Preterm Discharge Screening — RACP Paediatrics MCQ

Correct answer: C — Document and secure timely receiving-service ROP follow-up before transfer

Explanation lettering: B = shown as A · E = shown as B · D = shown as C · A = shown as D · C = shown as E

D is correct because ROP surveillance is determined by prematurity, birth weight, retinal findings and postmenstrual timing; transfer must include an explicit handover and booked examination so the window is not missed. A wrongly makes current respiratory stability erase risk. B a red-reflex check cannot detect staged peripheral retinal vascular disease. C MRI neither replaces ophthalmoscopy nor justifies delay. E waits for late functional signs after preventable progression may have occurred. RANZCO guidance is the directly relevant Australian ophthalmic standard.

Reference: RANZCO, guideline for screening and treatment of retinopathy of prematurity: https://ranzco.edu/policies_and_guideli/retinopathy-of-prematurity-rop-screening-and-treatment-guidelines/