Uvea: choroidal melanoma: 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 · Uvea: choroidal melanoma

Sample item

A 55-year-old has a dome-shaped pigmented subretinal mass that breaks through Bruch's membrane into a mushroom shape. What is the commonest site of metastasis?

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

The answer and the reasoning

D. Liver

Uveal melanoma is the commonest primary intraocular malignancy in adults and spreads haematogenously, mainly to the liver. Plaque brachytherapy is used for small to medium tumours.

Option by option

  • A. Bone

    Bone metastasis is less common.

  • B. Lung

    Lung is less common.

  • C. Brain

    Brain metastasis is less common.

  • D. Liver (correct)

    Correct. Hepatic metastasis is the rule.

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, Liver. Uveal melanoma is the commonest primary intraocular malignancy in adults and spreads haematogenously, mainly to the liver.

Why is "Bone" not the answer?

Bone metastasis is less common.

Why is "Lung" not the answer?

Lung is less common.

Why is "Brain" not the answer?

Brain metastasis is less common.

What concept does this question test?

It tests Uvea: choroidal melanoma in Ophthalmology. Plaque brachytherapy is used for small to medium tumours.

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 Uvea: choroidal melanoma?

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.