Question Easy:
A 25-year-old woman comes to the GP with itchy, red, and watery eyes. She mentions that her symptoms worsen during springtime. Which medication is most appropriate for management? 🌼
A) Amoxicillin
B) Chloramphenicol
C) Loratadine
D) Prednisolone eye drops
E) Timolol eye drops
Explanations & Answers:
Question Easy Answer: C) Loratadine
Question Easy Explanation: This patient’s symptoms are suggestive of allergic conjunctivitis, which usually happens during pollen seasons like spring. Loratadine is a non-sedating antihistamine commonly used to relieve allergic symptoms according to NICE guidelines.
Question Medium:
A 60-year-old patient with a history of chronic smoking presents with a progressive loss of peripheral vision. What is the most likely diagnosis? 🚬
A) Age-related macular degeneration
B) Cataracts
C) Diabetic retinopathy
D) Glaucoma
E) Retinal detachment
Explanations & Answers:
Question Medium Answer: D) Glaucoma
Question Medium Explanation: Glaucoma often leads to peripheral vision loss due to increased intraocular pressure damaging the optic nerve. According to NHS guidelines, early detection and management are crucial to prevent further vision impairment.
Question Hard:
A 40-year-old man presents with sudden severe vertigo, tinnitus, and hearing loss, predominantly on the right side. After several attacks, he is found to have unexplained fluctuation of these symptoms over six months. What is the most likely diagnosis? 🎧
A) Acoustic neuroma
B) Benign paroxysmal positional vertigo (BPPV)
C) Labyrinthitis
D) Meniere’s disease
E) Vestibular neuronitis
Explanations & Answers:
Question Hard Answer: D) Meniere’s disease
Question Hard Explanation: Meniere’s disease is characterized by episodes of vertigo, tinnitus, and fluctuating sensorineural hearing loss. It is caused by endolymphatic hydrops and is outlined as such in NICE guidelines, with management often including lifestyle modifications and sometimes medications.
Medical fact of the day: The most common cause of vision impairment in the UK is age-related macular degeneration, affecting central vision and making activities like reading and recognizing faces challenging.
Quote of the day: “In the tapestry of healthcare, each thread you weave helps mend lives. Keep weaving hope and healing with every touch.” 🌟