Lens: spherophakia: 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 · Lens: spherophakia

Sample item

A short, stocky child with brachydactyly and small spherical lenses presents with acute angle closure. Which syndrome is this?

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

The answer and the reasoning

C. Weill-Marchesani syndrome

Weill-Marchesani features spherophakia, microspherophakia, short stature and brachydactyly, with pupillary block glaucoma. Peripheral iridotomy is preferred over miotics, which worsen the block.

Option by option

  • A. Marfan syndrome

    Marfan patients are tall.

  • B. Ehlers-Danlos syndrome

    Ehlers-Danlos has hyperelastic skin.

  • C. Weill-Marchesani syndrome (correct)

    Correct. Spherophakia with short stature identifies this syndrome.

  • D. Alport syndrome

    Alport has lenticonus and nephritis.

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, Weill-Marchesani syndrome. Weill-Marchesani features spherophakia, microspherophakia, short stature and brachydactyly, with pupillary block glaucoma.

Why is "Marfan syndrome" not the answer?

Marfan patients are tall.

Why is "Ehlers-Danlos syndrome" not the answer?

Ehlers-Danlos has hyperelastic skin.

Why is "Alport syndrome" not the answer?

Alport has lenticonus and nephritis.

What concept does this question test?

It tests Lens: spherophakia in Ophthalmology. Peripheral iridotomy is preferred over miotics, which worsen the block.

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 Lens: spherophakia?

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.