MCQ День 2 - Ophthalmology  
Topic 3 Diseases of the eyelids, conjunctiva, lacrimal organs, orbit
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A 17-year-old male presents to the emergency department for eye pain. The patient states that he has had left eye pain for the past week that has been steadily worsening. The patient denies any changes to his vision, trouble moving his left eye, or recent trauma. The patient smokes one pack of cigarettes a day, drinks alcohol socially, and has had unprotected sex with two males and four females this past month. His current medications include loratadine, nasal saline spray, and diphenhydramine. His temperature is 99.5°F (37.5°C), blood pressure is 100/55 mmHg, pulse is 72/min, respirations are 11/min, and oxygen saturation is 98% on room air. On physical exam, you note a healthy young man. Cardiopulmonary exam is within normal limits. Which of the following is the most likely diagnosis?

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Which conjunctivitis is least likely to occur bilaterally?

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An 88-year-old nursing home patient has had red, irritated eyes for months. She feels like she has «sand in her eyes» all the time. On examination, all four eyelid margins are inflamed and edematous with debris on the lashes. What is the most likely diagnosis?

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A 6-year-old boy is brought to the pediatrician complaining of itchy eyes. The mother states that she has noted that he has been tearing and that both of his eyes have been red for the past 4 days. The patient denies any pain but has had a runny nose for the past week. The mother states that he has not had any sick contacts, and he has been home from school for summer vacation. She notices that his symptoms seem to improve in the evening after he showers. His temperature is 97.0°F (36.1°C), blood pressure is 100/66 mmHg, pulse is 90/min, respirations are 22/min, and oxygen saturation is 98% on room air. Which of the following is the most likely diagnosis?

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A young child suffering from fever and sore throat began to complain of lacrimation. On examination, follicles were found in the lower palpebral conjunctiva with tender preauricular lymph nodes. The most probable diagnosis is:

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Most common cause of adult unilateral proptosis

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Distichiasis is:

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In viral epidemic kerato-conjunctlvitis characteristically there is usually:

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A possible effect of damage to the third cranial nerve by trauma to the orbit is

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Schirmer’s test is used for diagnosing:

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The most common cause of unilateral exophthalmos is:

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A 22-year-old man presents to his primary care physician with itchy eyes. The patient recently moved to the northern US and states that he has experienced bilateral itching and watering of his eyes. He states that it is very distracting and is making it hard for him to work. The patient denies any recent sick contacts and lives alone. He works as a machinist and is currently struggling with his finances. The patient has a past medical history of asthma, and his current medications include albuterol, fluticasone, fish oil, and whey protein supplements. His temperature is 99.5°F (37.5°C), blood pressure is 100/65 mmHg, pulse is 60/min, respirations are 15/min, and oxygen saturation is 99% on room air. The rest of the patient's physical exam is within normal limits. Which of the following is the most likely diagnosis?

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A 7-year-old girl presents to the emergency department with swelling around her eye. This has happened to her before but has never been this severe. The lesion started a few days ago but has become increasingly red and painful. Physical exam reveals the lesion which is tender to palpation. Her cranial nerves are intact and there is no pain with extraocular movements. Which of the following is the most likely diagnosis?

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Ectropion is:

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A 32-year-old patient complains of reddening, burning, and sensation of a foreign body in the right eye. The disease is acute. On examination: visual acuity of the both eyes is 1,0. In the right eye there are hyperemy and swelling of the conjunctiva, superficial injection. There is purulent discharge in the conjunctival sac. The cornea is clear. The color and pattern of the iris are uncanged, the pupil is mobile. What diagnosis is most likely?

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