Approach to diplopia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 70-year-old woman presents for an annual wellness examination. Her medical history is significant for well-controlled type 2 diabetes mellitus, treated with metformin, and depression, for which she sees a therapist. She follows a vegetarian diet and uses tobacco. On review of systems, she reports worsening double vision over the past year but has not experienced any eye trauma. The patient's temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 15/min, and blood pressure is 130/85 mmHg. Examination reveals horizontal diplopia that resolves when she closes her left eye and when reading the eye chart through a pinhole using her left eye. Fundoscopy shows clouding of the left lens. Which aspect of her history most likely increased her risk of developing this condition?

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