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Diabetic retinopathy surveillance — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Diabetic retinopathy surveillanceUSMLE Step 3

A 52-year-old man with type 2 diabetes for 8 years has A1c 8.1%. He has no visual complaints. His last eye examination was 3 years ago. Which of the following would you recommend at the follow-up visit?

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

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Correct answer: BArrange dilated retinal examination

Diabetic retinopathy can be asymptomatic; regular dilated retinal examinations are recommended.

Reference: ADA Standards of Care in Diabetes 2026