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?
Eye Conditions

Quiz
•
Biology
•
University
•
Hard
Charles Martinez
FREE Resource
20 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Bacterial conjunctivitis
Viral conjunctivitis
Allergic conjunctivitis
Vernal Keratoconjunctivitis
Answer explanation
Diffuse redness of the conjunctiva, mucopurulent discharge, visual acuity not affected, eyelids stuck together in the morning is suggestive of bacterial conjunctivitis.
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the appropriate management?
Topical antihistamine
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Topical decongestants
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
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
Answer explanation
Contagious “both eyes involved after a few days”, watery discharge, pre-auricular lymph nodes swelling, and intact vision is suggestive of viral conjunctivitis.
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the appropriate management?
Topical antihistamine
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Topical decongestants
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
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
Answer explanation
Bilateral eye involvement, transient, itchy, mucoid discharge and sneezing is suggestive of allergic conjunctivitis.
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the appropriate management?
Topical antihistamine
Supportive therapy (artificial tears, cold compresses)
Topical antibiotics
Ophthalmology referral
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
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
Answer explanation
- Pathology: bilateral recurrent form of ocular allergy that may lead to giant papillary conjunctivitis, limbal inflammation, or both.
- Onset: before the age of 10-years, usually in boys.
- Associated with history of asthma or eczema.
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