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Ophthalmology · Cataract
Sample itemAn older adult has painless progressive blurred vision, glare in bright light, and reduced red reflex. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Cataract
Cataract is opacification of the crystalline lens causing painless gradual visual impairment and glare. Surgical lens extraction is considered when visual function is affected.
Option by option
A. Retinal detachment
Retinal detachment often causes flashes, floaters, and a curtain-like field defect.
B. Optic neuritis
Optic neuritis is often painful on eye movement with reduced color vision.
C. Cataract (correct)
Correct. Painless progressive blur with glare is typical cataract.
D. Acute uveitis
Uveitis causes pain, photophobia, and ciliary flush.
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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