Opthalmology 1-50 MRQ

A 28-year-old medical student presents with bilateral eye redness, watery discharge, and itching for the past four days. She denies significant pain or vision changes but reports mild photophobia. She has a history of seasonal allergies but has never had eye symptoms like this before. On examination, both eyes show diffuse conjunctival injection with clear discharge, and preauricular lymphadenopathy is present. Fluorescein staining is negative for corneal defects.

 

Which of the following are significant risk factors for this condition? Select five (5) Correct answer.

 

 

 

A 35-year-old childcare worker presents with a three-day history of red, watery eyes and mild discomfort. She denies photophobia or vision changes but reports a gritty sensation. Her symptoms started in one eye and spread to the other. She mentions that several children in her daycare have had similar symptoms recently.

 

On examination, her conjunctiva is diffusely injected with a watery discharge. There is mild eyelid swelling, and preauricular lymph nodes are palpable. Fluorescein staining is negative for corneal involvement.

 

Which of the following history features increase the risk of this condition? Select five (5) Correct answer.

 

 

 

A 30-year-old woman presents with a 4-day history of red eyes and irritation. She works in a crowded indoor environment and reports no history of trauma or contact lens use. She denies significant eye pain or vision changes. There is no purulent discharge or photophobia.

 

 

 

 

A 26-year-old university student presents with redness and irritation in both eyes that developed over several days. She has no history of trauma, contact lens use, or known ocular disease. On examination, there is no photophobia, no ciliary flush, and no purulent discharge. Systemic examination is unremarkable.

 

 

 

A 34-year-old teacher presents with a five-day history of red, watery eyes with a gritty sensation. Symptoms started in the right eye and spread to the left. She denies severe pain or vision loss but reports mild photophobia. She recently recovered from a sore throat. On examination, her conjunctiva is diffusely injected, and preauricular lymph nodes are palpable. Fluorescein staining is negative for corneal involvement.

 

Which of the following investigations are most appropriate to confirm or support the diagnosis of viral conjunctivitis? Select five (5) Correct answer.

 

A 40-year-old office worker presents with redness, excessive tearing, and irritation in both eyes for the past week. He denies purulent discharge but reports a recent upper respiratory infection. His symptoms began in one eye and spread to the other.

On examination, there is diffuse conjunctival injection with watery discharge. The preauricular lymph nodes are swollen. Slit-lamp examination reveals a follicular reaction of the palpebral conjunctiva. Fluorescein staining is negative for corneal ulceration.

 

Which of the following investigations would be most useful in evaluating this condition? Select five (5) Correct answer.

 

A 29-year-old university student presents with a five-day history of red, watery eyes and a gritty sensation. Symptoms started in one eye and spread to the other. She denies severe pain, photophobia, or vision loss. She recently had a mild upper respiratory infection. On examination, both eyes show diffuse conjunctival injection, watery discharge, and follicular conjunctivitis. The preauricular lymph nodes are palpable. Fluorescein staining is negative for corneal involvement.

 

Which of the following are appropriate management strategies for this condition? Select five (5) Correct answer.

 

A 45-year-old office worker presents with red, watery eyes for one week. The symptoms started in one eye and spread to the other. He reports mild irritation but no vision changes or severe pain. His coworker had similar symptoms last week. On examination, his conjunctiva is diffusely injected with watery discharge. The preauricular lymph nodes are palpable. Slit-lamp examination reveals a follicular reaction of the palpebral conjunctiva. Fluorescein staining is negative for corneal involvement.

 

Which of the following are appropriate management steps for this condition? Select five (5) Correct answer.

 

A 42-year-old man presents with persistent eye redness, tearing, and irritation that began two weeks ago. He initially had mild symptoms in one eye, which later spread to the other. Although most of his symptoms have improved, he now notices blurred vision and increased sensitivity to light. On examination, both eyes have mild conjunctival injection, and there are subepithelial corneal opacities visible on slit-lamp examination. Fluorescein staining is negative for ulceration, and intraocular pressure is normal.

 

Which of the following are potential complications of viral conjunctivitis? Select five (5) Correct answer.

 

A 36-year-old woman presents with persistent eye redness, tearing, and blurred vision that started three weeks ago. She initially had mild viral conjunctivitis, but now she reports ongoing discomfort and photophobia. On examination, there is mild conjunctival injection, and slit-lamp examination reveals multiple small corneal opacities with subepithelial infiltrates. There is no corneal ulceration, and intraocular pressure is normal.

 

Which of the following are recognized complications of viral conjunctivitis? Select five (5) Correct answer.

