Uvea: leptospirosis uveitis: 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 · Uvea: leptospirosis uveitis

Sample item

A paddy field worker in coastal Kerala recovers from fever with jaundice and conjunctival suffusion. Six weeks later he has hypopyon uveitis and vitritis. Which infection explains this?

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

The answer and the reasoning

A. Leptospirosis

Leptospirosis can cause late uveitis, often weeks after the systemic illness, in people exposed to contaminated water. Features of the original illness are jaundice, renal failure and conjunctival suffusion. Treatment uses penicillin or doxycycline with topical steroids.

Option by option

  • A. Leptospirosis (correct)

    Correct. Jaundice and suffusion after paddy exposure, then late uveitis, fit leptospirosis.

  • B. Typhoid fever

    Typhoid causes enteric fever and rarely uveitis.

  • C. Dengue fever

    Dengue maculopathy is early and haemorrhagic, without a jaundice and suffusion syndrome.

  • D. Brucellosis

    Brucellosis is linked to unpasteurised dairy exposure and a relapsing fever.

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 A, Leptospirosis. Leptospirosis can cause late uveitis, often weeks after the systemic illness, in people exposed to contaminated water.

Why is "Typhoid fever" not the answer?

Typhoid causes enteric fever and rarely uveitis.

Why is "Dengue fever" not the answer?

Dengue maculopathy is early and haemorrhagic, without a jaundice and suffusion syndrome.

Why is "Brucellosis" not the answer?

Brucellosis is linked to unpasteurised dairy exposure and a relapsing fever.

What concept does this question test?

It tests Uvea: leptospirosis uveitis in Ophthalmology. Features of the original illness are jaundice, renal failure and conjunctival suffusion. Treatment uses penicillin or doxycycline with topical steroids.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Uvea: leptospirosis uveitis?

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.