ANSWERS|LATEST 2025/2026|GRADED
A+|VERIFIED
A 19 y/o man presents with a cc of a red, irritated rt eye for the past 48 hrs with
eyelids that were stuck together this morning when he awoke. Exam reveals injected
palpebral and bulbar conjunctiva and reactive pupils; vision screen with the snellen
chart eval reveals 2-/30 in the right eye, left eye and both eyes; and purulent eye
discharge in on the right. This presentation is most consistent with:
A. Suppurative conjunctivitis
B. Viral conjunctivitis
C. Allergic conjunctivitis
D. Mechanical injury - answer a. Suppurative conjunctivitis
A 19 y/o woman presents with a complaint of bilaterally itchy, red eyes with tearing
that occurs intermittently throughout the year and is often accompanied by a rope-
like eye discharge and clear nasal discharge. This is most consistent with conjunctival
inflammation caused by a)n):
A. Bacterium
B. Virus
C. Allergen
D. Injury - answer c. Allergen
Common causative organisms of acute suppurative conjunctivitis include all of the
following except:
A. Staphylococcus aureus
B. Haemophilus influenzae
C. Streptococcus pneumoniae
D. Pseudomonas aeruginosa - answer d. Pseudomonas aeruginosa
,Txment options in suppurative conjunctivitis include all of the following ophthalmic
preparations except:
A. Polymyxin b plus trimethroprim
B. Levofloxacin
C. Polymyxin
D. Azithromycin - answer c. Polymyxin
Txment options in acute and recurrent allergic conjunctivitis include all of the
following except:
A. Cromolyn ophthalmic drops
B. Oral antihistamines
C. Ophthalmological antihistamines
D. Corticosteroid ophthalmic drops - answer d. Corticosteroid ophthalmic drops
The most common virological cause of conjunctivitis is:
A. Coronavirus
B. Adenovirus
C. Rhinovirus
D. Human papillomavirus - answer b. Adenovirus
Txment of viral conjunctivitis can include:
A. Moxifloxacin ophthalmic drops
B. Polymyxin b ophthalmic drops
C. Oral acyclovir
D. No antibiotic txment needed - answer d. No antibiotic txment needed
Anterior epistaxis is usually caused by:
A. Hypertension
,B. Bleeding d/o
C. Localized nasal mucosa trauma
D. A foreign body - answer c. Localized nasal mucosa trauma
First-line intervention for anterior epistaxis includes:
A. Nasal packing
B. Application of topical thrombin
C. Firm pressure to the area superior to the nasal alar cartilage
D. Chemical cauterization - answer c. Firm pressure to the area superior to the
nasal alar cartilage
The most common clinical finding in pts with severe or refractory epistaxis is:
A. Type 2 dm
B. Htn
C. Acute bacterial sinusitis
D. Anemia - answer b. Htn
A 22 y/o man with recurrent epistaxis episodes fails to respond to simple pressure.
Alternative approaches include all of the following except:
A. Initiating systemic prothrombotic txment
B. Nasal packing
C. Chemical cautery
D. Topical antifibrinolytic agents - answer a. Initiating systemic prothrombotic
txment
All of the following are components of the classic ophthalmogical emergency except:
A. Eye pain
B. Purulent eye discharge
C. Red eye
, D. New onset change in visual acuity - answer b. Purulent eye discharge
Mrs. Murphy is a 58 y/o woman presenting with a suddent left-sided headache that
is most painful in her left eye. Her vision is blurred and the left pupil is sltly dilated
and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the snellen chart is 20/30 od and 20/90 os. The most likely dx is:
A. Unilateral herpetic conjunctivitis
B. Open angle glaucoma
C. Angle-closure glaucoma
D. Anterior uveitis - answer c. Angle-closure glaucoma
In caring for mrs. Murphy, who is dx with angle-closure glaucoma, the most
appropriate next action is:
A. Prompt referral to an ophthalmologist
B. To provide analgesia and repeat the evaluation when the pt is more comfortable
C. Instill a corticosteroid ophthalmic solution
D. Patch the eye and arrange for f/u in 24 hrs - answer a. Prompt referral to
an ophthalmologist
A 48 yo man presents with a new-onset rt eye vision change accompanied by dull
pain, tearing, and photophobia. The rt pupil is small, irregular, and poorly reactive.
Vision testing obtained by using the snellen chart is 20/30 left eye and 20/80 rt eye.
