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Ophthalmology · Neuro: optic disc drusen
Sample itemA young patient has bilateral elevated discs with irregular margins and no haemorrhages, and normal vision. Which test shows calcified bodies in the optic nerve head?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. B-scan ultrasonography
Optic disc drusen are calcified hyaline bodies that cause pseudopapilloedema. B-scan shows high reflective calcified lesions, and autofluorescence also helps. They can cause arcuate field defects.
Option by option
A. Fluorescein dye test
Fluorescein dye is not the test for calcification.
B. A-scan
A-scan measures axial length.
C. Gonioscopy
Gonioscopy views the angle.
D. B-scan ultrasonography (correct)
Correct. B-scan shows calcification of drusen.
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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