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Ophthalmology · Systemic disease
Sample itemWhy are regular dilated retinal examinations important in diabetes even when vision seems normal?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Sight-threatening retinopathy can be asymptomatic early
Diabetic retinal microvascular damage may develop before the patient notices visual symptoms, so scheduled retinal screening can identify treatable disease early alongside glucose, blood-pressure, and lipid management.
Option by option
A. They replace blood glucose control
Eye examinations complement but do not replace systemic glycemic management.
B. They diagnose every neurological illness
Retinal examinations are not a universal test for all neurological disease.
C. Sight-threatening retinopathy can be asymptomatic early (correct)
Correct: asymptomatic early retinopathy makes regular screening valuable.
D. They prevent all cataracts permanently
Retinal screening does not permanently prevent cataracts.
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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