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Ophthalmology · Retinal vascular occlusion
Sample itemA patient has sudden painless profound monocular visual loss. Fundoscopy shows a pale retina with a cherry-red fovea. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Central retinal artery occlusion
Central retinal artery occlusion produces retinal ischemia with a pale retina and cherry-red fovea and is a time-critical vascular emergency. Patients require urgent evaluation for embolic sources and stroke risk.
Option by option
A. Central retinal vein occlusion
Vein occlusion causes widespread hemorrhages and a blood-and-thunder fundus.
B. Vitreous hemorrhage
Vitreous hemorrhage obscures the fundus rather than producing this pattern.
C. Retinal detachment
Detachment produces an elevated or folded retina.
D. Central retinal artery occlusion (correct)
Correct. The cherry-red spot with retinal pallor is classic.
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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