Allergic conjunctivitis: vernal: 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.

Try it

Ophthalmology · Allergic conjunctivitis: vernal

Sample item

A 10-year-old boy has seasonal itching, ropy discharge and large cobblestone papillae under the upper lid. Which finding may be seen at the limbus?

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

The answer and the reasoning

B. Horner-Trantas dots

Horner-Trantas dots are collections of eosinophils and epithelial cells at the limbus in vernal keratoconjunctivitis. The disease is a mixed type I and type IV hypersensitivity.

Option by option

  • A. Bitot's spot

    Bitot's spots indicate vitamin A deficiency.

  • B. Horner-Trantas dots (correct)

    Correct. They are characteristic of limbal vernal disease.

  • C. Kayser-Fleischer ring

    Kayser-Fleischer ring is seen in Wilson disease.

  • D. Herbert's pits

    Herbert's pits are seen in trachoma.

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 Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is B, Horner-Trantas dots. Horner-Trantas dots are collections of eosinophils and epithelial cells at the limbus in vernal keratoconjunctivitis.

Why is "Bitot's spot" not the answer?

Bitot's spots indicate vitamin A deficiency.

Why is "Kayser-Fleischer ring" not the answer?

Kayser-Fleischer ring is seen in Wilson disease.

Why is "Herbert's pits" not the answer?

Herbert's pits are seen in trachoma.

What concept does this question test?

It tests Allergic conjunctivitis: vernal in Ophthalmology. The disease is a mixed type I and type IV hypersensitivity.

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 Allergic conjunctivitis: vernal?

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.