Skin tumours: infantile haemangioma: 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 · Skin tumours: infantile haemangioma

Sample item

A 3-month-old has a rapidly enlarging, bright red, raised vascular lesion over the face that is threatening the eye. Which drug is first line?

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

The answer and the reasoning

A. Oral propranolol

Infantile haemangiomas show GLUT1 positivity, a proliferative phase in the first year and slow involution afterwards. Propranolol is first-line for problematic lesions, and timolol gel is used for superficial ones.

Option by option

  • A. Oral propranolol (correct)

    Correct. Propranolol is the standard systemic therapy.

  • B. Systemic steroids first line

    Steroids are now second line.

  • C. Radiotherapy

    Radiotherapy has unacceptable risks in infants.

  • D. Intralesional bleomycin

    Bleomycin is not standard for haemangioma.

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 A, Oral propranolol. Infantile haemangiomas show GLUT1 positivity, a proliferative phase in the first year and slow involution afterwards.

Why is "Systemic steroids first line" not the answer?

Steroids are now second line.

Why is "Radiotherapy" not the answer?

Radiotherapy has unacceptable risks in infants.

Why is "Intralesional bleomycin" not the answer?

Bleomycin is not standard for haemangioma.

What concept does this question test?

It tests Skin tumours: infantile haemangioma in Dermatology. Propranolol is first-line for problematic lesions, and timolol gel is used for superficial ones.

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 Skin tumours: infantile haemangioma?

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.