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 Best of Five 2.10

 

   

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BOF: 2.10

A 30-year-old female is admitted for investigation of headache. On examination of her pupils you notice that her left pupil is semi-dilated and reacts slowly to both light and accommodation. Her visual acuity is normal, there is no field defect, no ptosis and eye movements are normal with no nystagmus or diplopia. Examination of the fundus does not reveal papilloedema. The pupillary abnormality in this patient is due to:

a)      Holmes-Adie syndrome

b)    Argyll-Robertson syndrome

c)      Hornerís syndrome

d)      3rd nerve palsy

e)      Relative afferent pupillary defect

 

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