Hypertension Pathology · Pathology

Which ophthalmologic finding is characteristic of Grade IV hypertensive retinopathy?

  1. Arteriolar narrowing
  2. Copper-wiring of arteries
  3. Cotton-wool spots
  4. Bilateral papilledema
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Correct answer: Bilateral papilledema

Hypertensive retinopathy is graded by severity. Grade IV is the most severe and is defined by the presence of papilledema (optic disc swelling), indicating an emergency state of malignant hypertension.

Difficulty: Medium Question 16 of 20

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