American Board of Family Medicine (ABFM) Practice Exam

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Which finding would NOT typically be present in a patient with retinal vein occlusion?

  1. Cotton wool spots

  2. Blurred vision

  3. Normal fundoscopic exam

  4. Tortuous retinal veins

The correct answer is: Normal fundoscopic exam

In the context of retinal vein occlusion, a normal fundoscopic exam is not typically expected. Individuals with this condition commonly present with various retinal findings that are observable during a fundoscopic examination. Cotton wool spots, which are localized areas of ischemia in the retina, often appear due to damage to the nerve fibers and are a hallmark finding in retinal vein occlusion. Blurred vision is also a significant symptom experienced by many patients, stemming from the retinal edema and associated hemorrhages due to the occlusion. Additionally, tortuous retinal veins are characteristic of the disorder, as they reflect changes in the retinal venous circulation resulting from the blockage. Given these associations, a normal fundoscopic exam would not align with the expected findings in a patient with retinal vein occlusion, as such an exam would generally reveal abnormalities indicative of retinal damage and vascular compromise. This underscores the importance of understanding the typical presentations associated with retinal conditions during clinical assessments.