The most likely dx is:
A. Unilateral herpetic conjunctivitis
B. Open angle glaucoma
C. Angle-closure glaucoma
D. Anterior uveitis - answer d. Anterior uveitis
Mrs. Allen is a 67 y/o woman with dmii who complains of seeing flashing lights and
floaters, decreased visual acuity, and metamorphopsia in her left eye. The mostly
likely dx is:
A+|VERIFIED
A 19 y/o man presents with a cc of a red, irritated rt eye for the past 48 hrs with
eyelids that were stuck together this morning when he awoke. Exam reveals injected
palpebral and bulbar conjunctiva and reactive pupils; vision screen with the snellen
chart eval reveals 2-/30 in the right eye, left eye and both eyes; and purulent eye
discharge in on the right. This presentation is most consistent with:
A. Suppurative conjunctivitis
B. Viral conjunctivitis
C. Allergic conjunctivitis
D. Mechanical injury - answer a. Suppurative conjunctivitis
A 19 y/o woman presents with a complaint of bilaterally itchy, red eyes with tearing
that occurs intermittently throughout the year and is often accompanied by a rope-
like eye discharge and clear nasal discharge. This is most consistent with conjunctival
inflammation caused by a)n):
A. Bacterium
B. Virus
C. Allergen
D. Injury - answer c. Allergen
Common causative organisms of acute suppurative conjunctivitis include all of the
following except:
A. Staphylococcus aureus
B. Haemophilus influenzae
C. Streptococcus pneumoniae
D. Pseudomonas aeruginosa - answer d. Pseudomonas aeruginosa
,Txment options in suppurative conjunctivitis include all of the following ophthalmic
preparations except:
A. Polymyxin b plus trimethroprim
B. Levofloxacin
C. Polymyxin
D. Azithromycin - answer c. Polymyxin
Txment options in acute and recurrent allergic conjunctivitis include all of the
following except:
A. Cromolyn ophthalmic drops
B. Oral antihistamines
C. Ophthalmological antihistamines
D. Corticosteroid ophthalmic drops - answer d. Corticosteroid ophthalmic drops
The most common virological cause of conjunctivitis is:
A. Coronavirus
B. Adenovirus
C. Rhinovirus
D. Human papillomavirus - answer b. Adenovirus
Txment of viral conjunctivitis can include:
A. Moxifloxacin ophthalmic drops
B. Polymyxin b ophthalmic drops
C. Oral acyclovir
D. No antibiotic txment needed - answer d. No antibiotic txment needed
Anterior epistaxis is usually caused by:
A. Hypertension
,B. Bleeding d/o
C. Localized nasal mucosa trauma
D. A foreign body - answer c. Localized nasal mucosa trauma
First-line intervention for anterior epistaxis includes:
A. Nasal packing
B. Application of topical thrombin
C. Firm pressure to the area superior to the nasal alar cartilage
D. Chemical cauterization - answer c. Firm pressure to the area superior to the
nasal alar cartilage
The most common clinical finding in pts with severe or refractory epistaxis is:
A. Type 2 dm
B. Htn
C. Acute bacterial sinusitis
D. Anemia - answer b. Htn
A 22 y/o man with recurrent epistaxis episodes fails to respond to simple pressure.
Alternative approaches include all of the following except:
A. Initiating systemic prothrombotic txment
B. Nasal packing
C. Chemical cautery
D. Topical antifibrinolytic agents - answer a. Initiating systemic prothrombotic
txment
All of the following are components of the classic ophthalmogical emergency except:
A. Eye pain
B. Purulent eye discharge
C. Red eye
, D. New onset change in visual acuity - answer b. Purulent eye discharge
Mrs. Murphy is a 58 y/o woman presenting with a suddent left-sided headache that
is most painful in her left eye. Her vision is blurred and the left pupil is sltly dilated
and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the snellen chart is 20/30 od and 20/90 os. The most likely dx is:
A. Unilateral herpetic conjunctivitis
B. Open angle glaucoma
C. Angle-closure glaucoma
D. Anterior uveitis - answer c. Angle-closure glaucoma
In caring for mrs. Murphy, who is dx with angle-closure glaucoma, the most
appropriate next action is:
A. Prompt referral to an ophthalmologist
B. To provide analgesia and repeat the evaluation when the pt is more comfortable
C. Instill a corticosteroid ophthalmic solution
D. Patch the eye and arrange for f/u in 24 hrs - answer a. Prompt referral to
an ophthalmologist
A 48 yo man presents with a new-onset rt eye vision change accompanied by dull
pain, tearing, and photophobia. The rt pupil is small, irregular, and poorly reactive.
Vision testing obtained by using the snellen chart is 20/30 left eye and 20/80 rt eye.
The most likely dx is:
A. Unilateral herpetic conjunctivitis
B. Open angle glaucoma
C. Angle-closure glaucoma
D. Anterior uveitis - answer d. Anterior uveitis
Mrs. Allen is a 67 y/o woman with dmii who complains of seeing flashing lights and
floaters, decreased visual acuity, and metamorphopsia in her left eye. The mostly
likely dx is:
