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On dilated exam, a first time patient with unremarkable past medical and ocular history has 20/20 vision in both eyes and an intraocular pressure (IOP) of 23 OD and 21 OS.  On dilated fundus exam, the above clinical picture is observed.

1.	Which of the following is most remarkable on this exam:
	a. an emboli noted within the lumen of the blood vessels b. severe hypertensive changes of the vessels c. cup-to-disc asymmetry d.  moderate disc edema on the right nerve
2.	What should be the next test ordered:
	a. carotid ultrasound b. blood pressure monitoring and check a hemoglobin A1C c. visual field and follow the patient's IOP closely d.  an urgent head CT to rule out an intracranial mass or optic nerve disorder

For answers to the above, click here on or after August 1, 2006.