Ophthalmology Case Study Questions-Clin Med 1 exam 2
A 22-year-old woman with a past medical history of A.Olopatadine ophthalmic solution
atopic dermatitis presents to the urgent care clinic with
complaints of intense itching, redness, tearing, and Olopatadine ophthalmic solution is a topical antihistamine with
swelling of both eyes for 2-3 hours. Symptoms began stabilizing properties. The patient has acute allergic conjunctiv
within 45 minutes of arriving at her friend's apartment. mediated allergic reaction is caused by ocular exposure to air-
Her friend owns a cat and a dog. She denies any eye likely cat or dog dander in this patient's case. Patients with aller
trauma, eye pain, chemical or particulate exposure, conjunctivitis may have a history of atopic disease (asthma, alle
vision changes, or vision loss. She does not wear atopic dermatitis, seasonal or specific allergy). Common sympt
corrective or contact lenses. She denies any nasal conjunctivitis include bilateral ocular pruritus, injection, and wa
congestion, cough, wheezing, or skin changes. Vital Most cases are self-limited and resolve within 1 day after remov
signs are normal. Physical examination reveals diffuse allergen. Other eye care instructions include future allergen av
bilateral conjunctival injection and mild eyelid edema avoiding rubbing of the eyes, and the use of cool compresses
with watery non-purulent discharge. There is no corneal counter artificial tears.
involvement, and the fluorescein stain is negative.
Pupils are equally round and reactive to light bilaterally. Trifluridine is a topical antiviral indicated for the treatment of he
The remainder of the eyes, ears, nose, and throat virus keratoconjunctivitis. Prednisolone acetate is a topical gluc
examination is normal and the lungs are clear to should only be used for short-term therapy in patients whose s
aucultation bilaterally. What is the most appropriate refractory to antihistamines with mast cell-stabilizing propertie
treatment for this patient? is a fluoroquinolone antibiotic indicated for the treatment of ba
conjunctivitis and corneal ulcers. Fexofenadine is an oral H1 an
A.Olopatadine ophthalmic solution
, Ophthalmology Case Study Questions-Clin Med 1 exam 2
B.Trifluridine ophthalmic solution may be helpful in cases of more generalized allergic reactions
C.Prednisolone acetate ophthalmic solution rhinitis, generalized pruritus).
D.Ciprofloxacin ophthalmic solution
E.Oral fexofenadine
A 28-year-old man presents to the urgent care center D.Extensive ultraviolet (UV) exposure
due to increased eye irritation and tearing in his left
eye. He denies trauma or vision loss. His eye Extensive UV light exposure is a common cause of pterygium f
examination reveals a thickened area originating from benign growth on the surface of the eye that often originates i
the left medial canthus. There is no ulceration and the canthus. Wind can cause this condition as well. These factors a
rest of his ocular examination is normal. What is the consistent with the patient's social history and diagnosis.
most likely cause of this finding?
A blocked meibomian gland will cause a chalazion. While a cha
A.Blocked meibomian gland irritate the surface of the eye, it is not associated with any grow
B.Bacterial infection cornea. A bacterial infection can cause eye irritation, inflamma
C.Contact lens use conjunctiva, and discharge. Contact lenses can irritate the eye
D.Extensive ultraviolet (UV) exposure infection and ulceration if worn for too long, but are not assoc
E.Recurrent herpetic infection to the eye abnormal growths on the surface of the eye. Recurrent herpet
the eye can result in scarring; however, based on this patient's
not the likely diagnosis.
, Ophthalmology Case Study Questions-Clin Med 1 exam 2
A 32-year-old woman presents to the urgent care A.Dendritic pattern of uptake
center with complaints of recurrent right eye pain in the
absence of trauma. This pain has occurred twice in the Based on this patient's medical history, she is at increased risk o
past year. Prior to symptom onset, she reports having herpetic eye infection. This diagnosis can be confirmed with a f
had a stressful work week, with poor sleep. She also examination that reveals a dendritic pattern of dye uptake.
reports that she has a history of a vesicular rash to her
upper lip that usually resolves within a week. An eye
examination is performed. Her conjunctiva is injected,
and she has moderate tearing to her right eye. Her
right lids are also slightly swollen. A fluorescein dye test
is likely to reveal which of the following findings
consistent with the most likely cause of her symptoms?
