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Ophthalmology · Uveitis: intermediate
Sample itemA young adult with floaters has snowballs in the vitreous, a white exudate over the pars plana and macular oedema. What is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Pars planitis
Pars planitis is an idiopathic intermediate uveitis with snowbanking of the inferior pars plana and vitreous snowballs. Macular oedema causes visual loss, and an association with multiple sclerosis exists.
Option by option
A. Toxoplasmosis
Toxoplasmosis shows a focal necrotising lesion.
B. Pars planitis (correct)
Correct. Snowballs and snowbanking identify pars planitis.
C. Acute retinal necrosis
Acute retinal necrosis shows peripheral confluent necrosis.
D. Birdshot chorioretinopathy
Birdshot shows cream-coloured choroidal spots and HLA-A29.
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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