What happens in a relative afferent pupillary defect when a bright light is swung from the unaffected eye to the affected eye?

  1. The pupil constricts.
  2. The pupil dilates.
  3. The pupil becomes rounder.
  4. The pupil becomes irregular.
Explanation

Answer: B - In a relative afferent pupillary defect, the pupil dilates when a bright light is swung from the unaffected eye to the affected eye.

A relative afferent pupillary deficit known as the Marcus Gunn pupil shows a diminished pupillary response to light in the affected eye. Due to the reduced ability to respond to light, light directed into the affected eye will only induce a slight contraction of both pupils. In contrast, light into the unaffected eye will cause both pupils to constrict.

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