PRACTICE QUESTIONS WITH CORRECT ANSWERS GRADED A+ FOR ASSURED EXCEL!!.pdf

PRACTICE QUESTIONS WITH
CORRECT ANSWERS GRADED A+
FOR 2025-2026 ASSURED EXCEL!!
AN32-year-oldNwomanNcomesNtoNyourNofficeNwithNaN1-
weekNhistoryNofNbilateralNredNeyesNassociatedNwithNtearingNandNcrusting,NaNsoreNthroatNwithNdiffic
ultyNswallowing,NandNaNcoughNthatNwasNinitiallyNnonproductiveNbutNhasNbecomeNproductiveNdurin
gNtheNpastNfewNdays.NTheNpatientNdisplaysNsignificantNfatigueNandNlethargy,NisNhoarse,NandNisNhavin
gNgreatNdifficultyNperformingNanyNofNherNroutineNdailyNchores.

OnNphysicalNexamination,NthereNisNbilateralNconjunctivalNinjection.NHerNvisualNacuityNisNnormal.NTh
ereNisNsignificantNpharyngealNerythemaNbutNnoNexudate.NCervicalNlymphadenitisNisNnotNpresent.NE
xaminationNofNtheNchestNrevealsNaNfewNexpiratoryNcracklesNbilaterally.

WhatNisNtheNmostNlikelyNorganismNorNconditionNresponsibleNforNtheNconstellationNofNsymptomsNinN
thisNpatient?



A.Nendotoxin-producingNStaphylococcus

B.Nendotoxin-producingNStreptococcus

C.Nexotoxin-producingNStaphylococcus

D.NactivationNofNtheNautoimmuneNsystem

EN-NNCORRECTNANSWERSE.N



QuestionN2NExplanation:

ThisNpictureNisNcompletelyNconsistentNwithNadenovirusNinfectionNandNaNprimaryNviralNconjunctiviti
s.NViralNagents,NespeciallyNadenovirus,NproduceNsignsNandNsymptomsNofNupperNrespiratoryNtractNi
nfection,NwithNtheNredNeyeNbeingNprominentNamongNthoseNsymptoms.NWithNadenovirus,NthereNisN
oftenNassociatedNconjunctivalNhyperemia,NeyelidNedema,NandNaNserousNorNseropurulentNdischarge
.NViralNconjunctivitisNisNself-
limited,NlastingN1NtoN3Nweeks.NIfNtheNconjunctivitisNisNdefinitelyNcausedNbyNaNvirus,NnoNantibioticNtr

,eatmentNisNnecessary.NThereNisNnoNindicationNtoNperformNaNthroatNcultureNorNanyNotherNtestNatNthi
sNtime.NTheNonlyNtheoreticalNconcernsNareNtheN"rales"NthatNareNpresentNinNbothNlungNbases;NyouNc
ouldNargueNthatNifNtheNpatientNisNsickNenough,NaNchestNradiographNmayNbeNindicated.



AN7NyearNoldNboyNpresentsNtoNyourNclinicNwithNthickNpurulentNdischargeNfromNherNrightNeyeNwhichN
wasNsignificantlyNworseNthisNmorning.NWhatNshouldNyouNdoNnext?



A.NtakeNaNsampleNofNtheNdischargeNandNsendNitNtoNtheNlabNforNculture.

B.NsendNtheNpatientNhomeNtoNperformNwarmNcompressesNforN20NminutesN3NtimesNdailyNtellNthemN
toNcomeNbackNifNsymptomsNbecomeNworse

C.NmoxifloxacinN0.5%NdropsNtidNforN7NtoN10Ndays

D.NtopicalN1%NprednisoloneNacetateNqidN-NNCORRECTNANSWERSC.N



QuestionN3NExplanation:

IfNneitherNgonococcalNnorNchlamydialNinfectionNisNsuspected,NmostNcliniciansNtreatNpresumptively
NwithNmoxifloxacinN0.5%NdropsNtidNforN7NtoN10NdaysNorNanotherNfluoroquinoloneNorNtrimethoprim


/polymyxinNBNqid.NANpoorNclinicalNresponseNafterN2NorN3NdaysNindicatesNthatNtheNcauseNisNresistant
Nbacteria,NaNvirus,NorNanNallergy.NCultureNandNsensitivityNstudiesNshouldNthenNbeNdoneN(ifNnotNdon


eNpreviously);NresultsNdirectNsubsequentNtreatment.



AN12NyearNoldNpresentNtoNyourNofficeNwithNredNeyes,NitchingNandNtearingNbilaterally.NHeNhasNaNpast
NmedicalNhistoryNsignificantNforNasthma.NAsNyouNexamineNtheNinnerNeyelidNwhatNfindingNdoNyouNex


pectNtoNsee?



