Question Easy:
A 52-year-old woman presents with itchy, red eyes and a clear watery discharge. She reports that her symptoms worsen during spring. What is the most likely diagnosis? 🌸
A) Bacterial conjunctivitis
B) Viral conjunctivitis
C) Allergic conjunctivitis
D) Keratitis
E) Glaucoma
Question Medium:
A 35-year-old man presents with sudden loss of vision in his right eye. On examination, you notice a cherry-red spot on the macula. Which of the following is the most likely diagnosis? 🍒
A) Retinal detachment
B) Central retinal artery occlusion
C) Central retinal vein occlusion
D) Optic neuritis
E) Diabetic retinopathy
Question Hard:
A 29-year-old woman comes to the clinic complaining of episodic dizziness, tinnitus, and hearing loss in her right ear. These symptoms began recently and seem to occur together. What is the most likely diagnosis? 🎧
A) Benign paroxysmal positional vertigo (BPPV)
B) Labyrinthitis
C) Meniere’s disease
D) Acoustic neuroma
E) Otosclerosis
Explanations & Answers:
Question Easy Answer: C) Allergic conjunctivitis
Question Easy Explanation: Allergic conjunctivitis is characterised by itchy, red eyes and watery discharge that often exacerbates during allergy seasons like spring. According to NICE guidelines, antihistamine drops or oral antihistamines are typically effective treatments.
Question Medium Answer: B) Central retinal artery occlusion
Question Medium Explanation: A central retinal artery occlusion presents with a sudden, painless loss of vision and a characteristic cherry-red spot on the macula. Immediate referral to an ophthalmologist is crucial, as per NHS guidelines, to attempt retinal artery perfusion.
Question Hard Answer: C) Meniere’s disease
Question Hard Explanation: Meniere’s disease presents with a triad of episodic vertigo, tinnitus, and sensorineural hearing loss. This inner ear disorder requires management strategies like dietary salt restriction and vestibular rehabilitation, in line with BNF recommendations.
Medical fact of the day: The human eye can distinguish approximately 10 million different colors! In conditions such as retinal detachment, the urgent surgical intervention offered in the NHS is crucial to prevent permanent vision loss.
Quote of the day: “In the eyes of those in need, let care be the light that guides you through the darkest moments. 🌟”