Conjunctiva and cornea: superior limbic keratoconjunctivitis: 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 · Conjunctiva and cornea: superior limbic keratoconjunctivitis

Sample item

A 45-year-old woman has recurrent redness of the superior bulbar conjunctiva with fine papillae on the upper tarsus and filaments near the superior limbus. Which systemic condition is classically associated?

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

The answer and the reasoning

C. Thyroid dysfunction

Superior limbic keratoconjunctivitis is associated with thyroid disease in many patients, and mechanical friction between the upper lid and the superior globe is thought to contribute. Thyroid function should therefore be checked.

Option by option

  • A. Psoriasis

    Psoriasis is associated with dry eye and uveitis, but not this condition.

  • B. Sarcoidosis

    Sarcoidosis causes granulomatous uveitis and is not associated with this condition.

  • C. Thyroid dysfunction (correct)

    Correct. Thyroid dysfunction is the classic association.

  • D. Gout

    Gout is associated with episcleritis and scleritis, not with this condition.

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, Thyroid dysfunction. Superior limbic keratoconjunctivitis is associated with thyroid disease in many patients, and mechanical friction between the upper lid and the superior globe is thought to contribute.

Why is "Psoriasis" not the answer?

Psoriasis is associated with dry eye and uveitis, but not this condition.

Why is "Sarcoidosis" not the answer?

Sarcoidosis causes granulomatous uveitis and is not associated with this condition.

Why is "Gout" not the answer?

Gout is associated with episcleritis and scleritis, not with this condition.

What concept does this question test?

It tests Conjunctiva and cornea: superior limbic keratoconjunctivitis in Ophthalmology. Thyroid function should therefore be checked.

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 Conjunctiva and cornea: superior limbic keratoconjunctivitis?

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.