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Depression (moderate) — MRCGP AKT MCQ

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HardPsychiatryDepression (moderate)MRCGP AKTUKMLAPARA

A 7-month-old has a constant inward deviation of the left eye in photographs and on examination. Red reflexes are normal. What is the appropriate action?

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Correct answer: E — Refer for specialist eye assessment

The best answer is “Refer for specialist eye assessment”. A constant squint persisting beyond early infancy needs specialist assessment because untreated strabismus can lead to amblyopia and may reflect refractive or ocular disease. Normal red reflexes reduce concern about some serious structural causes but do not remove the need for referral. Patching or lenses require an established diagnosis.

Reference: NHS: Squint: https://www.nhs.uk/conditions/squint/