Question Easy:
A 30-year-old woman presents to her GP with itchy, watery eyes, sneezing, and a runny nose every spring. She has no history of respiratory illness. What is the most likely diagnosis? 🌸
A) Bacterial conjunctivitis
B) Viral rhinitis
C) Allergic conjunctivitis
D) Glaucoma
E) Dry eye syndrome
Question Medium:
A 40-year-old man complains of a gradual loss of vision in both eyes. He describes it as a decrease in peripheral vision, making it hard to see objects unless he looks directly at them. What condition is most likely causing his symptoms? 👓
A) Cataract
B) Diabetic retinopathy
C) Glaucoma
D) Macular degeneration
E) Retinitis pigmentosa
Question Hard:
A 55-year-old man presents with hearing loss, tinnitus, and a sensation of fullness in his left ear. He also suffers from episodes of vertigo. Which of the following is the most likely diagnosis? 🎧
A) Acoustic neuroma
B) Ménière’s disease
C) Otosclerosis
D) Labyrinthitis
E) Benign paroxysmal positional vertigo
Explanations & Answers:
Question Easy Answer: C) Allergic conjunctivitis
Question Easy Explanation: Allergic conjunctivitis is characterised by itchy, watery eyes, often accompanied by sneezing and a runny nose, particularly during pollen season. This aligns with the patient’s symptoms and the time of year (spring), making it the most likely diagnosis.
Question Medium Answer: C) Glaucoma
Question Medium Explanation: The gradual loss of peripheral vision is highly suggestive of glaucoma. This is known as “tunnel vision” and is caused by increased intraocular pressure leading to optic nerve damage. Early identification and management are crucial to prevent progression.
Question Hard Answer: B) Ménière’s disease
Question Hard Explanation: The combination of hearing loss, tinnitus, vertigo, and a sensation of fullness in the ear are classic symptoms of Ménière’s disease. This condition involves the inner ear and management includes lifestyle changes and sometimes medication to manage symptoms.
Medical fact of the day: Did you know that the UK is a leader in cochlear implant technology? These devices have transformed the lives of individuals with severe hearing loss, helping bridge the gap between silence and sound.
Quote of the day: “In the heart of every caregiver beats the pulse of hope and healing. Never underestimate the power you hold to change a life.”