Uvea: choroidal metastasis: 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 · Uvea: choroidal metastasis

Sample item

A 52-year-old woman has multiple creamy yellow-white choroidal lesions in both eyes with overlying serous retinal detachment. Which is the most probable primary tumour?

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

The answer and the reasoning

A. Breast carcinoma

Metastasis is the commonest intraocular malignancy in adults, and the choroid is the usual site because of its rich blood supply. The usual primary is breast in women and lung in men.

Option by option

  • A. Breast carcinoma (correct)

    Correct. Breast carcinoma is the commonest primary site of choroidal metastasis in women.

  • B. Colorectal carcinoma

    Colorectal carcinoma rarely spreads to the choroid.

  • C. Prostate carcinoma

    Prostate carcinoma is a primary in men and not in a woman.

  • D. Cutaneous melanoma

    Cutaneous melanoma rarely metastasises to the choroid and gives pigmented lesions.

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, Breast carcinoma. Metastasis is the commonest intraocular malignancy in adults, and the choroid is the usual site because of its rich blood supply.

Why is "Colorectal carcinoma" not the answer?

Colorectal carcinoma rarely spreads to the choroid.

Why is "Prostate carcinoma" not the answer?

Prostate carcinoma is a primary in men and not in a woman.

Why is "Cutaneous melanoma" not the answer?

Cutaneous melanoma rarely metastasises to the choroid and gives pigmented lesions.

What concept does this question test?

It tests Uvea: choroidal metastasis in Ophthalmology. The usual primary is breast in women and lung in men.

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 Uvea: choroidal metastasis?

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.