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ophthalmology

Practice targeted AMC-style multiple-choice questions on ophthalmology.

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neurologyaneurysmblurred visiondifferential diagnosisimagingmiddle-aged womanmultiple sclerosisoptic neuritisstrokeyoung adult
Post-embolization arteriogram showing coiled aneurysm (indicated by yellow arrows) of the posteriorcerebral artery with a residual aneurysmal sac.
Image by Promod Pillai, Aftab Karim, Anil Nanda — CC BY 2.0 · Source

A 55-year-old female presents with new onset right homonymous hemianopia 3 months post-aneurysm coiling. Review the image. What is the MOST likely cause?

A. Aneurysm regrowth
B. Arteriovenous malformation
C. Vasospasm
D. Coil migration
E. New aneurysm formation
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A 24-year-old lady presents with worsening right eye 'ache' and reduced vision. The symptoms worsen with eye movements, and there is no redness or fluorescein uptake. Her vision is 6/12 in the right eye and 6/6 in the left eye. There is a relative afferent pupillary defect (RAPD) on examination. What associated disease could this indicate?

A. Neuromyelitis optica
B. Graves’ disease
C. Multiple sclerosis
D. Ischemic optic neuropathy
E. Sarcoidosis
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