<prompt> All of the following signs may be appreciated in a patient with early papilloedema exceptMild hyperaemia of the discObliteration of physiological cup of the optic discObscuration of superior, inferior and nasal disc marginsAbsence of spontaneous venous pulsation  <response>: PAPILLOEDEMA Clinical features: Early incipient papilloedema : Symptoms are usually absent and visual acvity is normal. Pupillary reactions are normal. Ophthalmoscopic features of early papilloedema are: i Obscuration of the disc margins nasal margins are involved first followed by the superior, inferior and temporal. ii Blurring of peripapillary nerve fibre layer. iii Absence of spontaneous venous pulsation at the disc appreciated in 80 of the normal individuals. iv Mild hyperaemia of the disc. v Splinter haemorrhages in the peripapillary region may be present. Visual fields are fairly normal. Ref:- A K KHURANA; pg num:-299 