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Abnormal red reflex — DRCOG MCQ

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HardNeonatalAbnormal red reflexDRCOG

At the 6-week check the red reflex is absent unilaterally on two careful attempts. The infant fixes and follows and has no discharge. What should the GP do?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Arrange urgent ophthalmology review despite normal visual behaviour

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

C is correct. An absent unilateral red reflex requires urgent ophthalmic assessment even with apparently normal visual behaviour. D and E risk loss of a critical treatment window. A does not explain the sign. B overstates the reassurance provided by fixation.

Reference: UK National Screening Committee, NIPE programme handbook: https://www.gov.uk/government/publications/newborn-and-infant-physical-examination-programme-handbook