Leprosy: indeterminate leprosy: 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 · Leprosy: indeterminate leprosy

Sample item

A child has a single ill-defined hypopigmented macule with minimal sensory loss and no nerve thickening. Biopsy shows a nonspecific infiltrate around neurovascular bundles. What is this stage called?

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

The answer and the reasoning

D. Indeterminate leprosy

Indeterminate leprosy is the earliest clinical presentation, and may heal spontaneously or evolve along the spectrum depending on host immunity. Treatment follows the paucibacillary regimen.

Option by option

  • A. Lepromatous leprosy

    Lepromatous leprosy shows multiple symmetric lesions with foamy macrophages.

  • B. Histoid leprosy

    Histoid leprosy has firm nodules with spindle cells.

  • C. Tuberculoid leprosy

    Tuberculoid leprosy has a well-defined anaesthetic plaque with granulomas.

  • D. Indeterminate leprosy (correct)

    Correct. A single early macule with nonspecific histology fits.

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 D, Indeterminate leprosy. Indeterminate leprosy is the earliest clinical presentation, and may heal spontaneously or evolve along the spectrum depending on host immunity.

Why is "Lepromatous leprosy" not the answer?

Lepromatous leprosy shows multiple symmetric lesions with foamy macrophages.

Why is "Histoid leprosy" not the answer?

Histoid leprosy has firm nodules with spindle cells.

Why is "Tuberculoid leprosy" not the answer?

Tuberculoid leprosy has a well-defined anaesthetic plaque with granulomas.

What concept does this question test?

It tests Leprosy: indeterminate leprosy in Dermatology. Treatment follows the paucibacillary regimen.

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 Leprosy: indeterminate leprosy?

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.