Systemic disease: practice question

A Ophthalmology 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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Ophthalmology · Systemic disease

Sample item

Which fundus finding suggests malignant hypertension?

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

The answer and the reasoning

D. Disc swelling with cotton-wool spots

Severe hypertension can produce retinal haemorrhages, cotton-wool spots, exudates, and disc swelling as evidence of target-organ injury.

Option by option

  • A. Drusen at macula

    Drusen suggest macular degeneration.

  • B. Cherry-red fovea only

    Cherry-red spot suggests artery occlusion.

  • C. Retinal tear with pigment

    Tear with pigment has another mechanism.

  • D. Disc swelling with cotton-wool spots (correct)

    Correct: disc swelling and ischaemic lesions indicate severe disease.

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.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is D, Disc swelling with cotton-wool spots. Severe hypertension can produce retinal haemorrhages, cotton-wool spots, exudates, and disc swelling as evidence of target-organ injury.

Why is "Drusen at macula" not the answer?

Drusen suggest macular degeneration.

Why is "Cherry-red fovea only" not the answer?

Cherry-red spot suggests artery occlusion.

Why is "Retinal tear with pigment" not the answer?

Tear with pigment has another mechanism.

What concept does this question test?

It tests Systemic disease in Ophthalmology. The correct option holds because: Correct: disc swelling and ischaemic lesions indicate severe disease.

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 Systemic disease?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology 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.