Ocular tumours: 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 · Ocular tumours

Sample item

An elderly man has a pigmented eyelid margin lesion that has enlarged, has an irregular border, varied colour and episodic bleeding. What is the best next step?

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

The answer and the reasoning

D. Biopsy with histological examination

Change in size, border, colour or bleeding suggests malignancy, such as melanoma or sebaceous carcinoma. Tissue diagnosis guides excision margins. Destroying the lesion without histology risks missing the diagnosis.

Option by option

  • A. Observe for six months

    Delay risks progression of a possible malignancy.

  • B. Cryotherapy without tissue diagnosis

    Ablation without histology loses diagnostic information.

  • C. Topical corticosteroid

    Steroids do not treat pigmented tumours.

  • D. Biopsy with histological examination (correct)

    Correct. Histology is needed to confirm or exclude malignancy.

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 D, Biopsy with histological examination. Change in size, border, colour or bleeding suggests malignancy, such as melanoma or sebaceous carcinoma.

Why is "Observe for six months" not the answer?

Delay risks progression of a possible malignancy.

Why is "Cryotherapy without tissue diagnosis" not the answer?

Ablation without histology loses diagnostic information.

Why is "Topical corticosteroid" not the answer?

Steroids do not treat pigmented tumours.

What concept does this question test?

It tests Ocular tumours in Ophthalmology. Tissue diagnosis guides excision margins. Destroying the lesion without histology risks missing the diagnosis.

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 Ocular tumours?

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.