Practice Quiz

Ophthalmic Assistant

Category - Pupillary Assessment

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In lay terms, what does RAPD mean in the following chart record?
OD 2 mm / irregular / 1+ LR / 3+ NR
2 mm / irregular / 1+ LR / 3+ NR RAPD
  1. No response to direct light
  2. Paradoxical pupil response to direct light
  3. Miotic pupil
  4. Right eye
Explanation
Answer: B - Paradoxical pupil response to direct light
RAPD stands for relative afferent pupillary defect-which in lay terms means a paradoxical pupil response to direct light. It is also known as Marcus-Gunn pupil and is observed during the swinging-flashlight test. The most common cause of RAPD is a lesion on the optic nerve or severe retinal disease.
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