MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What is the most common clinical presentation of ocular tuberculosis?
A
Occlusive retinal vasculitis
B
Retinal vasculitis without occlusive features
C
Disc hyperemia or edema
D
Choroidal involvement
Explanation: 

Detailed explanation-1: -The most common ocular TB manifestation is granulomatous uveitis. The most common presentation is posterior uveitis.

Detailed explanation-2: -A choroidal mass or granuloma is a feature of ocular tuberculosis (TB). Tubercles can arise in the early stages of progression of TB and indicate hematogenous dissemination before the development of symptomatic disease.

Detailed explanation-3: -Ocular TB can involve any part of the eye and can occur with or without evidence of systemic TB. It generally develops following hematogenous spread from a primary focus but, in rare cases, it can also occur as a primary infection following an epithelial injury.

Detailed explanation-4: -Typical presentation is acute with fever, cough and localized pleuritic chest pain. It may follow recent primary infection or result from reactivation. If part of primary infection, the effusion may be self-limiting.

There is 1 question to complete.