1 Day Of Decreased in Medicine / Internal Medicine — 32yo Woman | Neurology | SMLE Q#18194
SMLE Question #18194
Medicine / Internal Medicine
Neurology
Objective: OBJ-NEURO-ON-001
Last updated: February 2026
A 32-year-old woman presents to the Emergency Department with 1 day of decreased vision in her right eye and pain with eye movement. Examination shows reduced visual acuity and a relative afferent pupillary defect in the right eye; extraocular movements are full. Fundoscopy is unremarkable. MRI of the orbits shows right optic nerve enhancement consistent with an inflammatory process. What is the most appropriate initial management?
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