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Ophthalmology · Pediatric ophthalmology
Sample itemWhy does a white pupillary reflex in a child need urgent evaluation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. It can indicate serious intraocular disease
Leukocoria may reflect retinoblastoma, cataract, retinal detachment, or other vision-threatening pathology, so urgent specialist evaluation is required.
Option by option
A. It is expected after all births
It is not an expected normal newborn finding.
B. It treats amblyopia
It does not treat amblyopia; it may indicate a cause of it.
C. It confirms normal vision
A white reflex does not confirm normal vision.
D. It can indicate serious intraocular disease (correct)
Correct: leukocoria can signal sight- or life-threatening intraocular disease.
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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