Bullous disorders: mucous membrane pemphigoid: practice question

A Dermatology 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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Dermatology · Bullous disorders: mucous membrane pemphigoid

Sample item

An elderly woman has desquamative gingivitis and recurrent conjunctivitis with adhesions between the eyelid and eyeball. Which complication is most feared?

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

The answer and the reasoning

A. Blindness from scarring (symblepharon)

Mucous membrane pemphigoid is a scarring subepidermal blistering disease of the mucosae and requires ophthalmology review. Cyclophosphamide or rituximab is used in severe ocular disease, with dapsone for mild disease.

Option by option

  • A. Blindness from scarring (symblepharon) (correct)

    Correct. Ocular scarring can cause blindness.

  • B. Heart block

    Heart block is not a feature.

  • C. Renal tubular acidosis

    Renal tubular acidosis is not a feature.

  • D. Hepatic failure

    Hepatic failure is not a feature.

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 Dermatology question

What is the answer to this Dermatology question?

The best answer is A, Blindness from scarring (symblepharon). Mucous membrane pemphigoid is a scarring subepidermal blistering disease of the mucosae and requires ophthalmology review.

Why is "Heart block" not the answer?

Heart block is not a feature.

Why is "Renal tubular acidosis" not the answer?

Renal tubular acidosis is not a feature.

Why is "Hepatic failure" not the answer?

Hepatic failure is not a feature.

What concept does this question test?

It tests Bullous disorders: mucous membrane pemphigoid in Dermatology. Cyclophosphamide or rituximab is used in severe ocular disease, with dapsone for mild disease.

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 Bullous disorders: mucous membrane pemphigoid?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology 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.