Papilloedema: features: 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 · Papilloedema: features

Sample item

A patient with a headache has bilateral hyperaemic disc swelling with obliteration of the cup but normal visual acuity. What is the field finding?

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

The answer and the reasoning

C. Enlarged blind spot

Papilloedema is bilateral disc swelling from raised intracranial pressure, with vision preserved early and an enlarged blind spot. Visual acuity falls late when optic atrophy develops.

Option by option

  • A. Arcuate scotoma

    Arcuate scotoma occurs in glaucoma.

  • B. Central scotoma

    Central scotoma occurs in optic neuritis.

  • C. Enlarged blind spot (correct)

    Correct. Blind spot enlargement is the early field change.

  • D. Bitemporal hemianopia

    Bitemporal loss is chiasmal.

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, Enlarged blind spot. Papilloedema is bilateral disc swelling from raised intracranial pressure, with vision preserved early and an enlarged blind spot.

Why is "Arcuate scotoma" not the answer?

Arcuate scotoma occurs in glaucoma.

Why is "Central scotoma" not the answer?

Central scotoma occurs in optic neuritis.

Why is "Bitemporal hemianopia" not the answer?

Bitemporal loss is chiasmal.

What concept does this question test?

It tests Papilloedema: features in Ophthalmology. Visual acuity falls late when optic atrophy develops.

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 Papilloedema: features?

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.