A.Dendritic pattern of uptake
B.Diffuse corneal ulceration
C.No abnormal uptake
D.Punctate uptake
E.Stromal opacity with an irregular border
A 22-year-old woman with a past medical history of A.Olopatadine ophthalmic solution
atopic dermatitis presents to the urgent care clinic with
complaints of intense itching, redness, tearing, and Olopatadine ophthalmic solution is a topical antihistamine with
swelling of both eyes for 2-3 hours. Symptoms began stabilizing properties. The patient has acute allergic conjunctiv
within 45 minutes of arriving at her friend's apartment. mediated allergic reaction is caused by ocular exposure to air-
Her friend owns a cat and a dog. She denies any eye likely cat or dog dander in this patient's case. Patients with aller
trauma, eye pain, chemical or particulate exposure, conjunctivitis may have a history of atopic disease (asthma, alle
vision changes, or vision loss. She does not wear atopic dermatitis, seasonal or specific allergy). Common sympt
corrective or contact lenses. She denies any nasal conjunctivitis include bilateral ocular pruritus, injection, and wa
congestion, cough, wheezing, or skin changes. Vital Most cases are self-limited and resolve within 1 day after remov
signs are normal. Physical examination reveals diffuse allergen. Other eye care instructions include future allergen av
bilateral conjunctival injection and mild eyelid edema avoiding rubbing of the eyes, and the use of cool compresses
with watery non-purulent discharge. There is no corneal counter artificial tears.
involvement, and the fluorescein stain is negative.
Pupils are equally round and reactive to light bilaterally. Trifluridine is a topical antiviral indicated for the treatment of he
The remainder of the eyes, ears, nose, and throat virus keratoconjunctivitis. Prednisolone acetate is a topical gluc
examination is normal and the lungs are clear to should only be used for short-term therapy in patients whose s
aucultation bilaterally. What is the most appropriate refractory to antihistamines with mast cell-stabilizing propertie
treatment for this patient? is a fluoroquinolone antibiotic indicated for the treatment of ba
conjunctivitis and corneal ulcers. Fexofenadine is an oral H1 an
A.Olopatadine ophthalmic solution
, Ophthalmology Case Study Questions-Clin Med 1 exam 2
B.Trifluridine ophthalmic solution may be helpful in cases of more generalized allergic reactions
C.Prednisolone acetate ophthalmic solution rhinitis, generalized pruritus).
D.Ciprofloxacin ophthalmic solution
E.Oral fexofenadine
A 28-year-old man presents to the urgent care center D.Extensive ultraviolet (UV) exposure
due to increased eye irritation and tearing in his left
eye. He denies trauma or vision loss. His eye Extensive UV light exposure is a common cause of pterygium f
examination reveals a thickened area originating from benign growth on the surface of the eye that often originates i
the left medial canthus. There is no ulceration and the canthus. Wind can cause this condition as well. These factors a
rest of his ocular examination is normal. What is the consistent with the patient's social history and diagnosis.
most likely cause of this finding?
A blocked meibomian gland will cause a chalazion. While a cha
A.Blocked meibomian gland irritate the surface of the eye, it is not associated with any grow
B.Bacterial infection cornea. A bacterial infection can cause eye irritation, inflamma
C.Contact lens use conjunctiva, and discharge. Contact lenses can irritate the eye
D.Extensive ultraviolet (UV) exposure infection and ulceration if worn for too long, but are not assoc
E.Recurrent herpetic infection to the eye abnormal growths on the surface of the eye. Recurrent herpet
the eye can result in scarring; however, based on this patient's
not the likely diagnosis.
, Ophthalmology Case Study Questions-Clin Med 1 exam 2
A 32-year-old woman presents to the urgent care A.Dendritic pattern of uptake
center with complaints of recurrent right eye pain in the
absence of trauma. This pain has occurred twice in the Based on this patient's medical history, she is at increased risk o
past year. Prior to symptom onset, she reports having herpetic eye infection. This diagnosis can be confirmed with a f
had a stressful work week, with poor sleep. She also examination that reveals a dendritic pattern of dye uptake.
reports that she has a history of a vesicular rash to her
upper lip that usually resolves within a week. An eye
examination is performed. Her conjunctiva is injected,
and she has moderate tearing to her right eye. Her
right lids are also slightly swollen. A fluorescein dye test
is likely to reveal which of the following findings
consistent with the most likely cause of her symptoms?
A.Dendritic pattern of uptake
B.Diffuse corneal ulceration
C.No abnormal uptake
D.Punctate uptake
E.Stromal opacity with an irregular border
