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Ophthalmology · Paediatric ophthalmology
Sample itemWhich condition must be excluded urgently in a child with leukocoria?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Retinoblastoma
Leukocoria can be caused by retinoblastoma, a potentially life-threatening intraocular malignancy, and demands urgent specialist assessment.
Option by option
A. Simple conjunctivitis
Conjunctivitis causes surface redness and discharge, not leukocoria.
B. Migraine aura
Migraine aura does not create a white pupillary reflex.
C. Presbyopia
Presbyopia occurs with ageing, not childhood.
D. Retinoblastoma (correct)
Correct: retinoblastoma is the critical diagnosis not to miss.
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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