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Ophthalmology · Pediatric ophthalmology
Sample itemDuring red-reflex screening, a child has an abnormal white appearance visible through the pupil; what finding is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. White pupillary reflex
Leukocoria is an abnormal white pupillary reflex that can indicate serious intraocular disease and must not be confused with the normal red reflex.
Option by option
A. Red conjunctiva
Red conjunctiva is a surface finding of inflammation or irritation.
B. White pupillary reflex (correct)
Correct: leukocoria is a white reflex seen through the pupil.
C. Unequal refraction
Unequal refraction between eyes is anisometropia.
D. Drooping eyelid
Drooping eyelid is ptosis.
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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