ROP screening timing — RACP Paediatrics MCQ

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ModerateNeonatalROP screening timingRACP Paediatrics

A premature infant born at 26 weeks gestation is now 3 weeks old in the NICU. When should ROP screening be initiated?

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Correct answer: D — Screen at 31 weeks PMA or 4 weeks of age

Per Australian ROP screening guidelines, screening should commence at 4 weeks postnatal age or 31 weeks postmenstrual age (PMA), whichever is later. In this infant (26+3=29 weeks PMA at 3 weeks), screening should begin at 4 weeks of age (30 weeks PMA) or 31 weeks PMA. All infants <32 weeks gestation or <1500g birth weight require screening.

Reference: RCH Melbourne – 2023 – ROP Screening CPG; RACP Paediatric Curriculum – Neonatology