Try it
Ophthalmology · Uvea: pars planitis
Sample itemA 24-year-old woman has floaters and blurred vision in both eyes. The anterior chamber is quiet, there are cells in the vitreous, and a white exudate lies over the inferior pars plana like snow on a bank. Which systemic disease is associated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Multiple sclerosis
Pars planitis is an idiopathic intermediate uveitis with snowballs and snowbanking, and it is associated with multiple sclerosis in a minority. Cystoid macular oedema is the main cause of visual loss. Ankylosing spondylitis causes acute anterior uveitis instead.
Option by option
A. Ankylosing spondylitis
Ankylosing spondylitis causes acute anterior, not intermediate, uveitis.
B. Behcet disease
Behcet disease causes occlusive retinal vasculitis and hypopyon uveitis.
C. Tuberculous meningitis
Tuberculosis may cause uveitis but does not characteristically give snowbanking.
D. Multiple sclerosis (correct)
Correct. Intermediate uveitis is linked with multiple sclerosis, so neurological history matters.
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
- GlaucomaWhich topical glaucoma medicine lowers intraocular pressure mainly by increasing uveoscl…
- Ocular oncologyA 2-year-old child has a white pupillary reflex (leukocoria). The gene commonly involved…
- UveaA patient has a painful red eye with photophobia, ciliary congestion, a small irregular…
- GlaucomaWhich drug is given systemically to reduce intraocular pressure in acute angle-closure g…