WEEK 3 QUIZ NR511 QUESTIONS AND
ANSWERS
Aml10-year-
oldmlpresentsmltomlthemlofficemlwithmlhismlmothermlwithmlcomplaintsmlofmlitchymlandmlredmleye
smlforml1mlday.mlHemlreportsmlwaterymldrainagemlinmlbothmleyesmlassociatedmlwithmlconstant
mlitching.mlHemlhasmlnomlfevermlormlconstitutionalmlsymptoms.mlThemlpatientmlhasmlamlsibling
mlthatmljustmlstartedmldaymlcaremlrecently.mlUponmlexamination,mlvisionmlisml20/20mlOUmlwit
hmlglasses.mlHemlhasmlmildmltomlmoderatemlconjunctivalmlhyperemiamlwithmlbilateralmlpreau
ricularmllymphmlnodesmlthatmlaremlinflamed.mlWhatmlismlthemlmostmllikelymldiagnosis?ml-
mlanswer--Viralmlconjunctivitis
Aml64-year-
oldmlhasmlhadmlamlcornealmlinfectionmlformlseveralmlweeks.mlHemlasksmlwhymlthemlinfectionmli
smlstillmlpresent.mlHowmldomlyoumlrespond?ml-mlanswer--
Becausemlthemlcorneamldoesn'tmlhavemlamlbloodmlsupply,mlanmlinfectionmlcanmlbemlfoughtml
offmlasmlusual
Aml47-year-
oldmlpresentsmltomlthemlclinicmlwithmlamlredmleye.mlHowmlwouldmlthemlNPmldifferentiatemlbetw
eenmliritismlandmlconjunctivitis?ml-mlanswer--Ciliarymlflush
Aml54-year-
oldmlpresentsmltomlthemlofficemlwithmlamlpainfulmlredmleyemlwithoutmldischarge.mlWhatmlismlth
emlmostmllikelymlinitialmldiagnosis?ml-mlanswer--Iritis
Anml82-year-
oldmlpresentsmlwithmlseveralmleyemlcomplaints.mlShemlstatesmlthatmlhermleyesmlaremlalways
mldrymlandmllookmlsunkenmlin.mlWhatmlismlthemlmostmllikelymlcause?ml-mlanswer--
Normalmlage-relatedmlchanges
Aml46-year-
oldmlismldiagnosedmlwithmlviralmlconjunctivitis.mlWhatmltreatmentmlshouldmlbemlincluded?ml-
mlanswer--Supportivemlmeasuresmlandmllubricantmleyemldrops
Aml25-year-
oldmlpresentsmlwithmlbleedingmlinmlmymleyemlforml1mlday.mlHemlawokemlthismlmorningmlwithml
amldarkmlareamlofmlrednessmlinmlhismleye.mlHemlhasmlnomlvisualmllossmlormlchanges.mlHemlden
iesmlconstitutionalmlsymptoms,mlpruritus,mldrainage,mlormlrecentmltrauma.mlThemlrednessml
presentsmlonmlphysicalmlexammlasmlamldarkmlredmlareamlinmlthemlpatient'smlscleramlofmlthemlri
ghtmleyemlonlymlandmltakesmlupmllessmlthanml50%mlofmlthemleye.mlThemlpatient'smlremainingml
scleramlismlclearmlandmlwhite.mlHemlalsomlnotesmlhemlwasmldrinkingmlalcoholmllastmlnightmlan
ANSWERS
Aml10-year-
oldmlpresentsmltomlthemlofficemlwithmlhismlmothermlwithmlcomplaintsmlofmlitchymlandmlredmleye
smlforml1mlday.mlHemlreportsmlwaterymldrainagemlinmlbothmleyesmlassociatedmlwithmlconstant
mlitching.mlHemlhasmlnomlfevermlormlconstitutionalmlsymptoms.mlThemlpatientmlhasmlamlsibling
mlthatmljustmlstartedmldaymlcaremlrecently.mlUponmlexamination,mlvisionmlisml20/20mlOUmlwit
hmlglasses.mlHemlhasmlmildmltomlmoderatemlconjunctivalmlhyperemiamlwithmlbilateralmlpreau
ricularmllymphmlnodesmlthatmlaremlinflamed.mlWhatmlismlthemlmostmllikelymldiagnosis?ml-
mlanswer--Viralmlconjunctivitis
Aml64-year-
oldmlhasmlhadmlamlcornealmlinfectionmlformlseveralmlweeks.mlHemlasksmlwhymlthemlinfectionmli
smlstillmlpresent.mlHowmldomlyoumlrespond?ml-mlanswer--
Becausemlthemlcorneamldoesn'tmlhavemlamlbloodmlsupply,mlanmlinfectionmlcanmlbemlfoughtml
offmlasmlusual
Aml47-year-
oldmlpresentsmltomlthemlclinicmlwithmlamlredmleye.mlHowmlwouldmlthemlNPmldifferentiatemlbetw
eenmliritismlandmlconjunctivitis?ml-mlanswer--Ciliarymlflush
Aml54-year-
oldmlpresentsmltomlthemlofficemlwithmlamlpainfulmlredmleyemlwithoutmldischarge.mlWhatmlismlth
emlmostmllikelymlinitialmldiagnosis?ml-mlanswer--Iritis
Anml82-year-
oldmlpresentsmlwithmlseveralmleyemlcomplaints.mlShemlstatesmlthatmlhermleyesmlaremlalways
mldrymlandmllookmlsunkenmlin.mlWhatmlismlthemlmostmllikelymlcause?ml-mlanswer--
Normalmlage-relatedmlchanges
Aml46-year-
oldmlismldiagnosedmlwithmlviralmlconjunctivitis.mlWhatmltreatmentmlshouldmlbemlincluded?ml-
mlanswer--Supportivemlmeasuresmlandmllubricantmleyemldrops
Aml25-year-
oldmlpresentsmlwithmlbleedingmlinmlmymleyemlforml1mlday.mlHemlawokemlthismlmorningmlwithml
amldarkmlareamlofmlrednessmlinmlhismleye.mlHemlhasmlnomlvisualmllossmlormlchanges.mlHemlden
iesmlconstitutionalmlsymptoms,mlpruritus,mldrainage,mlormlrecentmltrauma.mlThemlrednessml
presentsmlonmlphysicalmlexammlasmlamldarkmlredmlareamlinmlthemlpatient'smlscleramlofmlthemlri
ghtmleyemlonlymlandmltakesmlupmllessmlthanml50%mlofmlthemleye.mlThemlpatient'smlremainingml
scleramlismlclearmlandmlwhite.mlHemlalsomlnotesmlhemlwasmldrinkingmlalcoholmllastmlnightmlan
