Uveitis in Juvenile Arthritis – Board-Style Questions

What this deck covers

Uveitis in juvenile arthritis in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Nothing to see and nothing to feel
2. How often she is seen
3. Which children are most at risk
4. What the beam shows
5. A grey stripe on the eye
6. A pupil that has lost its shape
7. The drops that come first
8. The price of the drops
9. When drops are not enough
10. Choosing the right biologic
11. Two diseases, two timetables
12. When it usually starts
13. A red eye that hurts
14. The form that spares the eye
15. When the appointments can stop
16. Why sight is lost
17. Timing an operation
18. The letters that went astray

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The eyes are examined only to make sure the arthritis has not spread there, Three-monthly, for as long as she remains in the highest risk group, Onset in adolescence with a raised C-reactive protein, The shape of the optic nerve head at the back of the eyeball, Calcium laid down in a band across the exposed part of the cornea, Congenital absence of part of the iris from birth, An antihistamine drop, since this is likely to be an allergic response, A tumour growing behind the eye, pushing it forwards, Start methotrexate, since the drops cannot safely be reduced, Etanercept, which works equally well on both, Eye disease only ever follows a flare of the joints within weeks, The risk is identical every year throughout her childhood and beyond, Sudden painful redness with light sensitivity, seen in the older boy, He needs exactly the same three-monthly appointments as every child.

Clinical pearls from this deck

• It is silent: no pain, no redness, no complaint.
• Highest risk means an eye check every three months.
• Young, few joints, antibody positive: highest risk.
• Cells in the front chamber grade the disease.
• A calcium band across the exposed cornea.
• A scalloped pupil means the iris is stuck down.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all rheumatology and immunology case decks · pediatric reference values.