A.NcobblestoneNmucosa

B.NKayser-FleischerNrings

C.NmucopurulentNdischarge

D.NdendriticNulcerationsN-NNCORRECTNANSWERSA.N

,QuestionN4NExplanation:

ANclassicNfindingNofNallergicNconjunctivitisNisNcobblestoneNmucosaNonNtheNinner/upperNeyelid.



AN17-year-oldNgirlNcomesNtoNyourNofficeNwithNaN1-
dayNhistoryNofNredNeye.NSheNdescribesNnotNbeingNableNtoNopenNherNrightNeyeNinNtheNmorningNbeca
useNofNcrustingNandNdischarge.NTheNrightNeyeNfeelsNswollenNandNuncomfortable,NalthoughNthereNis
NnoNpain.NOnNexamination,NsheNhasNaNsignificantNrednessNandNinjectionNofNtheNrightNbulbarNandNpa


lpebralNconjunctivae.NThereNisNaNmucopurulentNdischargeNpresent.NNoNotherNabnormalitiesNareNp
resentNonNphysicalNexamination.NHerNvisualNacuityNisNnormal.



A.NbacterialNconjunctivitis

B.NviralNconjunctivitis

C.NallergicNconjunctivitis

D.NautoimmuneNconjunctivitisN-NNCORRECTNANSWERSA.N



QuestionN5NExplanation:

ThisNpatientNhasNaNprimaryNbacterialNconjunctivitis.NUnlikeNviralNconjunctivitis,NbacterialNconjuncti
vitisNwillNproduceNaNmucopurulentNdischargeNfromNtheNbeginning.NSymptomsNareNmoreNoftenNunil
ateral,NandNassociatedNeyeNdiscomfortNisNcommon.NInNbacterialNconjunctivitis,NnormalNvisualNacuit
yNisNalwaysNmaintained.NThereNisNusuallyNuniformNengorgementNofNallNtheNconjunctivalNbloodNvess
els.NThereNisNnoNstainingNofNtheNcorneaNwithNfluorescein.NBacterialNconjunctivitisNshouldNbeNtreate
dNwithNantibioticNdropsNsuchNasNsodiumNsulfacetamide,Ngentamicin,NorNfluoroquinolones.



AN12Nyear-
oldNpresentsNwithNcomplaintNofNbothNeyesN"watering."NHeNalsoNcomplainsNofNsinusNcongestionNan
dNsneezingNforNtwoNweeks.NOnNexamNvitalNsignsNareNT-38°C,NP-80/minute,NandNRR-
20/minute.NTheNeyesNrevealNmildNconjunctivalNinjectionNbilaterally,NclearNwateryNdischarge,NandNn
oNmatting.NPupilsNareNequal,Nround,NandNreactiveNtoNlightNandNaccommodation.NTheNextraocularN
movementsNareNintact.NTheNfunduscopicNexamNshowsNnormalNdiscNandNvessels.NTheNTMsNareNnor
malNandNtheNcanalsNareNclear.NTheNnasalNmucosaNisNboggy,NwithNclearNrhinorrhea.NWhichNofNtheNfo
llowingNisNtheNmostNhelpfulNpharmacologicNagent?

, A.ArtificialNtears

B.NTobramycinNdrops

C.NErythromycinNointment

D.NNaphazolineN(Naphcon-A)NdropsN(Antihistamine)N-NNCORRECTNANSWERSD.N



QuestionN6NExplanation:

NaphazolineNisNaNtopicalNantihistamineNthatNrelievesNsymptomsNofNallergicNconjunctivitis.



ANpatientNisNevaluatedNinNtheNofficeNwithNaNredNeye.NTheNpatientNawokeNwithNrednessNandNaNwater
yNdischargeNfromNtheNeye.NTheNeyelidsNwereNnotNmattedNtogether.NExaminationNrevealsNaNpalpabl
eNpreauricularNnode.NWhichNofNtheNfollowingNisNtheNmostNlikelyNdiagnosis?



A.NbacterialNconjunctivitis

B.NviralNconjunctivitis

C.NallergicNconjunctivitis

D.NgonococcalNconjunctivitisN-NNCORRECTNANSWERSB.N



QuestionN7NExplanation:

ViralNconjunctivitisNisNassociatedNwithNcopiousNwateryNdischargeNandNpreauricularNadenopathy.



AN23Nyear-
oldNsexuallyNactiveNfemaleNpresentsNwithNaN4NdayNhistoryNofNpainlessNbilateralNeyeNexudatesNwhic
hNsheNdescribesNasNcopious.NVisualNacuityNisN20/20,NgeneralizedNconjunctivalNinflammationNwithNs
paringNofNtheNcorneaNisNnotedNonNphysicalNexamination.NGramNstainNofNtheNexudateNrevealsNgramN
negativeNdiplococci.NAppropriateNmanagementNofNthisNcaseNis



A.NceftriaxoneN(Rocephin)