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Question

Retinal ischaemia, flame-shaped haemorrhages and cotton-wool exudates are fundoscopy findings in which of the following grades of hypertensive retinopathy?

1. Grade 1

2. Grade 2

3. Grade 3

4. Grade 4

Select the correct answer using the code given below:

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

3 and 4 only

Per the Keith-Wagener-Barker classification, Grade 1 shows mild arteriolar narrowing and Grade 2 shows more marked narrowing with AV nicking, without haemorrhages or exudates. Flame-shaped haemorrhages and cotton-wool spots appear from Grade 3 onward, and Grade 4 additionally has papilledema. Hence only grades 3 and 4 show these findings.

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