uveitis in General Medicine. Regular slit-lamp screening is mandatory.

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 Rheumatology: oligoarticular juvenile arthritis and uveitis?

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.