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Ophthalmology · Retinal detachment
Sample itemA highly myopic patient reports flashes, new floaters, and a painless curtain descending across one visual field. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Retinal detachment
Retinal detachment classically causes photopsia, floaters, and a progressive field defect described as a curtain. It needs urgent ophthalmic assessment to preserve vision.
Option by option
A. Migraine aura only
Migraine aura is transient and usually resolves fully.
B. Cataract
Cataract causes gradual generalized blur rather than a field curtain.
C. Acute conjunctivitis
Conjunctivitis affects the ocular surface and causes redness or discharge.
D. Retinal detachment (correct)
Correct. This is the classic detachment symptom pattern.
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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