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Ophthalmology · Neuro-ophthalmology
Sample itemWhat sign is most characteristic of optic neuritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pain on eye movement with reduced colour vision
Optic neuritis commonly causes subacute painful visual loss, dyschromatopsia, and relative afferent pupillary defect in one eye.
Option by option
A. Itchy eyelids with crusting
Crusted lids suggest blepharitis.
B. Painless red eye with purulent discharge
Purulent discharge suggests bacterial conjunctivitis.
C. Pain on eye movement with reduced colour vision (correct)
Correct: painful visual loss and colour desaturation are classic.
D. Fixed dilated pupil after blunt trauma
Traumatic mydriasis follows iris injury.
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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