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Ophthalmology · Vitreous: haemorrhage management
Sample itemA patient has a dense vitreous haemorrhage with no view of the fundus. What is the most important reason to do ultrasonography?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. To exclude retinal detachment
B-scan allows identification of retinal tears or detachment when the fundus view is blocked. Occult detachment changes management, requiring early surgery.
Option by option
A. To examine the cornea
The cornea is examined by slit lamp.
B. To measure IOP
Ultrasound does not measure IOP.
C. To assess colour vision
Ultrasound does not test colour vision.
D. To exclude retinal detachment (correct)
Correct. B-scan rules out detachment behind the blood.
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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