OPHTHALMOLOGY CASE STUDY QUESTIONS-CLIN MED 1 EXAM 2 QUESTIONS WITH CORRECT

OPHTHALMOLOGY CASE STUDY
QUESTIONS-CLIN MED 1 EXAM 2
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2025-
2026 ASSURED EXCEL!!
AS44-year-
oldSmanSpresentsStoShisSprimaryScareSdoctorSreportingSthatSheSwokeSupS2SdaysSagoSwithSrightSeyeSir
ritation,Sredness,SandScrusting.STodaySheShasSsignificantSyellowSdischargeSfromShisSeyeSthatShasSwo
rsenedSasStheSdaySprogressed.SHeSdeniesSfever,Strauma,SvisionSchange,SorSupperSrespiratorySsympt
oms.SHeScurrentlySworksSasSaSday-
careSsupervisor.SOnSexamination,SheShasSmild,SgeneralizedSswellingStoShisSrightSeyelid,Sconjunctival
Sinjection,SandSpurulentSdischarge.SHisSfluoresceinSdyeStestSisSnegativeSforSabnormalSuptake.SWhatS


isStheSmostSlikelySdiagnosis?



A.AllergicSconjunctivitis

B.BacterialSconjunctivitis

C.HerpeticSconjunctivitis

D.Stye

E.ViralSconjunctivitisS-SSCORRECTSANSWERSB.SBacterialSconjunctivitis



TheSpatient'sSpresentationSwithSunilateralSpurulentSdischargeSisSconsistentSwithSbacterialSconjunct
ivitis.SSimilarStoSviralSandSallergicSconjunctivitis,SpatientsSoftenSreportSthatStheirSeyeSisS"stuckSshut"S
inStheSmorning.SHisSroleSasSaSday-
careSsupervisorSincreasesShisSriskSofScontractingSthisStypeSofSinfection.SPurulentSdischargeSthatScon
tinuesSthroughoutStheSdaySandSisSyellowSandSthickSisSconsistentSwithSbacterialSconjunctivitis.



AS68-year-oldSwomanSreturnsStoStheSclinicSforSfollow-
upSafterSsheSwasSseenStheSdaySbeforeSforSaSpainful,SvesicularSrashStoStheSleftSsideSofSherSforeheadSa
ndSherSleftStemple.SSheShasSneverShadSthisStypeSofSrashSbeforeSanywhereSonSherSbody.SOnStoday'sSv

,isit,SsheSreportsSleftSeyeSirritation,SincreasedStearing,SandSlightSsensitivity.SOnSaSfluoresceinSdyeSexa
mination,SaSdendriticSuptakeSpatternSisSnotedSnextStoSaS1SmmSdiameterSulceration.SWhatSpathogen
SisSmostSlikelySresponsibleSforStheseSfindings?




A.HerpesSsimplexSvirusStypeS1

B.Measles

C.Pseudomonas

D.StaphylococcusSaureus

E.Varicella-zosterSvirusS-SSCORRECTSANSWERSE.SVaricella-zosterSvirus



HerpesSandSvaricellaSviralSinfectionsScanSinfectStheSeyeScausingSirritation,Sredness,SandSdischarge.S
OnSfluoresceinSdye,SaSdendriticSuptakeSpatternSisSconsistentSwithStheseSinfections.SThisSpatientSisSp
resentingSwithSaSvaricella-zoster-typeSrash.



Note:SHerpesSsimplexSwasStheS2ndSmostSchosenSanswer.STheSclueStoSthisSoneSisSthatSVaricellaSzoste
rSwillSbeSclearlySdemarcatedSacrossStheSforehead/face,SwhileSherpesSsimplexSstaysSmoreSlocalStoSth
eSeye.



AS28-year-
oldSmanSpresentsStoStheSurgentScareScenterSdueStoSincreasedSeyeSirritationSandStearingSinShisSleftSe
ye.SHeSdeniesStraumaSorSvisionSloss.SHisSeyeSexaminationSrevealsSaSthickenedSareaSoriginatingSfrom
StheSleftSmedialScanthus.SThereSisSnoSulcerationSandStheSrestSofShisSocularSexaminationSisSnormal.S


WhatSisStheSmostSlikelyScauseSofSthisSfinding?



A.BlockedSmeibomianSgland

B.BacterialSinfection

C.ContactSlensSuse

D.ExtensiveSultravioletS(UV)Sexposure

, E.RecurrentSherpeticSinfectionStoStheSeyeS-
SSCORRECTSANSWERSD.ExtensiveSultravioletS(UV)Sexposure




ExtensiveSUVSlightSexposureSisSaScommonScauseSofSpterygiumSformation,SaSbenignSgrowthSonStheSs
urfaceSofStheSeyeSthatSoftenSoriginatesSinStheSmedialScanthus.SWindScanScauseSthisSconditionSasSwe
ll.STheseSfactorsSareSmostSconsistentSwithStheSpatient'sSsocialShistorySandSdiagnosis.



ASblockedSmeibomianSglandSwillScauseSaSchalazion.SWhileSaSchalazionSmaySirritateStheSsurfaceSofSt
heSeye,SitSisSnotSassociatedSwithSanySgrowthsSalongStheScornea.SASbacterialSinfectionScanScauseSeyeS
irritation,SinflammationSofStheSconjunctiva,SandSdischarge.SContactSlensesScanSirritateStheSeyeSandS
causeSinfectionSandSulcerationSifSwornSforStooSlong,SbutSareSnotSassociatedSwithSabnormalSgrowths
SonStheSsurfaceSofStheSeye.SRecurrentSherpeticSinfectionsStoStheSeyeScanSresultSinSscarring;Showever


,SbasedSonSthisSpatient'sShistory,SthisSisSnotStheSlikelySdiagnosis.



AS54-year-
oldSwomanSpresentsStoStheSprimaryScareSclinicSdueStoS3SdaysSofSprogressiveSswellingSandSrednessSo
nStheSinsideSofSherSrightSeye.SSheSreportsSthatStheSeyeSisSslightlySpainful,SandSnotesSincreasedSteari
ng.SSheSisSgenerallyShealthy,SbutSreportsSsufferingSfromSaSsinusSinfectionSaSweekSago.SOnSexaminati
on,SthereSisSvisibleSlocalizedSswellingSandSrednessSonStheSinner,SinferiorSportionSofSherSrightSeye.SWi
thSgentleSpressureSappliedStoSthisSarea,SscantSdischargeScanSbeSexpressedSfromStheSmedialSexcreto
rySduct.SWhatSisStheSpatient'sSmostSlikelySdiagnosis?



A.Conjunctivitis

B.Dacryocystitis

C.Iritis

D.Pterygium

E.StyeS-SSCORRECTSANSWERSB.Dacryocystitis



DacryocystitisSisSanSeyeSinfectionSthatSisScausedSbySblockageSofStheSnasolacrimalSduct,SwhichScanSc
auseSswelling,Sredness,SandSdiscomfortStoStheSinner,SinferiorSportionSofStheSeyeSoverStheSlacrimalSs