Question Easy:
A 28-year-old woman presents with itchy, watery eyes and sneezing, especially when she is around flowers in spring. What is the most likely diagnosis? 🌼😪
A) Allergic conjunctivitis
B) Viral conjunctivitis
C) Bacterial conjunctivitis
D) Keratitis
E) Glaucoma
Question Medium:
A 65-year-old man with a history of hypertension experiences sudden loss of vision in one eye, described as a curtain descending. There is no pain. What is the most probable diagnosis? 🏴
A) Retinal detachment
B) Central retinal artery occlusion
C) Optic neuritis
D) Vitreous hemorrhage
E) Cataract
Question Hard:
A 45-year-old woman presents with pain and redness in her left eye. On examination, there is a ciliary flush and photophobia. She mentions joint pain in her fingers and morning stiffness. What is the most likely diagnosis? 🔎🦶
A) Anterior uveitis
B) Scleritis
C) Acute angle-closure glaucoma
D) Allergic conjunctivitis
E) Blepharitis
Explanations & Answers:
Question Easy Answer: A) Allergic conjunctivitis
Question Easy Explanation: The symptoms described, including itchy, watery eyes and sneezing associated with exposure to allergens like pollen, are classic for allergic conjunctivitis. NICE guidelines recommend antihistamines as a first-line treatment.
Question Medium Answer: A) Retinal detachment
Question Medium Explanation: The symptom of a “curtain descending” typically represents a retinal detachment, where the retina peels away from its supportive tissue. According to NHS guidelines, this condition requires urgent ophthalmological evaluation to prevent permanent vision loss.
Question Hard Answer: A) Anterior uveitis
Question Hard Explanation: Anterior uveitis, also known as iritis, presents with photophobia, pain, redness, and ciliary flush. The patient’s joint pain and stiffness might indicate an underlying systemic condition such as ankylosing spondylitis, which can be associated with uveitis. NICE guidelines suggest investigating for systemic diseases when uveitis is recurrent or bilateral.
Medical fact of the day: Did you know that the human eye can distinguish approximately 10 million different colours? However, around 8% of men and 0.5% of women with Northern European ancestry have the most common form of colour blindness, which affects colour discrimination.
Quote of the day: “In the ever-turning cycle of care, every small act of kindness ripples into waves of healing. Keep the compassion flowing.”