Scleritis & Episcleritis MCQ Quiz | Anterior Segment

Welcome to this specialized quiz on Scleritis and Episcleritis, designed for MBBS students focusing on the Anterior Segment. This quiz will test your understanding of the etiology, clinical presentation, diagnosis, and management of these inflammatory conditions of the sclera and episclera. You will encounter 25 multiple-choice questions covering key differences, systemic associations, and treatment protocols. This assessment is an excellent tool for self-evaluation and revision before your ophthalmology examinations. After completing the quiz and submitting your answers, you’ll receive your score and see a detailed breakdown of the correct and incorrect responses. You will also have the option to download all the questions along with their correct answers in a PDF format for future reference. Good luck!

1. A 45-year-old female presents with sectoral redness and mild discomfort in her right eye. On examination, the vessels appear to blanch with the instillation of 2.5% phenylephrine. What is the most likely diagnosis?

2. Which of the following is the most characteristic symptom of scleritis?

3. The most common systemic disease associated with scleritis is:

4. Which type of anterior scleritis carries the worst prognosis for vision and survival?

5. Scleromalacia perforans is a specific type of necrotizing scleritis typically seen in elderly women with a long history of which condition?

6. What is the first-line treatment for simple or nodular episcleritis?

7. A B-scan ultrasonography in a patient with posterior scleritis would most likely reveal:

8. Which of the following statements about episcleritis is TRUE?

9. In a patient with diffuse anterior scleritis, the characteristic color of the inflamed sclera is often described as:

10. The initial systemic treatment for non-necrotizing, non-infectious scleritis is typically:

11. A key differentiating feature between nodular episcleritis and nodular scleritis is that the nodule in episcleritis is:

12. Which investigation is crucial for a patient with newly diagnosed scleritis to rule out a life-threatening vasculitis?

13. A complication of long-standing scleritis that involves thinning of the sclera and protrusion of the uveal tissue is known as:

14. What percentage of patients with scleritis have an associated systemic disease?

15. In posterior scleritis, patients might present with a hyperopic shift. This is due to:

16. The use of topical corticosteroids in episcleritis is generally safe, but what is a potential contraindication for their use in scleritis?

17. Which of the following is NOT a recognized type of anterior scleritis?

18. A patient with necrotizing scleritis fails to respond to high-dose systemic steroids. What is the next logical step in management?

19. The inflammation in episcleritis is primarily located within:

20. Peripheral ulcerative keratitis (PUK) is a serious complication most commonly associated with which ocular condition?

21. Pain that characteristically awakens a patient from sleep is a hallmark of:

22. Which infectious agent is a known cause of scleritis, particularly after ocular surgery?

23. Slit-lamp examination of a patient with scleritis will show injection of which vascular plexus?

24. What is the most common presenting sign in posterior scleritis?

25. Scleritis is fundamentally a: