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Anatomy · Head and neck: central retinal artery
Sample itemA 65-year-old man suddenly loses vision in one eye without pain. The fundus shows a pale retina with a cherry-red macula. The artery responsible for the inner retinal blood supply arises from which parent vessel?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Ophthalmic artery
The central retinal artery is a branch of the ophthalmic artery, itself a branch of the internal carotid artery. It enters the optic nerve and supplies the inner layers of the retina. It is an end artery without effective collaterals, so occlusion causes sudden painless blindness.
Option by option
A. Ophthalmic artery (correct)
Correct. The central retinal artery arises from the ophthalmic artery.
B. Maxillary artery
The maxillary artery lies in the infratemporal and pterygopalatine fossae.
C. Posterior cerebral artery
The posterior cerebral artery supplies the occipital cortex, not the retina.
D. Facial artery
The facial artery supplies the face and its angular branch anastomoses with orbital vessels, but it is not the parent of the central retinal artery.
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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