with Detailed Diagnostic and Management Plans)
LATEST 2025
Case Overview
A patient presents with an acute eye problem affecting vision and comfort. This
i-Human–style case study exam evaluates the learner’s ability to conduct
focused ocular assessment, identify red-flag symptoms, differentiate common
eye conditions, interpret diagnostic findings, and implement appropriate
management and referral plans.
Patient Profile
Age: 55 years
Gender: Female
Chief Complaint: “My right eye is painful and red, and my vision is blurry.”
History of Present Illness
Eye redness and pain for 2 days
Blurred vision in the right eye
Sensitivity to light (photophobia)
Excessive tearing, no purulent discharge
Pain worsens with bright light
Past Medical History
Type 2 Diabetes Mellitus
,I-Human Case Study Exam (Eye Problem Case
with Detailed Diagnostic and Management Plans)
LATEST 2025
Hypertension
Wears contact lenses occasionally
Social History
Non-smoker
Works in an office environment
Vital Signs
BP: 142/88 mmHg
HR: 86 bpm
RR: 18 breaths/min
Temp: 36.7°C
Focused Eye Examination
Visual acuity (Right eye): 6/18
Visual acuity (Left eye): 6/6
Conjunctiva: Marked redness (right eye)
Cornea: Hazy appearance
Pupil: Sluggish reaction to light (right eye)
Intraocular pressure: Slightly elevated
, I-Human Case Study Exam (Eye Problem Case
with Detailed Diagnostic and Management Plans)
LATEST 2025
QUESTIONS
Question
Which symptom is a red flag requiring urgent evaluation?
A. Mild itching
B. Photophobia
C. Watery discharge
D. Dry eyes
Correct Answer: B. Photophobia
Rationale: Photophobia may indicate serious intraocular pathology.
Question
Which finding most strongly suggests uveitis?
A. Purulent discharge
B. Pain with light exposure
C. Crusting of eyelids
D. Itching
Correct Answer: B. Pain with light exposure