Rheumatology: juvenile idiopathic arthritis: practice question

A Pediatrics 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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Pediatrics · Rheumatology: juvenile idiopathic arthritis

Sample item

A 3-year-old girl has asymmetric arthritis of the knee and ankle for 8 weeks, with positive ANA. The most important complication to screen for is:

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

The answer and the reasoning

B. Chronic anterior uveitis by slit-lamp examination

Oligoarticular JIA in young girls with positive ANA has a high risk of asymptomatic chronic anterior uveitis, which can cause blindness. Regular slit-lamp screening is mandatory. Systemic JIA is associated with fever, rash and macrophage activation syndrome.

Option by option

  • A. Aortic regurgitation

    Aortic regurgitation is linked to ankylosing spondylitis.

  • B. Chronic anterior uveitis by slit-lamp examination (correct)

    Correct. Uveitis is the major complication.

  • C. Hepatic failure

    Hepatic failure is not typical.

  • D. Pericarditis

    Pericarditis is a feature of systemic JIA.

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 Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Chronic anterior uveitis by slit-lamp examination. Oligoarticular JIA in young girls with positive ANA has a high risk of asymptomatic chronic anterior uveitis, which can cause blindness.

Why is "Aortic regurgitation" not the answer?

Aortic regurgitation is linked to ankylosing spondylitis.

Why is "Hepatic failure" not the answer?

Hepatic failure is not typical.

Why is "Pericarditis" not the answer?

Pericarditis is a feature of systemic JIA.

What concept does this question test?

It tests Rheumatology: juvenile idiopathic arthritis in Pediatrics. Regular slit-lamp screening is mandatory. Systemic JIA is associated with fever, rash and macrophage activation syndrome.

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: juvenile idiopathic arthritis?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics 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.