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Ophthalmology · Corneal disease
Sample itemWhy does a contact-lens wearer with painful red eye and reduced vision need urgent assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Risk of microbial keratitis and corneal ulceration
Contact-lens wear increases risk of microbial keratitis, which can threaten the cornea and vision; pain, photophobia, discharge, or reduced acuity require urgent slit-lamp evaluation and targeted treatment.
Option by option
A. Normal age-related floaters
Benign floaters do not cause a painful corneal presentation.
B. Routine refractive error only
Refractive error does not usually cause acute pain and redness.
C. Risk of microbial keratitis and corneal ulceration (correct)
Correct: contact-lens-associated painful red eye can represent vision-threatening keratitis.
D. Simple presbyopia
Presbyopia causes gradual near-focus difficulty, not a painful red eye.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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