Uveitis Flashcards
7 cards from real ABO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Uveitis flashcards as text
A patient has a large yellowish placoid macular lesion with overlying vitritis and a positive treponemal test. What is the recommended treatment?
Answer: Intravenous aqueous penicillin G for 10 to 14 days
Ocular syphilis, including ASPPC, is treated as neurosyphilis with IV aqueous penicillin G for 10-14 days.
A 6-year-old who plays with puppies has unilateral leukocoria from a peripheral granuloma with a fibrous band to the disc. Which test best supports the diagnosis?
Answer: Serum ELISA for Toxocara antibodies
Ocular toxocariasis is supported by Toxocara ELISA, while eosinophilia and stool studies are often normal.
Which biologic agent is FDA-approved for noninfectious intermediate, posterior, and panuveitis in adults?
Answer: Adalimumab
Adalimumab was approved based on the VISUAL I and II trials.
What is the primary role of cycloplegic agents in acute anterior uveitis?
Answer: Relieve ciliary spasm pain and prevent posterior synechiae
Cycloplegics relieve ciliary muscle spasm and keep the pupil mobile to prevent synechiae.
A patient on weekly methotrexate for chronic uveitis should receive which supplement and monitoring?
Answer: Folic acid with periodic CBC and liver function tests
Folic acid reduces methotrexate toxicity, and CBC and LFTs monitor for myelosuppression and hepatotoxicity.
In a patient with suspected sarcoid uveitis and a normal chest radiograph, which test is most sensitive for detecting thoracic involvement?
Answer: Chest CT
Chest CT detects hilar lymphadenopathy missed on plain radiography.
A patient with a cat scratch and fever develops optic disc edema with a macular star. Which organism is most likely responsible?
Answer: Bartonella henselae
Bartonella henselae is the most common infectious cause of neuroretinitis.