Optic neuritis: treatment: 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 · Optic neuritis: treatment

Sample item

In optic neuritis, which treatment hastens visual recovery but does not alter final visual outcome, according to the Optic Neuritis Treatment Trial?

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

The answer and the reasoning

C. Intravenous methylprednisolone

The ONTT found that IV methylprednisolone speeded recovery and reduced new MS in 2 years, while oral prednisolone alone increased recurrences. Final acuity was similar in all groups.

Option by option

  • A. Observation

    Untreated patients recover more slowly.

  • B. Intravitreal bevacizumab

    Anti-VEGF has no role.

  • C. Intravenous methylprednisolone (correct)

    Correct. IV steroids hasten recovery without changing the final outcome.

  • D. Oral prednisolone alone

    Oral prednisolone alone raised the recurrence rate.

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 Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Intravenous methylprednisolone. The ONTT found that IV methylprednisolone speeded recovery and reduced new MS in 2 years, while oral prednisolone alone increased recurrences.

Why is "Observation" not the answer?

Untreated patients recover more slowly.

Why is "Intravitreal bevacizumab" not the answer?

Anti-VEGF has no role.

Why is "Oral prednisolone alone" not the answer?

Oral prednisolone alone raised the recurrence rate.

What concept does this question test?

It tests Optic neuritis: treatment in Ophthalmology. Final acuity was similar in all groups.

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 Optic neuritis: treatment?

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.