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Free neuro-ophthalmology practice questions for optometry and ophthalmology students, residents, and trainees preparing for NBEO and OKAP. Cover RAPD, homonymous and bitemporal hemianopia, Argyll Robertson and Adie's tonic pupils, optic atrophy, third nerve palsy, and confrontation visual field testing — every question includes a clear explanation so you actually learn as you go.
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Sample question 1
Explanation
Light-near dissociation with vertical gaze dysfunction is classic for dorsal midbrain syndrome. Lesions in this region can also cause lid retraction and convergence-retraction nystagmus.
Sample question 2
Explanation
Compressive optic neuropathy often produces color vision impairment, contrast loss, and an RAPD, sometimes before severe acuity decline occurs. Improvement with pinhole suggests an optical rather than optic nerve problem.
Sample question 3
Explanation
A relative afferent pupillary defect indicates asymmetric dysfunction of the afferent visual pathway, most commonly from optic nerve disease or severe retinal disease. Media opacities such as cataract, corneal scar, and most vitreous hemorrhages do not usually produce a true RAPD by themselves.
The neuro-ophthalmology quiz draws from the full OcuQuiz neuro bank. Each of the topics below has a dedicated lesson with a board-focused walkthrough — great to review before or after your quiz attempt.