Uveitis MCQs & Guide
300+ questions with detailed explanations. Master uveitis for FRCOphth, ICO, FAICO, DNB and NEET-SS.
Uveitis overview
Uveitis is a heterogeneous group of inflammatory eye diseases that requires structured anatomical classification (SUN), targeted systemic workup, and a step-wise treatment ladder. It accounts for 10% of legal blindness in working-age adults.
Clinical & exam importance
Uveitis tests pattern recognition heavily. FAICO and DNB practical vivas use clinical photographs of KPs, posterior synechiae and chorioretinal lesions to anchor case discussions.
At a glance
- MCQ bank
- 300+
- Glossary terms
- 14+
- Free sample MCQs
- 3
- Matched products
- 2
Core anatomy & physiology refresher
The foundations you need before tackling clinical and surgical MCQs.
- Uveal tract: iris, ciliary body, choroid.
- Blood–aqueous barrier formed by non-pigmented ciliary epithelium and iris vasculature.
- Blood–retinal barrier formed by RPE tight junctions and retinal vascular endothelium.
- Choroid is the most vascular tissue in the body per unit weight.
- HLA associations: HLA-B27 (acute anterior uveitis), HLA-A29 (birdshot), HLA-B51 (Behçet).
High-yield uveitis facts for MCQs
The facts that appear most often in real exam stems. Learn them cold.
- 1SUN classification by anatomy: anterior, intermediate, posterior, panuveitis.
- 2Acute anterior uveitis (AAU): pain, photophobia, redness, miosis; HLA-B27 in 50%.
- 3HLA-B27 associated systemic diseases: ankylosing spondylitis, reactive arthritis, IBD, psoriatic arthritis.
- 4Fuchs heterochromic iridocyclitis: unilateral, mild inflammation, stellate KPs, heterochromia, cataract; rubella linked.
- 5Pars planitis: intermediate uveitis with vitreous snowballs and inferior snowbanking; MS association.
- 6Toxoplasma retinitis: focal necrotising chorioretinitis adjacent to a pigmented scar; treat with TMP-SMX or pyrimethamine-sulfadiazine.
- 7CMV retinitis: AIDS-defining, pizza-pie appearance, treat with ganciclovir.
- 8Acute retinal necrosis: VZV/HSV, peripheral confluent necrosis; treat with IV aciclovir.
- 9VKH: bilateral panuveitis with neurological and dermatological signs; serous RD on OCT.
- 10Sympathetic ophthalmia: bilateral granulomatous uveitis after penetrating injury or surgery; Dalen-Fuchs nodules.
- 11Behçet disease: occlusive retinal vasculitis, hypopyon uveitis, oral and genital ulcers, pathergy.
- 12Birdshot chorioretinopathy: HLA-A29, cream-coloured deep choroidal lesions, female predominance.
- 13Sarcoid uveitis: mutton-fat KPs, candle-wax dripping, raised ACE; bilateral hilar lymphadenopathy.
- 14Treatment ladder: topical/periocular steroids → systemic steroids → steroid-sparing immunosuppressants → biologics (adalimumab).
- 15Complications of chronic uveitis: cataract, glaucoma, CME, band keratopathy, hypotony.
Related uveitis glossary terms
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Suggested study sequence
Six phases used by recent passers. Spread across 4–8 weeks per subspecialty.
- 1
1. Anatomical classification
SUN nomenclature and the targeted workup that follows from each compartment.
- 2
2. Anterior uveitis
Acute vs chronic, HLA-B27 spectrum, Fuchs, Posner-Schlossman.
- 3
3. Intermediate uveitis
Pars planitis, sarcoid, multiple sclerosis associations.
- 4
4. Posterior uveitis
Toxoplasma, CMV, ARN, PORN, syphilis, TB, sarcoid.
- 5
5. Panuveitis
VKH, sympathetic ophthalmia, Behçet, sarcoid.
- 6
6. Treatment ladder
Steroids, methotrexate, mycophenolate, anti-TNF biologics.
Free uveitis sample MCQs
A taste of the exam-style stems from the full bank.
Q1.Hypopyon uveitis is characteristic of:
Explanation: Hypopyon is classically seen in HLA-B27 acute anterior uveitis and Behçet disease; rarely in infections and endophthalmitis.
Q2.Fuchs heterochromic iridocyclitis is characterised by:
Explanation: Fuchs is a low-grade chronic anterior uveitis classically with heterochromia, fine stellate KPs, absence of posterior synechiae, cataract and secondary glaucoma.
Q3.Mutton-fat keratic precipitates indicate:
Explanation: Large greasy mutton-fat KPs (made of epithelioid cells) signify granulomatous inflammation – sarcoidosis, TB, syphilis, VKH, sympathetic ophthalmia.
Uveitis FAQ
Answers to the questions residents ask most about this topic.
What is the first investigation in newly diagnosed uveitis?
When to start systemic immunosuppression in uveitis?
Adalimumab indications in uveitis?
How to differentiate viral retinitis subtypes?
Best book for uveitis?
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