Orbit: rhabdomyosarcoma: 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 · Orbit: rhabdomyosarcoma

Sample item

A 7-year-old child has rapidly progressive unilateral proptosis with a downward displaced globe. What is the likely tumour?

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

The answer and the reasoning

A. Rhabdomyosarcoma

Rhabdomyosarcoma is the commonest primary malignant orbital tumour of childhood, with rapid onset proptosis. Treatment is chemotherapy and radiotherapy after biopsy, and the embryonal type has a favourable prognosis.

Option by option

  • A. Rhabdomyosarcoma (correct)

    Correct. Rapid proptosis in a child suggests this tumour.

  • B. Optic glioma

    Optic glioma causes axial proptosis, slowly.

  • C. Lacrimal gland adenoma

    Lacrimal gland adenoma occurs in adults.

  • D. Neuroblastoma only

    Metastatic neuroblastoma can cause proptosis with ecchymosis but is less typical.

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 A, Rhabdomyosarcoma. Rhabdomyosarcoma is the commonest primary malignant orbital tumour of childhood, with rapid onset proptosis.

Why is "Optic glioma" not the answer?

Optic glioma causes axial proptosis, slowly.

Why is "Lacrimal gland adenoma" not the answer?

Lacrimal gland adenoma occurs in adults.

Why is "Neuroblastoma only" not the answer?

Metastatic neuroblastoma can cause proptosis with ecchymosis but is less typical.

What concept does this question test?

It tests Orbit: rhabdomyosarcoma in Ophthalmology. Treatment is chemotherapy and radiotherapy after biopsy, and the embryonal type has a favourable prognosis.

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 Orbit: rhabdomyosarcoma?

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.