Nutrition & Immunisation · NEET PG Preparation Paediatrics

A 2-year-old child presents with night blindness, dryness of the conjunctiva, and the presence of triangular, foamy silvery-grey patches on the later…

Practice question from Nutrition & Immunisation (NEET PG Preparation Paediatrics), with the correct answer and a step-by-step solution.

hard · MCQ · Q-D6942C

A 2-year-old child presents with night blindness, dryness of the conjunctiva, and the presence of triangular, foamy silvery-grey patches on the lateral bulbar conjunctiva bilaterally. The pediatrician diagnoses Vitamin A deficiency. According to the WHO classification of xerophthalmia, what is the correct code for this specific ocular sign?

  1. A.XN
  2. B.X1A
  3. C.X1BCorrect answer
  4. D.X2

Solution

WHO classification of xerophthalmia: XN = Night blindness, X1A = Conjunctival xerosis (dry, muddy conjunctiva), X1B = Bitot's spots (foamy, triangular silvery-grey patches), X2 = Corneal xerosis, X3A = Corneal ulceration/keratomalacia affecting less than 1/3 of the cornea, X3B = Corneal ulceration/keratomalacia affecting 1/3 or more of the cornea, XS = Corneal scar, XF = Xerophthalmic fundus.

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