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Ophthalmology · Retina: optic disc pit
Sample itemA young adult has a grey, oval depression at the temporal disc margin and a serous detachment of the macula without a retinal break. What is the congenital anomaly?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Optic disc pit
An optic disc pit is a small excavation of the disc, commonly temporal, which can be complicated by serous macular detachment. A coloboma is larger and typically inferior. Drusen are hyaline bodies, and morning glory is a funnel-shaped disc.
Option by option
A. Optic disc coloboma
A coloboma is a larger inferior defect.
B. Optic disc drusen
Drusen are calcified bodies that elevate the disc.
C. Morning glory anomaly
Morning glory anomaly is a large funnel-shaped disc with a central glial tuft.
D. Optic disc pit (correct)
Correct. A small temporal excavation with serous macular fluid is a disc pit.
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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