Community ophthalmology: diabetic eye care: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Ophthalmology · Community ophthalmology: diabetic eye care

Sample item

A pregnant woman with type 1 diabetes should have a dilated eye examination when?

ABefore conception or in the first trimester and each trimester thereafterBOnly after deliveryCOnce a year after deliveryDOnly if vision falls

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Before conception or in the first trimester and each trimester thereafter

Pregnancy can accelerate retinopathy, so examination is planned early and then regularly through pregnancy. Rapid tightening of glucose control also may cause early worsening.

Option by option

A. Before conception or in the first trimester and each trimester thereafter (correct)
Correct. Early and repeated review is advised.
B. Only after delivery
Waiting until after delivery misses progression.
C. Once a year after delivery
Annual review alone is inadequate in pregnancy.
D. Only if vision falls
Retinopathy is often asymptomatic.

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.

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Before conception or in the first trimester and each trimester thereafter. Pregnancy can accelerate retinopathy, so examination is planned early and then regularly through pregnancy.

Why is "Only after delivery" not the answer?

Waiting until after delivery misses progression.

Why is "Once a year after delivery" not the answer?

Annual review alone is inadequate in pregnancy.

Why is "Only if vision falls" not the answer?

Retinopathy is often asymptomatic.

What concept does this question test?

It tests Community ophthalmology: diabetic eye care in Ophthalmology. Rapid tightening of glucose control also may cause early worsening.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Community ophthalmology: diabetic eye care?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.