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Granulomatosis with polyangiitis — ABIM Board MCQ

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HardRheumatology/Allergy/ImmunologyGranulomatosis with polyangiitisABIM Board

A 56-year-old with type 2 diabetes had two normal annual dilated eye examinations and maintains A1C within target range. Which follow-up screening interval may be considered if there are no new risk factors?

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

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Correct answer: D — Repeat dilated eye examination every one to two years

After one or more normal annual dilated eye examinations and glycemic values within target, the ADA allows consideration of screening every one to two years. Any retinopathy, deteriorating glycemia, or other risk change warrants closer follow-up.

Reference: American Diabetes Association: Retinopathy, Neuropathy, and Foot Care: https://diabetesjournals.org/care/article/48/Supplement_1/S252/157552/12-Retinopathy-Neuropathy-and-Foot-Care-Standards