 

A 31-year-old teacher presents with a five-day history of red, watery eyes that started in one eye and spread to the other. She denies severe pain or vision loss but reports mild photophobia and a gritty sensation. She was recently exposed to a student with similar symptoms.

 

On examination, her conjunctiva is diffusely injected with watery discharge, and preauricular lymphadenopathy is present. Slit-lamp examination reveals a follicular reaction of the palpebral conjunctiva. Fluorescein staining is negative for corneal involvement.

 

Which of the following statements regarding the prognosis of this condition are correct? Select five (5) Correct answer.

 

A 40-year-old accountant presents with persistent eye redness and watery discharge that began three weeks ago. He initially had mild symptoms, but his vision has remained slightly blurry, particularly in bright light. He had an upper respiratory infection before his eye symptoms began. On examination, his conjunctiva is mildly injected, and there are faint subepithelial corneal infiltrates. Preauricular lymph nodes are palpable. Slit-lamp examination reveals no significant scarring, and fluorescein staining is negative for corneal ulceration.

 

Which of the following statements regarding the long-term prognosis of viral conjunctivitis are correct? Select five (5) Correct answer.

 

A 25-year-old university student presents with a 3-day history of red, irritated eyes. He reports no trauma or history of contact lens use. There is no significant eye pain, and vision is intact. The symptoms began in one eye and now involve both. He has not taken any eye medications recently. On examination, there is conjunctival injection and non-purulent discharge.

 

 

 

 

A 45-year-old man presents with a three-day history of red eyes and a gritty sensation. He reports waking up with his eyes feeling stuck shut. He works in a dusty outdoor environment and often experiences eye discomfort during the day. He denies significant photophobia, trauma, or recent viral illness. On examination, both eyes show conjunctival injection and mucous discharge. Fluorescein staining is negative for corneal involvement.

 

 

 

 

A 38-year-old man presents with a two-day history of red, irritated eyes. He reports his eyes feel sticky in the mornings, and he’s had to wipe away discharge throughout the day. He has no fever, recent systemic illness, or history of trauma. He does not recall using any new eye drops or makeup. On examination, there is diffuse conjunctival injection and mucous discharge. Corneal staining is negative.

 

 

 

 

A 50-year-old man presents with a two-day history of red, irritated eyes. He reports discomfort and occasional blurred vision that clears with blinking. He has not used contact lenses, had recent trauma, or experienced photophobia. He works in an industrial setting where he is frequently exposed to airborne debris. On examination, there is discharge that accumulates throughout the day.

 

 

A 33-year-old man presents with a 2-day history of eye redness and discomfort. He denies trauma, foreign body sensation, or photophobia. He does not wear contact lenses and has no history of recent ocular procedures. Corneal staining is negative.

 

 

A 47-year-old construction worker presents with red eyes, thick yellow discharge, and mild swelling of both eyelids for the past three days. He reports waking up with his eyelids stuck together in the morning. He denies significant pain or photophobia. His symptoms started in the right eye and spread to the left. On examination, both eyes have diffuse conjunctival injection, thick purulent discharge, and mild eyelid oedema. Fluorescein staining is negative for corneal involvement.

 

Which of the following investigations would be most useful in confirming or supporting the diagnosis of bacterial conjunctivitis? Select five (5) Correct answer.

 

A 36-year-old nurse presents with red eyes, purulent discharge, and mild eyelid swelling for four days. She denies pain or vision loss but reports waking up with her eyes stuck together. Her symptoms began in one eye and spread to the other. She has not had any recent viral infections. On examination, there is diffuse conjunctival injection with thick yellow-green discharge. Fluorescein staining is negative for corneal ulceration.

 

Which of the following investigations would be most useful in evaluating this condition? Select five (5) Correct answer.

 

A 42-year-old teacher presents with redness, irritation, and thick yellow discharge in both eyes for the past three days. She reports that her eyelids are crusted shut in the morning and denies significant pain or vision changes. Her symptoms started in one eye and spread to the other. On examination, both eyes have diffuse conjunctival injection with purulent discharge that reappears after wiping. Fluorescein staining is negative for corneal involvement.

 

Which of the following are appropriate management strategies for this condition? Select five (5) Correct answer.

 

 

 

A 30-year-old accountant presents with red, sticky eyes and yellow-green discharge for the past three days. She denies photophobia or vision loss but reports a mild gritty sensation. She has no history of recent illness or allergies.

On examination, both eyes are injected with thick purulent discharge and mild eyelid swelling. Fluorescein staining is negative for corneal defects.

