Retina: ROP plus disease: 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: ROP plus disease

Sample item

In ROP, what does the term plus disease indicate?

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

The answer and the reasoning

C. Dilated and tortuous posterior pole vessels indicating severe activity

Plus disease is dilatation and tortuosity of posterior pole vessels and signals active severe disease needing treatment. Treatment with laser or anti-VEGF is indicated for type 1 ROP.

Option by option

  • A. Retinal detachment of the entire retina

    Detachment is stage 4 or 5.

  • B. Presence of a demarcation line

    A demarcation line is stage 1.

  • C. Dilated and tortuous posterior pole vessels indicating severe activity (correct)

    Correct. Vessel engorgement and tortuosity define plus disease.

  • D. Regression of the disease

    Regression is a favourable sign.

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, Dilated and tortuous posterior pole vessels indicating severe activity. Plus disease is dilatation and tortuosity of posterior pole vessels and signals active severe disease needing treatment.

Why is "Retinal detachment of the entire retina" not the answer?

Detachment is stage 4 or 5.

Why is "Presence of a demarcation line" not the answer?

A demarcation line is stage 1.

Why is "Regression of the disease" not the answer?

Regression is a favourable sign.

What concept does this question test?

It tests Retina: ROP plus disease in Ophthalmology. Treatment with laser or anti-VEGF is indicated for type 1 ROP.

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 Retina: ROP plus disease?

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.