What causes arteriovenous (AV) nicking observed during a funduscopic exam?

What causes arteriovenous (AV) nicking observed during a funduscopic exam?

• A. Arteriole crossing a venule causing bulging
• B. Associated with diabetic retinopathy
• C. Copper wire arteriole becoming distended
• D. Ischemic optic disc

Answer: (A)

Arteriovenous (AV) nicking is a phenomenon observed during a funduscopic examination and is specifically attributed to the interplay between the arterioles and venules in the retina. AV nicking occurs when an arteriole crosses over a venule, leading to compression or distortion of the venule at the crossover point. This can result in visual changes such as bulging of the venule at the site of occlusion, creating the "nicking" effect. The presence of this sign is often indicative of hypertension and reflects the changes that occur in the retinal vessels due to chronic high blood pressure. The other choices are related to various retinal conditions but do not directly explain the mechanism behind AV nicking. For instance, diabetic retinopathy is characterized by different vascular changes such as microaneurysms and exudates, while copper wire changes refer to the appearance of arterioles due to chronic hypertension and do not pertain to the crossing phenomena that define AV nicking. An ischemic optic disc can be associated with conditions affecting the optic nerve but doesn't relate to the specific observations during a fundoscopic exam that highlight AV nicking.

Arteriovenous (AV) nicking is a phenomenon observed during a funduscopic examination and is specifically attributed to the interplay between the arterioles and venules in the retina. AV nicking occurs when an arteriole crosses over a venule, leading to compression or distortion of the venule at the crossover point. This can result in visual changes such as bulging of the venule at the site of occlusion, creating the "nicking" effect. The presence of this sign is often indicative of hypertension and reflects the changes that occur in the retinal vessels due to chronic high blood pressure.

The other choices are related to various retinal conditions but do not directly explain the mechanism behind AV nicking. For instance, diabetic retinopathy is characterized by different vascular changes such as microaneurysms and exudates, while copper wire changes refer to the appearance of arterioles due to chronic hypertension and do not pertain to the crossing phenomena that define AV nicking. An ischemic optic disc can be associated with conditions affecting the optic nerve but doesn't relate to the specific observations during a fundoscopic exam that highlight AV nicking.