 

Which of the following are appropriate steps in managing this condition? Select five (5) Correct answer.

 

 

 

A 45-year-old mechanic presents with redness, purulent discharge, and mild swelling of both eyes for the past five days. He initially had mild irritation, but now he reports worsening discomfort and blurred vision. He has been using over-the-counter antibiotic eye drops, but his symptoms persist. On examination, there is significant conjunctival injection, thick yellow discharge, and mild eyelid swelling. Slit-lamp examination reveals corneal involvement with small infiltrates.

 

Which of the following are potential complications of bacterial conjunctivitis? Select five (5) Correct answer.

 

A 38-year-old construction worker presents with persistent eye redness and discharge for one week. Initially, the symptoms were mild, but he now experiences worsening pain, blurred vision, and light sensitivity. He reports using antibiotic eye drops but has not seen improvement. On examination, both eyes are injected with thick purulent discharge. Slit-lamp examination reveals corneal opacities, and fluorescein staining shows an epithelial defect.

 

Which of the following are serious complications of bacterial conjunctivitis? Select five (5) Correct answer.

 

A 35-year-old teacher presents with redness, irritation, and thick purulent discharge in both eyes for the past five days. She denies severe pain or vision changes but reports that her eyelids are crusted shut in the morning. She started using antibiotic eye drops two days ago and has noticed mild improvement. On examination, both eyes have diffuse conjunctival injection with thick yellow discharge. Fluorescein staining is negative for corneal involvement.

 

Which of the following statements regarding the prognosis of bacterial conjunctivitis are correct? Select five (5) Correct answer.

 

A 41-year-old office worker presents with red, irritated eyes and thick discharge for four days. He started using antibiotic eye drops yesterday and is concerned about how long it will take for his symptoms to resolve. He denies pain or vision loss.

On examination, there is diffuse conjunctival injection with yellow-green discharge and mild eyelid swelling. Fluorescein staining is negative for corneal involvement.

 

Which of the following statements regarding the long-term prognosis of bacterial conjunctivitis are correct? Select five (5) Correct answer.

 

A 28-year-old daycare worker presents with redness, irritation, and purulent discharge in both eyes for the past three days. Several children at her daycare have had similar symptoms recently. She denies significant pain or vision loss.

On examination, both eyes show diffuse conjunctival injection with thick yellow discharge. Fluorescein staining is negative for corneal involvement.

 

Which of the following preventive measures can help reduce the spread of bacterial conjunctivitis? Select five (5) Correct answer.

 

A 34-year-old nurse presents with a recent history of bacterial conjunctivitis. She has recovered fully but wants to know how she can prevent reinfection and avoid spreading it to her family.

 

Which of the following preventive strategies are most effective in reducing the risk of reinfection? Select five (5) Correct answer.

A 38-year-old woman presents with a 3-day history of red, irritated eyes. She denies photophobia, trauma, or significant vision changes. She works in an open-plan office and uses reading glasses occasionally. There is no recent travel, known systemic infection, or recent medication use. On examination, there is conjunctival injection. Corneal staining is negative.

 

 

A 42-year-old man presents with a 4-day history of eye redness and irritation. He denies any significant photophobia, foreign body sensation, or trauma. He works in an outdoor setting and uses protective eyewear occasionally. He does not report recent medication use or allergic symptoms. On examination, there is bilateral conjunctival injection with mucopurulent discharge. Corneal staining is negative for ulceration.

 

 

A 27-year-old woman presents with recurring episodes of bilateral eye irritation and tearing over the past few months. Symptoms are worse outdoors and tend to fluctuate in severity. She has no significant history of eye trauma or recent infections. She occasionally uses over-the-counter eye drops for relief. On examination, there is bilateral conjunctival injection with no purulent discharge. Corneal staining is negative.

 

 

 

 

A 32-year-old woman presents with a several-month history of recurrent eye redness and watering. She reports no history of trauma, vision loss, or thick discharge. Her symptoms tend to flare unpredictably and resolve with over-the-counter antihistamines. She does not wear contact lenses. On examination, there is conjunctival redness, mild chemosis, and no purulent discharge. Fluorescein staining is negative.

 

 

 

 

A 22-year-old student presents with several days of eye discomfort and tearing. She reports no visual changes, no trauma, and no history of recent infection. She occasionally uses over-the-counter antihistamine drops. On examination, both eyes are red with non-purulent discharge. There is mild conjunctival swelling and no corneal staining.

