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Ophthalmology · Pediatric ophthalmology: retinoblastoma
Sample itemA parent notices a white pupillary reflex in photographs of a toddler. What is the appropriate action?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Urgent ophthalmology assessment for possible retinoblastoma
Leukocoria can indicate retinoblastoma and requires urgent specialist evaluation, although other causes exist. Early diagnosis is critical for life and vision.
Option by option
A. Urgent ophthalmology assessment for possible retinoblastoma (correct)
Correct. White pupillary reflex is a serious red flag.
B. Wait for the child to report pain
Pain may be absent and waiting is unsafe.
C. Reassure because this is a normal camera artifact
Normal red reflex should be red or orange, not white.
D. Start topical antibiotic drops
Antibiotics do not address an intraocular tumor concern.
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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