Lid disease: chalazion: 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 · Lid disease: chalazion

Sample item

A patient has a painless firm nodule within the upper eyelid that has persisted for weeks. What is the most likely diagnosis?

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

The answer and the reasoning

C. Chalazion

A chalazion is a chronic lipogranulomatous inflammation from blockage of a meibomian gland, producing a painless firm lid nodule. Recurrent atypical lesions need further assessment.

Option by option

  • A. Acute angle-closure glaucoma

    Angle closure causes painful red eye and visual symptoms, not a localized lid nodule.

  • B. Orbital cellulitis

    Orbital cellulitis causes painful swollen lids with systemic or orbital signs.

  • C. Chalazion (correct)

    Correct. Persistent painless meibomian-gland swelling is typical.

  • D. Hordeolum

    A hordeolum is generally acute and painful.

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 Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Chalazion. A chalazion is a chronic lipogranulomatous inflammation from blockage of a meibomian gland, producing a painless firm lid nodule.

Why is "Acute angle-closure glaucoma" not the answer?

Angle closure causes painful red eye and visual symptoms, not a localized lid nodule.

Why is "Orbital cellulitis" not the answer?

Orbital cellulitis causes painful swollen lids with systemic or orbital signs.

Why is "Hordeolum" not the answer?

A hordeolum is generally acute and painful.

What concept does this question test?

It tests Lid disease: chalazion in Ophthalmology. Recurrent atypical lesions need further assessment.

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 Lid disease: chalazion?

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.