Retina: wet AMD: 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 · Retina: wet AMD

Sample item

A 72-year-old has sudden distortion of straight lines and a macular haemorrhage with subretinal fluid on OCT. What is the treatment of choice?

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

The answer and the reasoning

B. Intravitreal anti-VEGF

Neovascular AMD is due to choroidal neovascularisation. Intravitreal anti-VEGF drugs such as ranibizumab, aflibercept or bevacizumab are first line.

Option by option

  • A. Topical NSAIDs

    NSAIDs do not control CNV.

  • B. Intravitreal anti-VEGF (correct)

    Correct. Anti-VEGF suppresses CNV.

  • C. Photocoagulation of drusen

    Drusen laser is not beneficial.

  • D. Observation

    Observation risks irreversible central loss.

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 B, Intravitreal anti-VEGF. Neovascular AMD is due to choroidal neovascularisation.

Why is "Topical NSAIDs" not the answer?

NSAIDs do not control CNV.

Why is "Photocoagulation of drusen" not the answer?

Drusen laser is not beneficial.

Why is "Observation" not the answer?

Observation risks irreversible central loss.

What concept does this question test?

It tests Retina: wet AMD in Ophthalmology. Intravitreal anti-VEGF drugs such as ranibizumab, aflibercept or bevacizumab are first line.

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 Retina: wet AMD?

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.