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Worksheets

Eye Diseases

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

A 30 YO male presents with a 3-day history of left eye redness, associated with mucopurulent discharge that causes his eyelids to be stuck together especially upon awakening from sleep. His VA is unchanged. What is the likely diagnosis?

a)

Bacterial conjunctivitis

b)

Viral conjunctivitis

c)

Allergic conjunctivitis

d)

Vernal Keratoconjunctivitis

2.

What is the appropriate management?

a)

Topical antihistamine

b)

Supportive therapy (artificial tears, cold compresses)

c)

Topical antibiotics

d)

Topical decongestants

3.

A 20 YO female presents with eye redness and discomfort that initially involved her left eye and then spread to the right. Associated with bilateral watery discharge and tender swelling in front of both ears. Her VA is unaffected. What is the likely diagnosis?

a)

Allergic conjunctivitis

b)

Viral conjunctivitis

c)

Vernal Keratoconjunctivitis

d)

Bacterial conjunctivitis

4.

What is the appropriate management?

a)

Topical antihistamine

b)

Supportive therapy (artificial tears, cold compresses)

c)

Topical antibiotics

d)

Topical decongestants

5.

A 14 YO girl presents to the clinic complaining of recurrent episodes of bilateral eye redness and itchiness, associated with sneezing and a mucoid discharge from her eyes and nose. What is the likely diagnosis?

a)

Bacterial Conjunctivitis

b)

Viral Conjunctivitis

c)

Vernal Keratoconjunctivitis

d)

Allergic Conjunctivitis

6.

What is the appropriate management?

a)

Topical antihistamine

b)

Supportive therapy (artificial tears, cold compresses)

c)

Topical antibiotics

d)

Ophthalmology referral

7.

An 8 YO boy, known to have asthma, presents with a 2-year history of intense itchiness and burning/foreign body sensation of both eyes, associated with a thick mucoid discharge and increased sensitivity to light. What is the likely diagnosis?

a)

Bacterial Conjunctivitis

b)

Viral Conjunctivitis

c)

Vernal Keratoconjunctivitis

d)

Allergic Conjunctivitis

8.

What is the appropriate management?

a)

Oral antihistamines, topical lubricants and ophthalmology referral

b)

Supportive therapy (artificial tears, cold compresses)

c)

Topical antibiotics

d)

Ophthalmology referral

9.

A 40 YO man presents with a 10 year history of redness and irritation. Associated with a noticeable change over his left eye. What is the likely diagnosis?

a)

Bacterial corneal ulcer

b)

Acute anterior uveitis

c)

Corneal abrasion

d)

Pterygium

10.

What is the appropriate management?

a)

Surgical removal is only indicated when it extends >2mm over limbus.

b)

Tear substitutes and mild topical steroid, if inflamed

c)

Limiting UV exposure (wearing dark glasses)

11.

A 35 YO male presents with 4 day history of painful red right eye, with severely decreased VA. He has noticed sticky discharge on his eyelids and mentions that his eye is very sensitive to bright light. He recalls something scratching his eye a few days earlier. What is the likely diagnosis?

a)

Pterygium

b)

Bacterial corneal ulcer

c)

Acute anterior uveitis

d)

Corneal abrasion

12.

What is the appropriate management?

a)

Corneal scrape for laboratory investigations

b)

Topical antibiotics

c)

Urgent ophthalmology referral

d)

All of the above

13.

A 25 YO female presents with mild redness of her right eye, pain and watery discharge for a couple of days. Her VA is slightly decreased. She tried chloramphenicol ointment w/o improvement. She recalls a history of having cold sores on her lower lip. Attached are the findings after fluorescent eye drops application. What is the likely diagnosis?

a)

Viral herpetic keratitis

b)

Corneal abrasion

c)

Acute anterior uveitis

14.

What is the appropriate management?

a)

Topical Acyclovir 3% ointment

b)

Oral acyclovir or valacyclovir

15.

A 30 YO male presents with a 3 day history of left eye redness, pain and tearing with increased sensitivity to light. VA of his left eye is moderately reduced. He experiences pain in his left eye when exposed to light, even if he only keeps his right eye open. What is the likely diagnosis?

a)

Acute angle closure glaucoma

b)

Corneal abrasion

c)

Acute anterior uveitis

d)

Immune response keratitis

16.

What is the appropriate management?

a)

Investigate for underlying cause

b)

Ophthalmology referral

c)

Topical steroid drops and topical cycloplegic drops

d)

All of the above

17.

A 50 YO female k/c of HTN presents with 1 day history of a deep boring pain in her right eye that radiates to the right side of her head. Associated with nausea and 2 episodes of vomiting. VA of right eye is severely reduced and eye is watering constantly. O/E: the right cornea appears hazy while the pupil is mid-dilated and poorly responds to light. What is the likely diagnosis?

a)

Acute angle closure glaucoma

b)

Corneal abrasion

c)

Acute anterior uveitis

d)

Immune response keratitis

18.

What is the appropriate management?

a)

Urgent referral to ophthalmology

b)

Acetazolamide IV or oral

c)

Analgesics and anti-emetics PRN

d)

Topical corticosteroids

19.

A 25 YO female with 2 day history of right eye redness, associated with a feeling of discomfort and sensitivity to light. She has been wearing contact lenses for a long time. Her right eye is watery, but eyelids are not stuck together in the morning. She has stopped wearing contact lenses, but her VA has not changed with eyeglasses. Examination showed a diffusely injected eye with small white infiltrates on the peripheral cornea which do not stain with fluorescein. What is the likely diagnosis?

a)

Acute angle closure glaucoma

b)

Corneal abrasion

c)

Acute anterior uveitis

d)

Immune response keratitis

20.

What is the appropriate management?

a)

D/C contact lens use and review fit and hygiene

b)

Short course of topical antibiotics and topical corticosteroids

c)

Referral to ophthalmology, if not improving

d)

All of the above