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Ophthalmology · Neuro-ophthalmology
Sample itemWhat visual defect can occur with a pituitary mass compressing the optic chiasm?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bitemporal hemianopia
The defining Neuro-ophthalmology relationship supports Bitemporal hemianopia; it is the option that directly accounts for the examination finding or clinical priority in this sample.
Option by option
A. Monocular central scotoma only
Monocular central scotoma only does not explain the stated neuro-ophthalmology feature.
B. Bitemporal hemianopia (correct)
Correct. Bitemporal hemianopia directly fits the key clue in the scenario.
C. No visual change
No visual change is unsupported by the symptom pattern or examination result.
D. Homonymous quadrantanopia only
Homonymous quadrantanopia only can be relevant elsewhere but is not the best conclusion here.
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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