Orbit: lymphatic malformation: 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: lymphatic malformation

Sample item

A 6-year-old suddenly develops painless proptosis after an upper respiratory infection. MRI shows a multicystic lesion with fluid-fluid levels. What is the diagnosis?

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

The answer and the reasoning

A. Orbital lymphatic malformation with haemorrhage

Lymphatic malformations can expand suddenly with haemorrhage, giving chocolate cysts, often after respiratory infection. Capillary haemangioma presents in infancy and regresses. Rhabdomyosarcoma grows over days to weeks, and dermoids are slow, unilocular cysts.

Option by option

  • A. Orbital lymphatic malformation with haemorrhage (correct)

    Correct. Sudden proptosis and fluid-fluid levels fit a malformation with haemorrhage.

  • B. Rhabdomyosarcoma

    Rhabdomyosarcoma grows rapidly as a solid mass.

  • C. Capillary haemangioma

    Capillary haemangioma appears in infancy and is solid.

  • D. Dermoid cyst

    A dermoid is a slow unilocular lesion with a bony fossa.

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, Orbital lymphatic malformation with haemorrhage. Lymphatic malformations can expand suddenly with haemorrhage, giving chocolate cysts, often after respiratory infection.

Why is "Rhabdomyosarcoma" not the answer?

Rhabdomyosarcoma grows rapidly as a solid mass.

Why is "Capillary haemangioma" not the answer?

Capillary haemangioma appears in infancy and is solid.

Why is "Dermoid cyst" not the answer?

A dermoid is a slow unilocular lesion with a bony fossa.

What concept does this question test?

It tests Orbit: lymphatic malformation in Ophthalmology. Capillary haemangioma presents in infancy and regresses. Rhabdomyosarcoma grows over days to weeks, and dermoids are slow, unilocular cysts.

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: lymphatic malformation?

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.