Papilledema: 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 · Papilledema

Sample item

A patient has headache, vomiting, transient visual obscurations, and bilateral swollen optic discs. What is the correct interpretation?

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

The answer and the reasoning

D. Raised intracranial pressure until proven otherwise

Papilledema is optic-disc swelling due to raised intracranial pressure and requires urgent evaluation for intracranial cause. Visual acuity can initially be preserved despite serious pathology.

Option by option

  • A. Dry eye disease

    Dry eye causes surface discomfort, not optic-disc swelling.

  • B. Unilateral retinal detachment

    Retinal detachment is usually unilateral and causes field loss.

  • C. Simple refractive error

    Refractive error does not cause disc edema.

  • D. Raised intracranial pressure until proven otherwise (correct)

    Correct. Bilateral disc swelling with raised-pressure symptoms is concerning for papilledema.

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, Raised intracranial pressure until proven otherwise. Papilledema is optic-disc swelling due to raised intracranial pressure and requires urgent evaluation for intracranial cause.

Why is "Dry eye disease" not the answer?

Dry eye causes surface discomfort, not optic-disc swelling.

Why is "Unilateral retinal detachment" not the answer?

Retinal detachment is usually unilateral and causes field loss.

Why is "Simple refractive error" not the answer?

Refractive error does not cause disc edema.

What concept does this question test?

It tests Papilledema in Ophthalmology. Visual acuity can initially be preserved despite serious pathology.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Papilledema?

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.