Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
of Clinical Signs

Argyll Robertson Pupil

Series Editor and Author: Frank L. Urbano, MD

1. The Argyll Robertson pupil is a miotic pupil that:
  1. Responds to accommodation and reacts to direct light
  2. Does not respond to accommodation but reacts to direct light
  3. Responds to accommodation but does not react to direct light
  4. Neither responds to accommodation nor reacts to direct light
Click here to compare your answer.

2. All of the following conditions can cause Argyll-Robertson pupil EXCEPT:

  1. Neurosyphilis
  2. Neurosarcoidosis
  3. Multiple sclerosis
  4. Diabetes mellitus
  5. Neurocysticercosis
Click here to compare your answer.

3. All of the following statements about neurosyphilis are true EXCEPT:
  1. Patients may present with ptosis and ataxia.
  2. Patients may present with mouth and tongue tremors.
  3. In these patients, the Argyll Robertson pupil is usually unilateral.
  4. Patients may have decreased deep tendon reflexes.
  5. Patients may have aortic insufficiency or Charcot’s arthropathy.
Click here to compare your answer.

4. All of the following statements about Adie’s pupil are true EXCEPT:

  1. It may be inappropriately confused with the Argyll Robertson pupil.
  2. It is caused by destruction of the ciliary ganglion.
  3. The reaction to light is absent or greatly diminished when tested in routine examination, but reacts slowly to light with prolonged maximal stimulation.
  4. The pupil tends to remain dilated and constricts very slowly once accommodation is complete.
Click here to compare your answer.

Click here to read more about Argyll Robertson Pupil (Requires Adobe Acrobat Reader)

Check our archives to test your knowledge in other clinical signs:

Review of Clinical Signs Questions Archive

If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj