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Ophthalmology · Cornea
Sample itemWhat corneal finding is characteristic of keratoconus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Progressive conical thinning and irregular astigmatism
Keratoconus causes progressive corneal thinning and ectasia, producing irregular astigmatism and distorted vision, often in adolescence or young adulthood.
Option by option
A. Fixed dilated pupil
Fixed pupil is iris or nerve issue.
B. Painless subconjunctival bleed
Subconjunctival bleed is superficial.
C. Diffuse retinal haemorrhages
Retinal haemorrhages have vascular causes.
D. Progressive conical thinning and irregular astigmatism (correct)
Correct: conical ectasia causes irregular refraction.
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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