SOLUTIONS VERIFIED GRADED A+
A 19-year-old man presents with a chief complaint of a red, irritated right eye for
the past 48 hours with eyelids that were "stuck together" this morning when he
awoke. Examination reveals injected palpebral and bulbar conjunctiva and
reactive pupils; vision screen with the Snell chart reveals 20/30 in the right eye
(OD), left eye (OS), and both eyes (OU) and purulent eye discharge on the right.
This presentation is most consistent with:
a. suppurative conjunctivitis.
b. viral conjunctivitis.
c. allergic conjunctivitis.
d. mechanical injury.
a. suppurative conjunctivitis.
A 19-year-old woman presents with a complaint of bilaterally itchy, red eyes with
tearing that occurs intermittently throughout the year and is often accompanied
by a rope-like eye discharge and clear nasal discharge. This is most consistent
with conjunctival inflammation caused by:
a. a bacterium.
b. a virus.
,c. an allergen.
d. an injury.
c. an allergen.
Common causative organisms of acute suppurative conjunctivitis include all of
the following except:
a. Staphylococcus aureus.
b. Haemophilus influenzae.
c. Streptococcus pneumoniae.
d. Pseudomonas aeruginosa.
d. Pseudomonas aeruginosa.
Treatment options in suppurative conjunctivitis include all of the following
ophthalmic preparations except:
a. polymyxin B plus trimethoprim.
b. levofloxacin.
c. polymyxin.
d. azithromycin.
c. polymyxin.
Treatment options in acute and recurrent allergic conjunctivitis include all of the
following except:
a. cromolyn ophthalmic drops.
, b. oral antihistamines.
c. ophthalmological antihistamines.
d. corticosteroid ophthalmic drops.
d. corticosteroid ophthalmic drops.
The most common virological cause of conjunctivitis is:
a. coronavirus.
b. adenovirus.
c. rhinovirus.
d. human papillomavirus
b. adenovirus.
Treatment of viral conjunctivitis can include:
a. moxifloxacin ophthalmic drops.
b. polymyxin B ophthalmic drops.
c. oral acyclovir.
d. no antibiotic therapy.
d. no antibiotic therapy.
All of the following are components of the classic ophthalmological emergency
except:
a. eye pain.
b. purulent eye discharge.