Oncology: Wilms tumor: practice question

A Pediatrics 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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Pediatrics · Oncology: Wilms tumor

Sample item

A child has a smooth unilateral abdominal mass, hematuria, and hypertension. What renal malignancy is most likely?

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

The answer and the reasoning

B. Wilms tumor

Wilms tumor is a childhood renal tumor that can present as a painless abdominal mass, hematuria, and hypertension. The abdomen should be handled gently while imaging and oncology assessment are arranged.

Option by option

  • A. Neuroblastoma

    Neuroblastoma often arises from adrenal or sympathetic tissue and may cross the midline.

  • B. Wilms tumor (correct)

    Correct. Renal mass with hypertension and hematuria fits Wilms tumor.

  • C. Lymphoma only

    Lymphoma is not the typical solitary renal childhood mass.

  • D. Hepatoblastoma

    Hepatoblastoma is a liver tumor.

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 Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Wilms tumor. Wilms tumor is a childhood renal tumor that can present as a painless abdominal mass, hematuria, and hypertension.

Why is "Neuroblastoma" not the answer?

Neuroblastoma often arises from adrenal or sympathetic tissue and may cross the midline.

Why is "Lymphoma only" not the answer?

Lymphoma is not the typical solitary renal childhood mass.

Why is "Hepatoblastoma" not the answer?

Hepatoblastoma is a liver tumor.

What concept does this question test?

It tests Oncology: Wilms tumor in Pediatrics. The abdomen should be handled gently while imaging and oncology assessment are arranged.

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 Oncology: Wilms tumor?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics 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.