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Ophthalmology · Optic nerve disorders
Sample itemWhich symptom pattern is typical of optic neuritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pain on eye movement with reduced color vision
Optic neuritis often causes subacute monocular visual loss, pain on eye movement, reduced color saturation, and a relative afferent pupillary defect; it warrants assessment for inflammatory and demyelinating causes.
Option by option
A. Gradual hearing loss in noise
Hearing loss does not localize to the optic nerve.
B. Postural dizziness lasting seconds
Brief positional dizziness is a vestibular symptom.
C. Pain on eye movement with reduced color vision (correct)
Correct: painful eye movement with color desaturation strongly suggests optic neuritis.
D. Painless itchy discharge from both eyes
Itchy bilateral discharge fits conjunctivitis rather than optic nerve inflammation.
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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