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Ophthalmology · Retina: central retinal vein occlusion
Sample itemThe fundus shows widespread flame-shaped haemorrhages, dilated tortuous veins and disc oedema in one eye. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Central retinal vein occlusion
CRVO produces the blood and thunder fundus. Ischaemic types can lead to neovascular glaucoma 90 days after onset, so patients need close monitoring.
Option by option
A. Retinitis pigmentosa
Retinitis pigmentosa shows bone-spicule pigmentation.
B. Central retinal artery occlusion
Artery occlusion gives a pale retina.
C. Hypertensive retinopathy grade 1
Hypertensive grade 1 shows only arteriolar narrowing.
D. Central retinal vein occlusion (correct)
Correct. This is the typical fundus picture.
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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