QuestionSBA
QuestionChoice
Wilson's disease is a build-up of copper in the body due to an inability to excrete excess copper. If there were Kayser–Fleischer rings present (golden-brown eye discolouration), then it would be appropriate to screen for Wilson's disease.
10023682
c
Wilson's disease
QuestionChoice
Scleritis is inflammation of the sclera and causes symptoms such as pain on eye movement. This does not need to be screened for when a patient presents with optic neuritis.
10023681
b
Scleritis
QuestionChoice
This would be reasonable if the patient had xanthelasma around the eye and eyelid; however, this patient has presented with optic neuritis which can be the first sign of multiple sclerosis.
10023684
e
High cholesterol
QuestionChoice
Thyroid eye disease would present with bulging, dry, irritated eyes. If this was the presentation, then it would be reasonable to do blood tests to check for hyperthyroidism and antibodies.
10023683
d
Graves' disease
QuestionChoice
Optic neuritis is a very common first presentation for multiple sclerosis (MS). MS is screened for using MRI scans which have to show 2 separate lesions on 2 separate MRIs (McDonald criteria - an individual must have symptoms/radiological signs which are disseminated in both space and time to be diagnosed with MS).
10023680
a
Multiple sclerosis
Concept
Chapter
2693
5692
Optic neuritis
Topic
140
Ophthalmology
17134
A 26-year-old female presents to the GP with a 2-day history of pain behind the eye. She also describes a bit of blurriness and some changes to her red colour vision. The GP suspects this is optic neuritis and manages it accordingly.

What other pathology should be screened for in this woman?
a