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Ophthalmology · Retina: central serous chorioretinopathy
Sample itemA 35-year-old stressed executive on corticosteroids has sudden unilateral blurring with micropsia and a serous neurosensory detachment at the macula. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Central serous chorioretinopathy
Central serous chorioretinopathy occurs in young to middle-aged men with type A personality and steroid use. It usually resolves spontaneously, and stopping steroids helps.
Option by option
A. Optic neuritis
Optic neuritis has pain on movement.
B. Macular hole
Macular hole shows a full-thickness defect.
C. Wet AMD
Wet AMD occurs in older patients with CNV.
D. Central serous chorioretinopathy (correct)
Correct. This is the typical presentation.
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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