2026\2027 A+ Grade
A 10-year-old presents to the office with his mother with complaints of itchy and red eyes for 1 day. He
reports watery drainage in both eyes associated with constant itching. He has no fever or constitutional
symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is
20/20 OU with glasses. He has mild to moderate conjunctival hyperemia with bilateral preauricular
lymph nodes that are inflamed. What is the most likely diagnosis?
- correct answer Viral conjunctivitis
A 64-year-old has had a corneal infection for several weeks. He asks why the infection is still present.
How do you respond?
- correct answer Because the cornea doesn't have a blood supply, an infection can be fought off as usual
A 47-year-old presents to the clinic with a red eye. How would the NP differentiate between iritis and
conjunctivitis?
- correct answer Ciliary flush
A 54-year-old presents to the office with a painful red eye without discharge. What is the most likely
initial diagnosis?
- correct answer Iritis
An 82-year-old presents with several eye complaints. She states that her eyes are always dry and look
sunken in. What is the most likely cause?
- correct answer Normal age-related changes
A 46-year-old is diagnosed with viral conjunctivitis. What treatment should be included?
- correct answer Supportive measures and lubricant eye drops