A 10-year-old boy has been recently diagnosed with T1DM and started on MDI insulin therapy. When will you consider referring him to an ophthalmologist for retinal exam?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. After 5 years and then annually
For T1DM, retinal screening begins 5 years after diagnosis and is then repeated annually. Screening at diagnosis (A, C) applies to T2DM, where complications may already be present when it is diagnosed. Waiting for visual symptoms (D) defeats the purpose of screening.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Eye screening at diagnosis is the type 2 schedule; for type 1 it is within 5 years of diagnosis, then annually.
✓ view-material.pdf · p. 17 -
B
ليش صح
For type 1 DM the dilated eye exam is done within 5 years of diagnosis, then annually.
✓ view-material.pdf · p. 17 -
C
ليش غلط
The schedule listed is yearly exams after the first one, or every 1-2 years if there is no retinopathy and he is stable; 6-monthly exams are not listed.
✓ view-material.pdf · p. 17 -
D
ليش غلط
Background retinopathy is usually asymptomatic until the macula is involved, so waiting for vision symptoms means screening too late.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 13
- المصدر
- Diabetes mellitus overall Copy.pdf · p. 13
Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 13 - المحاضرة
- Diabetes Mellitus · Endocrinology · Module B
- ظهر في
- Endo bank