Leprosy: mild ENL management: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Leprosy: mild ENL management

Sample item

A lepromatous patient has a few painful nodules and mild fever for 2 days, with normal nerve function and no eye, testis or joint involvement. What is the suitable approach?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Continue MDT and give analgesics or NSAIDs with rest

Mild erythema nodosum leprosum without nerve or organ involvement can be treated with analgesics or NSAIDs and rest while MDT continues. Severe or recurrent ENL, neuritis, or eye and testicular involvement needs corticosteroids, with thalidomide or clofazimine as options. Stopping MDT is not required.

Option by option

  • A. Start high-dose methotrexate

    Methotrexate is reserved for refractory cases.

  • B. Stop MDT immediately

    MDT should not be stopped for a reaction.

  • C. Admit for intravenous immunoglobulin

    IVIG is not used for mild ENL.

  • D. Continue MDT and give analgesics or NSAIDs with rest (correct)

    Correct. Mild ENL is managed with analgesics or NSAIDs while MDT continues.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is D, Continue MDT and give analgesics or NSAIDs with rest. Mild erythema nodosum leprosum without nerve or organ involvement can be treated with analgesics or NSAIDs and rest while MDT continues.

Why is "Start high-dose methotrexate" not the answer?

Methotrexate is reserved for refractory cases.

Why is "Stop MDT immediately" not the answer?

MDT should not be stopped for a reaction.

Why is "Admit for intravenous immunoglobulin" not the answer?

IVIG is not used for mild ENL.

What concept does this question test?

It tests Leprosy: mild ENL management in Dermatology. Severe or recurrent ENL, neuritis, or eye and testicular involvement needs corticosteroids, with thalidomide or clofazimine as options. Stopping MDT is not required.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Leprosy: mild ENL management?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.