 

 

 

 

A 30-year-old man presents with intermittent episodes of bilateral eye redness and irritation that have occurred over several months. He denies significant pain, trauma, or purulent discharge. He occasionally experiences blurred vision that resolves spontaneously. He has no known autoimmune or infectious conditions. On examination, there is conjunctival redness, mild eyelid oedema, and no corneal staining.

 

 

A 29-year-old patient presents with red, itchy, and watery eyes that have persisted for the past two weeks. Symptoms worsen with exposure to pollen and improve indoors. The patient denies pain, photophobia, or purulent discharge but reports a mild burning sensation. On examination, both eyes show conjunctival injection, mild eyelid swelling, and conjunctival chemosis. No corneal involvement is noted on fluorescein staining.

 

Which of the following investigations would be most useful in confirming the diagnosis of allergic conjunctivitis? Select five (5) Correct answer.

 

A 34-year-old woman presents with persistent eye redness, itching, and watery discharge that worsens during the spring season. She has a history of allergic rhinitis and asthma. She denies thick discharge, severe pain, or vision loss.

On examination, both eyes show conjunctival redness, chemosis, and papillary hypertrophy on the tarsal conjunctiva. No corneal involvement is noted on slit-lamp examination.

 

Which of the following investigations are most appropriate for allergic conjunctivitis? Select five (5) Correct answer.

 

A 26-year-old man presents with red, itchy, and watery eyes that worsen during the spring. He denies pain, purulent discharge, or vision loss but reports frequent eye rubbing due to irritation. He has a history of allergic rhinitis and asthma.

On examination, both eyes show conjunctival injection, mild chemosis, and papillary hypertrophy on the upper tarsal conjunctiva. No corneal involvement is noted.

 

Which of the following are appropriate management strategies for allergic conjunctivitis? Select five (5) Correct answer.

 

A 30-year-old woman presents with chronic, seasonal allergic conjunctivitis. She experiences intense itching, redness, and watery discharge every spring. Over-the-counter antihistamines have provided some relief, but her symptoms persist. She denies purulent discharge or vision loss. On examination, there is mild conjunctival injection, eyelid oedema, and papillary hypertrophy on the tarsal conjunctiva. There is no corneal involvement.

 

Which of the following are recommended treatment options for this patient? Select five (5) Correct answer.

 

 

 

A 32-year-old man with a history of seasonal allergic rhinitis presents with recurrent episodes of red, itchy, and watery eyes. He frequently rubs his eyes and has noticed persistent irritation despite using antihistamine eye drops.

On examination, both eyes have conjunctival injection, mild chemosis, and papillary hypertrophy on the upper tarsal conjunctiva. There is no corneal ulceration, but there are signs of chronic inflammation.

 

Which of the following are complications of allergic conjunctivitis? Select five (5) Correct answer.

 

A 40-year-old woman presents with persistent eye itching, redness, and watery discharge that worsens every spring. She frequently rubs her eyes and has developed mild blurry vision over the past few months. She denies pain or thick discharge.

On examination, there is diffuse conjunctival injection, upper tarsal papillary hypertrophy, and mild chemosis. Slit-lamp examination reveals subtle corneal thinning and irregular astigmatism.

 

Which of the following complications can result from chronic allergic conjunctivitis? Select five (5) Correct answer.

 

A 24-year-old woman with a history of seasonal allergic conjunctivitis presents with recurrent episodes of itchy, red, and watery eyes. She notices that her symptoms worsen during spring and after exposure to dust. She wants to know how to prevent future episodes.

 

Which of the following preventive strategies are effective in reducing the risk of allergic conjunctivitis? Select five (5) Correct answer.

 

A 35-year-old man with a history of allergic conjunctivitis is looking for ways to prevent recurrent episodes. He reports worsening symptoms when exposed to dust and pet dander

 

Which of the following lifestyle modifications can help prevent allergic conjunctivitis? Select five (5) Correct answer.

 

A 28-year-old woman with a history of allergic conjunctivitis presents with recurrent episodes of itchy, red, and watery eyes during the spring. She has been using antihistamine eye drops and avoids pollen exposure, which has helped reduce symptoms. She is concerned about the long-term effects of her condition.

 

Which of the following statements regarding the prognosis of allergic conjunctivitis are correct? Select five (5) Correct answer.

 

A 35-year-old man with chronic allergic conjunctivitis presents for a follow-up. He has been using topical antihistamines and mast cell stabilizers for the past six months with significant improvement. However, he is worried about the long-term effects of his condition.

 

Which of the following statements about prognosis are true? Select five (5) Correct answer.