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Diabetic retinopathy screening — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareDiabetic retinopathy screeningUSMLE Step 3

A 57-year-old man was diagnosed with type 2 diabetes 2 months ago. A1c is 8.1%. He has no visual symptoms and no prior dilated eye examination. 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: B — Refer for a comprehensive dilated eye examination

Patients with type 2 diabetes should have an eye examination at diagnosis because hyperglycemia may predate recognition.

Reference: American Diabetes Association Standards of Care in Diabetes—2026