WorksheetsEye Diseases
Total questions: 20
Worksheet time: 11mins
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?
Bacterial conjunctivitis
Viral conjunctivitis
Allergic conjunctivitis
Vernal Keratoconjunctivitis
What is the appropriate management?
Topical antihistamine
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Topical decongestants
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?
Allergic conjunctivitis
Viral conjunctivitis
Vernal Keratoconjunctivitis
Bacterial conjunctivitis
What is the appropriate management?
Topical antihistamine
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Topical decongestants
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?
Bacterial Conjunctivitis
Viral Conjunctivitis
Vernal Keratoconjunctivitis
Allergic Conjunctivitis
What is the appropriate management?
Topical antihistamine
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Ophthalmology referral
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?
Bacterial Conjunctivitis
Viral Conjunctivitis
Vernal Keratoconjunctivitis
Allergic Conjunctivitis
What is the appropriate management?
Oral antihistamines, topical lubricants and ophthalmology referral
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Ophthalmology referral
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?
Bacterial corneal ulcer
Acute anterior uveitis
Corneal abrasion
Pterygium
What is the appropriate management?
Surgical removal is only indicated when it extends >2mm over limbus.
Tear substitutes and mild topical steroid, if inflamed
Limiting UV exposure (wearing dark glasses)
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?
Pterygium
Bacterial corneal ulcer
Acute anterior uveitis
Corneal abrasion
What is the appropriate management?
Corneal scrape for laboratory investigations
Topical antibiotics
Urgent ophthalmology referral
All of the above
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?
Viral herpetic keratitis
Corneal abrasion
Acute anterior uveitis
What is the appropriate management?
Topical Acyclovir 3% ointment
Oral acyclovir or valacyclovir
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?
Acute angle closure glaucoma
Corneal abrasion
Acute anterior uveitis
Immune response keratitis
What is the appropriate management?
Investigate for underlying cause
Ophthalmology referral
Topical steroid drops and topical cycloplegic drops
All of the above
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?
Acute angle closure glaucoma
Corneal abrasion
Acute anterior uveitis
Immune response keratitis
What is the appropriate management?
Urgent referral to ophthalmology
Acetazolamide IV or oral
Analgesics and anti-emetics PRN
Topical corticosteroids
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?
Acute angle closure glaucoma
Corneal abrasion
Acute anterior uveitis
Immune response keratitis
What is the appropriate management?
D/C contact lens use and review fit and hygiene
Short course of topical antibiotics and topical corticosteroids
Referral to ophthalmology, if not improving
All of the above
