blurring of the optic disc margins

Discussion in 'USMLE STEP 2 CS' started by Jaideep., May 20, 2008.

  1. Jaideep.

    Jaideep. Guest

    A 22-year-old woman comes to the physician because of diffuse constant headaches and vision problems for 3 months, the headaches are worse in the morning when she awakens from sleep. She also has had brief episodes of loss of vision in both eyes. She has had an 18-kg (40-Ib) weight gain over the past year. She now weighs 100 kg (220 lb) and is 163 cm (64 in) tall. Visual acuity is 20/30 bilaterally. Visual fields are full, but the blind spots are enlarged bilaterally. Funduscopic examination shows marked blurring of the optic disc margins bilaterally. The remainder of the neurologic examination shows no abnormalities. Which of the following is the most likely diagnosis?

    O A) Amaurosis fugax
    O B) Central retinal vein occlusion
    O C) Glaucoma
    O D) Macular degeneration
    O E) Migraine
    O F) Nutritional optic neuropathy
    O G) Optic neuritis
    O H) Pituitary adenoma
    O I) Pseudotumor cerebri
    0 J) Temporal arteritis
  2. sotofournier

    sotofournier Guest

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