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Ophthalmology · Visual pathways
Sample itemWhich examination test detects a relative afferent pupillary defect?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Swinging flashlight test
The swinging flashlight test compares direct and consensual pupillary responses and identifies asymmetric afferent input from optic nerve or severe retinal disease.
Option by option
A. Ishihara colour plate only
Ishihara plates assess colour discrimination.
B. Swinging flashlight test (correct)
Correct: alternating light reveals an afferent pupillary asymmetry.
C. Schirmer tear test
Schirmer testing measures tear production.
D. Amsler grid only
Amsler grid assesses central macular distortion.
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.