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Diabetic retinopathy screening — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Diabetic retinopathy screeningUSMLE Step 3

A 53-year-old man is newly diagnosed with type 2 diabetes after A1c 8.1% on two tests. He has blurred vision when glucose is high but no eye pain. He has never had an eye examination. Which of the following is the most appropriate screening recommendation?

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

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Correct answer: DDilated comprehensive eye examination now

Patients with type 2 diabetes should have retinopathy screening at diagnosis because hyperglycemia may have been present for years.

Reference: American Diabetes Association Standards of Care in Diabetes—2026: https://professional.diabetes.org/standards-of-care