Neuroimaging: haemangioblastoma: practice question

A Radiology 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.

Try it

Radiology · Neuroimaging: haemangioblastoma

Sample item

A patient with retinal angiomas and polycythaemia has a cerebellar cystic mass with an enhancing mural nodule. Which syndrome should be considered?

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

The answer and the reasoning

C. Von Hippel-Lindau disease

Cerebellar haemangioblastomas, retinal angiomas, renal cell carcinoma, pheochromocytoma and pancreatic cysts are features of VHL. The mural nodule is the vascular tumour and the cyst is the fluid-secreting part. Erythropoietin production can cause polycythaemia.

Option by option

  • A. Tuberous sclerosis

    Tuberous sclerosis shows cortical tubers and subependymal nodules.

  • B. Neurofibromatosis type 1

    NF1 shows optic gliomas and neurofibromas.

  • C. Von Hippel-Lindau disease (correct)

    Correct. A cerebellar cystic mass with a nodule and retinal angiomas indicates VHL.

  • D. Sturge-Weber syndrome

    Sturge-Weber shows leptomeningeal angioma and tram-track calcification.

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 Radiology questions

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Von Hippel-Lindau disease. Cerebellar haemangioblastomas, retinal angiomas, renal cell carcinoma, pheochromocytoma and pancreatic cysts are features of VHL.

Why is "Tuberous sclerosis" not the answer?

Tuberous sclerosis shows cortical tubers and subependymal nodules.

Why is "Neurofibromatosis type 1" not the answer?

NF1 shows optic gliomas and neurofibromas.

Why is "Sturge-Weber syndrome" not the answer?

Sturge-Weber shows leptomeningeal angioma and tram-track calcification.

What concept does this question test?

It tests Neuroimaging: haemangioblastoma in Radiology. The mural nodule is the vascular tumour and the cyst is the fluid-secreting part. Erythropoietin production can cause polycythaemia.

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 Neuroimaging: haemangioblastoma?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology 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.