3P EXAM STUDY GUIDE 2026 TEST PAPER
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Allergic Conjunctivitis (Keratoconjunctivitis): Symptoms &
Treatment.
Answer: Symptoms: Typically, bilateral itchy eyes with "stringy
discharge and increased tearing"
Type I sensitivity (IgE)
Rhinitis and allergic shiner
Treatment: PO (oral) antihistamines
Eye drops olopatadine (Patanol), Visine (short term or episodic use
only)
Cool compresses and avoid allergens
*May be called keratoconjunctivitis on ANCC
⩥ Bacterial Conjunctivitis: Symptoms and treatment.
Answer: Symptoms: • Acute onset of red eye • Dried yellow-green
crusting on eyelids on awakening
,Treatment: Topical ophthalmic fluroquinolones (Ofloxacin) Q 2-4 hours
x 2 days, then QID x 5 days
⩥ Viral Conjunctivitis (Pink Eye): Symptoms and treatment.
Answer: Symptoms: • Acute onset of red eye • Complaint of itchy eyes;
one or both eyes • Periauricular lymphadenopathy 18 • Very contagious
Treatment: No treatment; frequent hand washing
Keep away from school for 1 week
⩥ Herpes Keratitis: Cause, symptoms, DX, TX.
Answer: Cause: Herpes Simples Virus or Shingles (Herpes Zoster)
Symptoms: Abrupt onset of eye PAIN, blurred vision, and tearing,
Vesicles and/or small rash on the temple on affected side Follows the V1
branch (ophthalmic branch) of the trigeminal nerve (CN V)
Dx: Fluorescein dye o Shows "fern-like" lesion
Treatment: Ophthalmologist or ER STAT
⩥ Corneal Abrasion: Symptoms & DX & treatment & alternative meds.
Answer: Symptoms: Acute onset of severe eye PAIN
, Abrasion is round/irregular Foreign body sensation
Dx: Fluorescein dye. Will help rule out herpes keratitis
Treatment: • Erythromycin ointment QID x 3-5 days
DO NOT PATCH THE EYE
Alternative Meds: Sulfacetamide 10%
Ciprofloxacin or ofloxacin
⩥ Acute Angle-Closure Glaucoma:symptoms and treatment.
Answer: Normal ICP: 8-21
Acute angle glaucoma ICP >21
Symptoms:
Acute onset of severe eye PAIN
Decreased/Blurred Vision • Frontal Headache Nausea/Vomiting
Cloudy cornea
Mid-dilated oval/ovoid shape pupil and in a fixed position Pupil does not
respond to light
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Allergic Conjunctivitis (Keratoconjunctivitis): Symptoms &
Treatment.
Answer: Symptoms: Typically, bilateral itchy eyes with "stringy
discharge and increased tearing"
Type I sensitivity (IgE)
Rhinitis and allergic shiner
Treatment: PO (oral) antihistamines
Eye drops olopatadine (Patanol), Visine (short term or episodic use
only)
Cool compresses and avoid allergens
*May be called keratoconjunctivitis on ANCC
⩥ Bacterial Conjunctivitis: Symptoms and treatment.
Answer: Symptoms: • Acute onset of red eye • Dried yellow-green
crusting on eyelids on awakening
,Treatment: Topical ophthalmic fluroquinolones (Ofloxacin) Q 2-4 hours
x 2 days, then QID x 5 days
⩥ Viral Conjunctivitis (Pink Eye): Symptoms and treatment.
Answer: Symptoms: • Acute onset of red eye • Complaint of itchy eyes;
one or both eyes • Periauricular lymphadenopathy 18 • Very contagious
Treatment: No treatment; frequent hand washing
Keep away from school for 1 week
⩥ Herpes Keratitis: Cause, symptoms, DX, TX.
Answer: Cause: Herpes Simples Virus or Shingles (Herpes Zoster)
Symptoms: Abrupt onset of eye PAIN, blurred vision, and tearing,
Vesicles and/or small rash on the temple on affected side Follows the V1
branch (ophthalmic branch) of the trigeminal nerve (CN V)
Dx: Fluorescein dye o Shows "fern-like" lesion
Treatment: Ophthalmologist or ER STAT
⩥ Corneal Abrasion: Symptoms & DX & treatment & alternative meds.
Answer: Symptoms: Acute onset of severe eye PAIN
, Abrasion is round/irregular Foreign body sensation
Dx: Fluorescein dye. Will help rule out herpes keratitis
Treatment: • Erythromycin ointment QID x 3-5 days
DO NOT PATCH THE EYE
Alternative Meds: Sulfacetamide 10%
Ciprofloxacin or ofloxacin
⩥ Acute Angle-Closure Glaucoma:symptoms and treatment.
Answer: Normal ICP: 8-21
Acute angle glaucoma ICP >21
Symptoms:
Acute onset of severe eye PAIN
Decreased/Blurred Vision • Frontal Headache Nausea/Vomiting
Cloudy cornea
Mid-dilated oval/ovoid shape pupil and in a fixed position Pupil does not
respond to light
